IGNATIA

(The seed of the Ignatia amara.)

(One grain of the pulverised(If the mortar is kept constantly Standing in very hot water, and thus maintained at a moderately high temperature, then this seed (as is the case with nux vomits) may be easily reduced to a fine powder without diminution of ire medicinal power.) seed is first brought .to the million-fold (third) trituration in the way taught in the introduction to arsenic, and of this one grain after being dissolved, is brought by means of 27 diluting phials to the thirtieth potency (X).

The characteristic peculiarities of this very powerful vegetable substance, as far as they are known to me, are pointed out in the foot notes.

On account of the alternating actions, that follow one another very rapidly, which it excites, it is particularly suitable for acute diseases, and for a considerable number of these, as may be seen from the symptoms corresponding in similarity to symptoms of disease frequently met with in daily life. It is therefore very properly regarded as a medicine created for great usefulness (polychrest).

Its action is usually exhausted in a few days ; yet there are constitutions and states of the body where it cannot effect any evacuation, and in such cases I have sometimes observed its action last nine days. It is suitable for but few cases of chronic disease, and then only with the intermediate employment of some other suitable medicine of mote persistent action.

In its employment it sometimes happens, which is seldom the case with other medicines, that where the first dose has not done what was intended, because (for some unknown cause) it first acted on the disease with its opposite symptoms and consequently soon caused an aggravation of the disease in its secondary action, like a palliative remedy, then (without any intermediate medicine having been given in alternation) a second dose of the same dilution can be given with the best curative effect, so that the cure is only obtained by the second dose. This is no doubt owing to the directly opposite symptoms (alternating actions) of this remarkable drug, of which I shall speak further on. But such cases do not often occur, for, as a rule, in an acute disease, the first dose effects all that this medicine can do in a homoeopathic way, if it has been accurately selected according to similarity of symptoms.

Where in the case of an over-excitable system, perhaps also given in too large a dose, it produces too great sensitiveness, or an anxious, exalted states of the sensibility, hastiness, &c., coffee is serviceable as a homoeopathic antidote. When it his been unsuitably chosen so that its symptoms do not correspond in sufficient similarity to those of the disease, the sufferings it causes may, according to their character, be relieved by the antidotal power of pulsatilla of chamomilla, and in rarer cases by cocculus, arnica, camphor or vinegar.

Although its positive effects have a great resemblance to those of nux vomits (which indeed might be infected from the botanical relationship of these two plants) yet there is a great difference in their therapeutic. Employment. The emotional disposition of patients for whom ignatia is serviceable. differs widely from that of those for whom nux vomits is of use. Ignatia is not suitable for persons of patients in whom anger, eagerness, of violence is predominant but for those who are subject to rapid alternations of gaiety and disposition to weep, of in whom we notice the other emotional states indicated at the end of the following list of ignatia symptoms, provided always that the other corporeal morbid symptoms resemble those that this drug can produce.

Even in a high potency, ignatia is a main remedy in cases of vexation in subjects who have no tendency to break out violently of to revenge themselves, but who keep their annoyance to themselves ; in whom, in a word, the resemblance of the vexatious occurrence is wont to dwell in the mind, and so also especially in morbid states which ate produced by occurrences that cause grief. So also attacks of even chronic epilepsy, which only occur after mortification or some similar vexation (and not from any other cause). may always be prevented by the timely administration of ignatia. Epileptic attacks that come on in young persons after some great fright, before they become very numerous, may also be cured by a few doses of ignatia. But it is very improbable that chronic epileptic fits of other kinds can be cured, or have ever been cured, by this medicine. At all events, the cases recorded in medical writings as having been cured by ignatia are not to be relied on, for other powerful drugs were almost always administered at the same time or as intermediate remedies, or there is no evidence that the cute was permanent.

When a person has, for the first time in his life, in consequence of some external disturbing circumstance, been seized with epilepsy which assumes a serious character by its duration or rapid recurrence, a single small dose of ignatia-tincture may be relied upon for relief and generally for permanent cure (as I have seen). But it is otherwise with chronic epilepsies. In these cases it cannot be of permanent benefit for the same reason that it is of no use in other chronic diseases. For its peculiar opposite primary actions (alternating actions) follow one another in this opposite way when it is given in diseases, so that, if the first dose has removed the morbid state, a second must not be given soon afterwards, for this would cause a recurrence of the morbid state, because its opposite alternating action comes into play, which produces the injurious effects of the secondary action of a palliative.( Thus, also, as above stated, a second dose of ignatia-tincture only acts curatively (in opposition) in those cases in which a first dose of ,the same remedy, though ) Hence it is proved that it is only applicable and curative in sudden attacks and in acute diseases.

It is beat to administer the (small) dose in the morning, if there is no occasion for hurry. When given shortly before bed-time it causes too much restlessness at night. For all therapeutic purposes the administration of one small globule moistened by the thirtieth attenuation is sufficient, and still better, the olfaction of a globule the size of a mustard seed imbibed with the same potency, repeated once or twice daily.

[HAHNEMANN was aided in this proving by GROSS and FR. HAHNEMANN. The symptoms referred to HARTLAUB and TRINKS are those Of JORG's proving-which HAHNEMANN took from their Arzneimittellehre.

The old-school authorities whence symptoms were obtained are:

BERGIUS, Mat. Med.

CAMILLI, Philos. Transact., vol.. xxi, No. 250.

DURIUS. Misc. Nat. Cur., Dec. iii, Ann. 9, 10, Obs. 126.

GRIMM, J. C., Eph. Nat. Cur., Obs. 72.

VALENTINUS, Hist. Simpl. reform.

In the Frag, de Viribus Ignatia has 176 symptoms, in the 1st edit. of the 'R. A. M. L, 624, in the 2nd edit. 674, and in this 3rd edit. 794.]

IGNATIA

Heat in the head.

Feeling of hollowness and emptiness in the head.

Weak, fallacious memory (before the 8th and 10th h.).

Thinking and speaking are difficult for ,him, towards evening [Hb. Ts.( Proving of the drug by Jorg and twelve associates, taking from 10 to 200 drops of the tincture, and from 1 to 4 grains of the powdered bean.) ]

5. He is unable to concentrate the thoughts for an instant. [Hb. Ts.]

Vertigo. (BERGIUS,( General accounts of the drug. All his symptoms, save 431, are evidently taken from Camelli.) Mat. Med., p. 150.]

Slight vertigo which changed into aching pain in the right half of the occiput (all the 1st d.). [Hb.Ts.]

Vertigo with some stitches in the head. [Hb. Ts.]

A kind of vertigo : feeling of swaying hither and thither.

10. Vertigo : he staggered when walking and could only with difficulty keep himself upright. [Hb. Ts.]

Dazedness of the head, in the morning after rising (2nd d.). [Hb. Ts.]

Dulness and confusion of the head. [Hb., Ts.]

Intoxication(From a drachm.) (Taken by a man. The symptoms appeared in an hour.) (aft. 1 h.). [ J. C. GRIMM, Eph. Nat. Cur., Cent. x, Obs. 72.]

homoeopathically selected (for some unknown reason) only acted on the disease with its palliative alternating symptoms, whereby it must have caused an aggravation in the secondary action.

A strong feeling in the head, a kind of intoxication, as from brandy, with burning in the eyes (immediately). [Fr. H-n.]

15. Head is heavy (aft. 4, 6 h.),

He hangs the head forwards. (16, 17, 19, 47, contrasted with 20, 21, 22, are alternating actions of the primary sort, both of almost equal importance.)

He lays the head forwards on the table.

He feels as if the head were too full of blood; and the interior of the nose is very sensitive to the air, as if epistaxis were coming on.

Heaviness of the head as if it were too full of blood (as after stooping too low), with tearing pain in the occiput, which is alleviated by lying on the back,( See note to 599. ) is aggravated by sitting up, but is most relieved by stooping the head low when sitting,

20. Headache which is increased by stooping forwards (aft. 1 h.).

Headache coming on immediately after stooping, tow, which soon goes off on raising it up again (aft. 18 h.).

In the morning, in bed, on awaking and opening the eyes, severe headache, which goes off on rising (aft. 40 h ).

Confusion of the head with pains in its right side, especially in the occiput, rendering thinking and speaking difficult. [Hb. Ts.]

Confusion of the head, which changed into aching pain in the vertex ; this afterwards -extended to the forehead and down to the left eye. [Hb. Ts.]

25. Heaviness and confusion of the head. [Hb. Ts.]

Confusion of the head like intoxication, lasting all day, and frequently passing into actual aching pains in the forehead and especially the right half thereof, rendering thinking very difficult. [Hb. Ts]

Confusion of the head, in the morning on awaking, changing into actual aching headache, that fixed itself particularly in the forehead, and affected the eyes so much, that the movement of the eyelids,

and eyeballs caused pain in them (3rd d.), aggravated by going upstairs and every other bodily movement. [Hb. Ts.]

Pain in the frontal region, that extended sometimes into the right, sometimes into the left eyeball, and was aggravated by bodily movement. [Hb. Ts.]

Pain in the occiput on the side above the mastoid process, which sometimes was communicated to the auditory organs, and then seemed to blunt the sense of hearing. [Hb. Ts.]

30. Dull headache, which was chiefly confined to the right half of the forehead and thence extended at the same time to the right eye, rendering this organ very sensitive to the light. [Hb. Ts.]

Sensation in the head, as if suddenly attacked by coryza ; a dull aching in the sinciput extended markedly down into the nasal cavity, and produced there for ten minutes the feeling that a violent coryza

usually causes there ; this aching went after ten minutes into other parts of the head and went on changing about in this way, came again and disappeared. [Hb. Ts.]

Slight aching pains in the frontal region, aggravated by the light of the sun. [Hb. Ts.]

Violent aching pains in the head, especially in the frontal region, and round about the orbits, becoming always more violent and lasting till the evening. [Hb. Ts.]

Aching pain behind and above the upper eyelids of both eyes, for two hours. [Hb. Ts.]

35. Aching pain in the right half of the forehead, going thence into the left side, latterly involving the whole head. [Hb. Ts]

Aching in the frontal region, that extended at one time to this, at another to that part of the head, but was nowhere persistent ; this pain extended even to beneath the orbits and into the cheeks. [Hb. Ts.]

Aching pain, especially in the right half of the forehead, which extended down to the tight eye, and there particularly assumed such a character, that it seemed as if it would press out the right eyeball, in the afternoon. [Hb. Ts.]

Aching contractive pain in the vertex spreading to the forehead. [Hb. Ts. ]

Violent pain of an aching character in the temples. [Hb. Ts.]

40. Aching pains in the right side of the head and in the occiput. [Hb. Ts.]

Aching pain that extended from the forehead to one side, either the right or the left. [Hb. Ts.]

Aching and pressing pain in the right half of the occiput, until he went to sleep. [Hb. Ts.]

Aching pains in the right side of the occiput. [Hb. Ts.]

Dull aching pain that spread all over the head. [Hb. Ts.]

45. Aching pain in the head increased by taking food. [Hb. Ts.]

Immediately after the midday sleep headache : a general pressure through the whole brain, as if there were too much brain or blood in the head, gradually increased by reading and writing (aft. 20 h.).

Tearing headache in the forehead and behind the left ear, which is tolerable when lying on the back, increased by raising up the head, with heat and redness of the cheeks and hot hands (aft. 5 h.).

Lacerating headache after midnight when lying on the side, which goes off by lying on the back.

( See note to 599.)

Twitching pain in the head on ascending.

50. Twitching headache, which is increased on opening the eyes (aft. 1 h.).

Aching pain in the forehead above the root of the nose which compels him to bend forward the head, (The relief caused here and in 19 by stooping forwards stands with the other symptoms, 20, 21, 58, where stooping forward aggravates, in the position of alternating action but the latter seems to be the beat adapted for homoeopathic curative purposes, and is more frequent and more strongly marked.) followed by inclination to vomit (aft. 5 h.).

Extreme aching in both temples especially the right one. [Gss.]

An aching pain deep under the right side of the frontal bone: [Gss.]

Under the left frontal protuberance a stupefying intermitting aching. [Gss.]

55. Under the left palpebral arch a violent aching. [Gss.]

Pain as if the occipital bone were pressed in.

Cramp-like headache above the root of the nose in the region of the inner canthus (aft. 3 h.).

Above the right orbit, at the root of the nose, aching and Somewhat drawing pain in the head, renewed by stooping low (aft. 10 h.).

Headache, like(Comp. note to 297. This and almost all the other kinds of headache from ignatia are soon removed by coffee.) a pressure with something hard on the surface of the brain, recurring in fits (aft. 6 h.).

60. An aching in the temples, sometimes accompanied by profound sleep.

Headache as if the temples were pressed outwards.( 61, 62, 65. The out-forcing and out-pressing headache in the temples, as also the pain as if the head would burst, is related to the bursting feeling m the bowels, 283, and even to the sore throat 161, and also to 172 and 297 ; for the internal feeling of compression and constriction and the pressing asunder easily become alternating sensations. At all events the pressing asunder is opposed to the marked constriction in hollow organs 366, 368, 431, 465, 468, 472, as alternating action.)

In the morning (in bed), when lying on one side or the other, a furious headache as if it would force out at the temples, relieved by lying on the back(See note to 599.) (aft. 48 h.).

Furious headache ; a constant digging under the right frontal protuberance and on the right side of the frontal bone. [Gss.]

When walking in the open air aching pain in one half of the brain, increased by talking and reflection (aft. 2 h.).

65. When talking and speaking much there comes on a headache, as if the head would burst, which goes off entirely when reading and writing quietly (aft. 48 h.).

Headache increased by talking.

When reading and listening very attentively to a speech the headache is aggravated, but not by mere spontaneous reflection (aft. 6 h.).

Deep stitches in the right temple (aft. 3/4 h.). [Gss. ]

Throbbing headache.( This kind of headache is not unfrequently felt on the side of the occiput a few hours after taking the drug.)

70. Throbbing in the head, above the right supraorbital arch.

Headache at every beat of the arteries.

Shooting pains in the forehead and above the eyebrows. [Hb. Ts.]

Shooting pains in the whole forehead and right side of the occiput. [Hb. Ts.]

Single stitches dart through his head. [Hb. Ts.]

75. External headache ; the head is painful when touched.

External headache ; drawing from the temples above the orbits ;

when touched there is pain as if bruised.

Pain in the head as if bruised (aft. 8 h.).

In the morning on awaking headache as if the brain were smashed and crushed ; on getting up it goes off and there comes on instead a toothache as if the dental nerve were smashed and crushed ; a similar pain then goes into the sacrum ; this headache is renewed on thinking.

(The hair of the head falls out) (aft. 36 h.).

80. In the evening the inner surface of the upper eyelid is painful, as if it were too dry.

In the evening when reading dimness before one eye, as if a tear were in it, which he should wipe away, and yet there is no moisture in it.

On closing the eyelids pain like excoriation in the outer canthus.

In the morning the eyelids are closed by purulent mucus, and when he opens them, the light dazzles.

In the outer canthus of the left eye, sensation as if some dust had got into it, which pressed on the membranes at intervals. (Comp. 86.) [Gss.]

85. In the outer canthus shooting tearing ; the eyes are sealed up in the morning and water in the forenoon.

In the morning the eyelids are sealed up ; there is aching in the inside of the eye, as if a grain of sand were in it ; on opening the eyelids there is shooting in it (aft. 36 h.).

Gnawing smarting on the edges of the eye-lids (when reading in the morning) (aft. 18 h.).

Smarting in the outer canthi (aft. 24 h.).

Pimples round the inflamed eye (aft. 2 h.).

90. Itching in the interior of the eye (aft. 2 h.).

Itching of the eyeball in the inner canthus (aft. 4 h.).

(Stitches in the right eye.)

Pressure outwards in the right eye, as if the eyeball would come out of the orbit. [Hb. Ts.]

Painful aching over the eyes and in the eyeballs themselves, especially when looking into the light. [Hb. Ts.]

95. Burning and weeping of the eyes, especially the left. [Hb. Ts.]

Inflammation of the left eye (the 2nd d.). [Hb. Ts.]

Swelling of the eyelids ; the Meibomian glands excrete much mucus. [Hb. Ts.]

Increased secretion of mucus in both eyes (the 2nd d.). [Hb. Ts.]

Increased secretion of tears. [Hb. Ts.]

100. The objects apparently moved before the eyes. [Hb. Ts.]

Cannot bear the light of the candle(Comp.83.) (aft. 8 h.).

The light of the candle is intolerable to him (aft. 10 h.).

After the midday sleep dimness of vision of the right eye, as if a veil were drawn over it (aft. 6 h.).

A circle of brilliant white, glittering zig-zags beyond the visual point when looking at anything, whereby the letters on which the sight is directed become invisible, but those at the aide are more distinct (104, 105, two alternating actions, very much resembling HERZ'S so-called false vertigo) (aft. 16 h.).

105. A zig-zag like and serpentine white glittering at the aide of the visual point, soon after dinner (aft. 30 h.).

At first contracts the pupils. (106-109, alternating actions ; the contraction seems to be first in point of time, and thus has the chief rank.)

The pupils are more capable of dilatation than of contraction (later).

Pupils more easily dilatable and dilated (aft. 4 h.).

The pupils are easily dilated and equally easily contracted.

110. Fine stitches in the cheeks.

Before going to sleep pressure in both zygomatic processes. [Gss.]

Shooting pressure on the zygomatic process, in front of the left ear. [ Gss.]

In the zygomatic process of the left upper maxilla an intermittent, paralytic pressure. [ Gss.]

(Feels a throbbing in the interior of the ear.)

115. Ringing in the ears.

Roaring in the ears. [Hb. Ts.]

Pain in the inner ear.

Stitches in the interior of the ear (aft. 3 h.).

Itching in the meatus auditorius (aft. 3 h.).

120. Music causes an uncommon and agreeable sensation (120 and 121, alternating actions )(aft.2 h.).

Insensibility to music (aft. 30 h.).

Shooting in the lips, especially when they are moved (aft. 1/4 h.).

Shooting in the lower lip, also when it is not moved (aft. 8 h.)

A very penetrating fine shooting on the lower lip on touching a hair of the beard there, as if a splinter had stuck in there (Comp. 533.)

(aft.3 h.).

125. The inner surface of the lower lip is painful, as if it were raw and excoriated (aft. 8, 10 h.).

The internal surface of the lower lip is ulcerated (without pain).

On the inner surface of the lower lip an elevated cutaneous gland become ulcerated, with sore pain (aft. 4 h.).

On the inner surface of the lower lip an elevated little gland, which pains as if excoriated.

The lips are cracked and bleed.

130. One of the commissures of the lips becomes ulcerated (aft. 2 h.).

Pimple-like lumps, only painful when touched, just under the lower lip (aft. 36 h.).

Pressure under both rami of the lower jaw as if the flesh under

The lower jaw were pressed down, when at rest and when moving, [ Gss.]

The lower jaw is involuntarily drawn up and the jaws closed, which impedes him in speaking, for half an hour (aft. J h.). [Fr. H-n.]

The inner side of the gums is painful as if numb, as though it was burnt.( 134, 130 136, 137 seem to be secondary action.)

135. (In the morning) pain of the teeth, as from looseness.

One front tooth is painful as if numb and loose, more painful whenever it is touched by the tongue.

The teeth are loose and painful.

Immovable sore pain in the foremost molars, especially when reading (aft. 3 h.).

Toothache in the molars as if they and their nerves were smashed and crushed.

140. The toothache commences towards the end of a meal and grows worse after the meal.

Routing, digging pains in the incisors, in the evening (aft. 1/2 h.).

Pain in the maxillary joint, in the morning when lying.

The anterior half of the tongue when talking; as if numb--when eating as if burnt or sore.

(In the morning in bed after awaking) the tip of the tongue is extremely painful (sore, tearing) as if it were burnt or wounded.

145. An acrid feeling on the tip of the tongue, as if it were excoriated.

Fine shooting on the extreme tip of the tongue (aft. 2 h.).

Needle-pricks at the frenum. of the tongue. [Fr. H-n.]

He is apt to bite on one side of the tongue posteriorly when speaking or chewing (aft. 5, 8, 30 h.).

Painful swelling of the orifice of the salivary duct.

150. When chewing he is apt to bite on the inside of the cheek near the orifice of the salivary duct.

Sensation in the palate as if it were excoriated (as from frequent swallowing of the saliva.).( Comp. 164, 166, 167.)

Sensation as if the palate were swollen or covered with viscid mucus (aft. 4 h.).

Stitches in the palate extending info the internal ear (aft.1.5 h.).

Sensation as if the whole surface of the inside of the mouth were about to become excoriated. [Hb. Ts.]

155. Aching and drawing in the sublingual glands. [Hb. Ts.]

Difficulty of swallowing food and drink. [Hb. Ts.]

Stitches in the throat, when not swallowing ; when swallowing feeling as if swallowing over a bone, during which it jerks (If there is an alternating action of ignatia where it produces a sore throat with shooting when swallowing (though I have never observed such a symptom), it must be of very rare occurrence, and hence of very little use from a curative point of view (aft. 3 h.).

Needle-pricks in quick succession, deep in the throat, when not swallowing.

Shooting when swallowing deep down in the oesophagus, which goes off on continuing to swallow and returns when not swallowing.

160. Sore throat : stitches in the throat when not swallowing. and to a certain degree when swallowing ; the more he swallows, the more it goes off ; when he has swallowed something solid, such as bread, it seemed as if the shooting went off entirely.

Sore throat : stitches that are not ,present whilst swallowing .

Sensation as if a plug were sticking in the oesophagus, observed when not swallowing.

(In the evening) choking (contractive) sensation in the middle of the oesophagus, as if a large morsel or a plug (See note to 61) were sticking there, felt more when not swallowing than when doing so (aft. 4 h.).

Sore throat, like a lump of knob in the throat, which pains as if excoriated when swallowing. (Comp. 166. The ignatia sore throat, in which there is felt, when not swallowing, internal swelling of the throat, like a lump, is generally attended by only sore pain m this lump when swallowing ; and the sore throat must be of this description which ignatia (when the other symptoms correspond) will remove, and under such circumstances it will be rapidly and certainly cured by ignatia.) (aft. 16 h.).

165. Aching in the throat.

Sore throat : the throat is painful as if it were raw and excoriated (aft. 1.5h.).

Pain in the throat, as from excoriation, only observed when swallowing.

Sore throat : tearing pain at the larynx, which is increased by swallowing, breathing,, and coughing (aft. 1.5 h.).

Formication in the oesophagus (aft. 1, 2 h.).

170. Shooting in the throat on one side, in the parotid gland, when not swallowing (aft. 20 h.).

Pain in the neck when touched, as if glands were swollen there.

Aching pain in the cervical glands (submaxillary glands).

In the anterior submaxillary gland pain as if it were compressed from without. (On moving the neck and at other times. See also note to 61)

Painful submaxillary gland. after walking in the open air.

175. Pain in the gland beneath the angle of the lower jaw on moving the neck (aft. 18 h.).

First aching then drawing pain in the submaxillary glands (aft. 4 h.).

Drawing pain in the submaxillary glands, which extends into the jaws, whereupon these glade swell (aft. 5 h.).

Taste in the mouth as if the stomach were deranged.

Symptoms of impeded or weak digestion.

Consequently I have never been able to cure a sore throat with ignatia, even when the other symptoms resembled those of this drug, in which there was shooting only when swallowing ; but, on the other hand, when stitches in the throat were only felt when not swallowing, ignatia cured, and that the more certainly, more quickly and more permanently when the other morbid symptoms could be covered by similar ignatia symptoms.

180. The mouth is always full of mucus.

The inside of the mouth is covered with ill-smelling mucus in the morning on awaking.

The salivary glands excreted a perfectly white frothy saliva in great quantity. [Hb. Ts.]

Increased secretion of saliva. [Hb. Ts.]

Chalky taste. [Hb. Ts.]

185. Flat, insipid taste, as if chalk had been eaten (aft. 1/2 h.). [Hb. Ts.]

After eating (morning and noon) watery, flat taste in the mouth as from deranged or overloaded stomach (aft. 16 h.).

The taste of what has been taken especially of beer, is bitter and putrid.

Beer tastes bitter (aft. 8 h.),

Beer tastes flat, stale and flavourless (aft. 2, 5 h.).

190. Beer easily goes into the head and causes intoxication (aft. 3 h ).

At first the taste is bitter, afterwards (aft. 10 h.) sour, with sour eructation.

Sour taste of the saliva (a sour taste in the mouth) (aft. 1, 6 h.).

Dislike to acids (aft. 1st h.).

Appetite for sour things (194, 197 ate alternating: actions with 193, 196, 328 )(aft. 10 h.).

195. Dislike to wine.

Dislike to fruit, and it does not agree (aft. 3 h.).

Appetite for fruit, and it agrees very well (aft. 3, 10, 20 h.).

Extreme dislike to tobacco-smoking (aft. 6 h.).

Tobacco-smoke tastes bitter to him (aft. 5 h.).

200. Tobacco-smoke causes smarting on the fore part of the tongue and produces (obtuse ?) pain in the incisors.

Dislike to tobacco-smoking, though it does not taste disagreeably to him (aft. 2, 5 h.).

Repugnance to tobacco-smoking just as if he were satiated with it and had smoked enough.

Hiccup from tobacco-smoking in one accustomed to smoke tobacco.

Nausea from tobacco-smoking, in an accustomed tobacco smoker.

205. Complete want of relish for tobacco, food and drink, with copious flow of saliva into the mouth, but without disgust at these things or feeling that they taste badly (aft. 8 h.).

When he smokes tobacco in the afternoon, he feels so completely satiated that he can eat nothing in the evening.

Want of appetite for food, drink, and tobacco-smoking (immediately).

Dislike to milk (formerly his favourite drink) ; it is repugnant to him when drinking, although it tastes quite naturally, and not at all disgusting.

When he has drunk some boiled milk (his favourite drink) with relish, and his extreme necessity i3 assuaged, the remainder is suddenly repulsive to him, although it did not taste disgustingly and he felt no actual nausea.

210. He could not swallow bread, as though it were too dry for him.

He loathes warm food and meat ; will only take butter, cheese and bread (aft. 96 h.).

Dislike to meat and longing (Comp. 194, 197 ) for sour fruit (cranberries) (aft. 24 h.).

Want of appetite (from 1 to 7 h.).

Before taking the medicine considerable hunger, a short time after taking it he felt quite satiated, without having eaten anything. [Hb. Ts.]

215. Good appetite ; but on attempting to eat, he felt already satiated [ Hb. Ts.]

Want of inclination to eat. [Hb. Ts.]

Increased appetite. [Hb. Ts.]

Gnawing ravenous hunger, whereby he often became qualmish and sick ' he lay down after the lapse of half an hour, without having taken anything to satisfy himself. [Hb. Ts.]

Good appetite ; food and drink are relished. (Secondary or curative action after previous opposite state (anorexia))

220. Great appetite.( This kind of bulimia seems to stand in the relation of alternating action with 205, 207, 208, 209, 210, 213, but to be of rarer occurrence)

When eating, drinking and smoking, as soon as his needs are satisfied, the good taste of all these things goes off suddenly, or changes into a disagreeable taste, and he is no longer capable of tasting the smallest quantity of them, although there still remains a sort of hunger and thirst.

He belches up a bitter fluid (222, 223, alternating action with 225 )(there is eructation, and a bitter fluid comes up into the mouth).

What he has ingested is belched up again into the mouth,( Allied to this is a symptom not inserted in the text : "The taste of the milk taken in the morning can not be got out of the month for a long time" (aft, 21 h.).) comes up into the mouth by a kind of eructation (ruminatio)

When she has eaten something (at noon) she feels as if the food stuck above the upper orifice of the stomach and could not get down into the stomach.

225. In the evening before going to sleep, and in the morning, the food seems to be sticking up high (aft 2. 15 h.).

He wakes up at night about 3 a.m. ; he is hot all over, and he vomits the food he had taken for supper.

Unusual and violent thirst, even in the night. [Hb Ts.]

Loathing. [Hb. Ts.]

Nausea ; the saliva collected in his mouth. [Hb. Ts.]

230. Nausea and inclination to vomit. [Hb. Ts.]

Empty ineffectual attempts to vomit.

The inclination to vomit goes off after a meal (aft. 2 h.).

After breakfast a kind of anxiety rises up from the abdomen (aft. 20 h.).

During supper his feet grew cold, his abdomen distended (and he became perfectly hoarse).

235. After a meal the abdomen is as if distended.

After a meal the abdomen becomes tense, the mouth dry and bitter, without thirst ; one cheek is red (in the evening).

Anxious painful fulness in the abdomen after supper (aft. 36 h.)

A scraping at the top of the larynx, as from heart-burn (in the evening) (aft. 8 h.).

Empty eructation, only of wind (aft. 2 h.).

240. Repeated eructation (soon after taking the drug). [Hb. Ts.]

Bitter eructation (the 2nd d.). [Hb. Ts.]

Eructation with the taste of the ingesta (immediately).

Sour eructation.

Musty, mouldy eructation (in the evening).

245. (Suppressed, ineffectual eructation (in the morning in bed), which causes aching pain at the mouth of the stomach, in the oesophagus up into the fauces) (aft. 48 h.).

Frequent ejection of saliva .( 246, 247, 248, comp with 283, 363)

Flow of saliva out of the mouth during sleep (aft. 1 h.).

Spitting of frothy saliva all day.

After eating and drinking, hiccup( 249, 250, comp. with 203 )(aft. 3 and 8 h.).

250. In the evening, after drinking. hiccup (aft. 6 h.).

Burning on the tongue (immediately).

Coldness in the stomach.

Burning in the stomach (aft. 1 h.).

Painful sensations arising in the stomach and spreading to the spleen and spinal column. [Hb. Ts.]

255. Aching in the region of the floor of the stomach, sometimes intermitting. [Hb. Ts.]

Fixed and aching pain in the region of the stomach, for ten minutes. [Hb. Ts.]

Aching in the stomach and in the region of the solar plexus.[Hb. Ts ]

The stomach seemed alternately to be sometimes as if overloaded, sometimes as if empty, with which latter feeling ravenous hunger was always conjoined. [Hb. Ts ]

Drawing as if the walls of the stomach were distended, sometimes also aching in the stomach.

260. Pains like spasm of the stomach.

Burning, aching, and drawing pains-in the stomach, in the hepatic and splenic regions. [Hb. Ts ]

Increased warmth in the stomach. [Hb Ts.]

Sensation in the stomach as if he had fasted long, as from emptiness, with flat taste in the mouth and exhaustion in all the limbs.( Alternating action with 235, 236, 237.)

With appetite and relish for food and drink, qualmish fasting taste in the mouth.

265. Sensation of fasting about the stomach and debility of the body.

Flabbiness in the stomach ; the stomach and bowels seem to him to hang down in a relaxed state (aft. 24 h.).

A peculiar feeling of weakness in the epigastric region and scrobiculus cordis (Comp. 335 and 630. This feeling of weakness in the region of the scrobiculus cordis is a characteristic symptom of ignatia.) (aft. 2 h.).

Aching in the scrobiculus cordis.

Violent shooting in the scrobiculus cordis. [Gss.]

270. Fine shooting in the stomach.

Slow succession of shooting twitching pain in the epigastric region and scrobiculus cordis (aft. 1/2 h.).

First strong then fine shooting in the scrobiculus cordis (aft. 1/2 h.).

A pain in the scrobiculus cordis as if it were sore internally, only felt when pressing on it.

Painful aching in the region of the spleen and the floor of the stomach, alternately disappering and recurring. [Hb. Ts.]

275. Shooting and burning in the region of the spleen, recurring several times. [Hb. Ts.]

Aching in the umbilical region. [Hb. Ts.]

Painful sensation as if something passed from the epigastrium up towards the thoracic cavity. [Hb. Ts.]

Stretching pains in the epigastrium (aft. 1 h.). [Hb. Ts.]

Sensation as if the abdominal walls were stretched outwards and the diaphragm upwards; this pain was felt most strongly in the splenic region and posteriorly towards the spinal column, alternately more in one place and then again in another ; it also several times extended to the thoracic cavity, changed there into a painful burning ; but was chiefly and most violently directed towards the spinal column in the neighbourhood of the solar plexus ; eructation of wind diminished this pain. [Hb. Ts.]

280. Pain in the epigastrium as from over-lifting.

An aching in-both sides of the epigastrium or the hypochondria.

A sharp pinching pressure in the scrobiculus cordis and the right sub-costal region (aft.1/2 h.).

A colicky pain as if the bowels would burst in the epigastrium, almost like a gastralgia, which extends into the throat, in the morning in bed, when lying on the side ; which goes off by lying on the back( Comp. 48, 62, and note to 599 )(aft. 40 h.).

General pressing in the abdomen towards the anus. [Hb. Ts.]

285. Distension in the umbilical region and cutting there, for a quarter of an hour. [ Hb. Ts.]

Distension of the abdomen. [Hb. Ts.]

Drawing pains in the left lumbar region, lasting a few minutes.[Hb. Ts. ]

Cutting in the umbilical region. [Hb. Ts.]

Cutting pain in the right side of the abdomen. [Hb. Ts.]

290. Cutting and contractive pains in the hypogastrium. [Hb. Ts.]

Considerable cutting in the abdomen, urging him to go to stool, when soft fluid faeces are evacuated. [Hb. Ts.]

Cutting spreading all over the abdomen ending in a diarrhoeic stool. [Hb. Ts.]

Shooting that extended from the epigastrium as it were upwards to the thoracic cavity, but not involving the abdominal organs. [ Hb. Ts. ]

Rumbling and rattling in the abdomen. [Hb. Ts.]

295. Sensation in the abdomen as if a purgative had begun to act.[Hb. Ts.]

A kind of bellyache ; a contractive pain from both sides, just beneath the ribs (aft. 1/4h.).

Constrictive sensation in the hypochondria, as in constipation, with a semilateral headache, as from a nail pressed into the brain,( The ancients called this kind of headache clavus. This kind of pain is characteristic of ignatia : a pressure as from a sharp-pointed body, as shown in other symptoms also, as 365, 462, 485, to which also "pressure as with a hard body" seems to belong, as 59, 599. in the morning (aft. 20 h.).

Spasmodic flatulent colic in the epigastrium in the evening on going to sleep and in the morning on awaking (aft 8 h.).

Bellyache ; continued bruised pain of the bowels, in the morning in bed.

300. Sensation in the abdomen, in the region of the navel, as if something alive were in there (aft. 8 h.).

Easy discharge of flatus (aft. 1/2 h.). (The opposite is generally secondary action.)

Nocturnal flatulent colic.

Flatulent colic with stitches towards the chest.

In the morning flatulent bellyache in the hypogastrium, which gives off stitches towards the chest and towards the side.( Comp. 332.)

305. Flatulent colic above the navel alternating with copious flow of saliva (Comp. 246, 247, 248, 368 ) in the mouth (aft. 1 h.).

Discharge of much flatus at night, even during sleep, and always production of more, so that everything in the abdomen seems to turn flatus.

Much troubled with flatus, which then presses on the urine (aft. 96 h.).

Unsatisfactory discharge of short interrupted flatus of foetid odour. passed not without an effort of the abdominal muscles (aft. 24, 30 h.).

Flatulent distension immediately after a meal.( Alternating action with 310.)

310. Frequent discharge of flatus immediately after a meal (aft. 26 h.).

After a meal loud rumbling in the abdomen.

(Rumbling in the abdomen.) (Comp. 311, 314, 315.) [VALENTINUS.( Not accessible. ) Hist. Simple Reform, p 198. ]

Grumbling in the abdomen as in a hungry person (aft. 1 h.).

Rumbling and rattling in the bowels.

315. Throbbing in the abdomen.

Itching exactly in the navel (aft. 2.5 h.).

On the left near the navel a painful pressure. [Gss.]

On the left above the navel a sharp shooting. [Gss.]

Oppression in the abdomen and cutting.

320. Cutting in the abdomen (aft. 2 h.).

Immediately after a meal, cutting shooting pain in the abdomen, which changed into flatulent distension (aft. 4 h.).

A continual pinching on a small spot in the right hypogastrium, in the region of the caecum, especially when walking (in the open air) (aft.4h.).

Aching in the hypogastrium (aft. 1/4h.). [Gss.]

Painful aching in the left side of the hypogastrium. [Gss.]

325. Violent aching in the left side of the abdomen. [Gss.]

A pinching distension in the whole abdomen, immediately after a meal, only when he is standing, and worse when he is walking increased to an intolerable degree on continuing to walk, though flatulence does not seem to be the cause of it ; on sitting still it soon goes off, without discharge of flatus (aft. 4 h.).

Shooting in the left side of the hypogastrium(Comp. 330.) [Gss.]

An aching pinching in the abdomen after eating the smallest quantity of fruit, especially when standing and walking, which goes off when sitting.

Pinching colic in all the bowels, even long after a meal, when walking in the open air.

330.Fine shooting pain below the navel (aft. 1 to 2 h.).

Pain, first pinching, then shooting, in one side of the abdomen (aft. 2, 10 h.).

Pinching pain in the abdomen, just in the umbilical region, the pain afterwards goes into the left side of the chest, where it is a mixture of pinching and shooting.

Pinching in the abdomen (aft. 1 h.)

Pinching pain in the abdomen in the open air, as if diarrhoea would come on.

335. Drawing and pinching in the abdomen: it came into the rectum like pressing, with qualmishness and weakness in the scrobiculus cordis (Comp. 267, 630.) and paleness of the face (aft. 48 h., two days before the catamenia).

(Tearing pain in the abdomen.).

Shooting twitching pain in the left groin, in the evening when lying in bed.

Sensation in the left groin as if a hernia would protrude.

Above the left hip an intermitting, deep internal aching. [Gss.]

340. Stool first of hard and then of thin faeces.( Easy and satisfactory evacuation of faeces is generally only primary action, which comes on in half an hour or one hour.)

Thin faeces pass involuntarily with flatulence (in 50 h.).

Soft stool immediately after a meal.

Three evacuations of soft faeces in the afternoon. [Hb. Ts.]

Three moderate evacuations of the bowels. [Hb. Ts.]

345. Two evacuations of the bowels of thin consistence (2nd d.). [Hb. Ts. ]

Three diarrhoeic stools (the 1st d.). [Hb. Ts.]

After cutting, diarrhoeic stool. [Hb. Ts.]

Whitish yellow stools (aft. 3 h.).

Slimy stools.

350. Acrid stools.

Prolapsus of the rectum during moderate straining at stool.

Straining at stool without result. [Hb. Ts.]

Frequent almost ineffectual urging to stool, with bellyache, tenesmus, and tendency to prolapsus of the rectum (aft. 48 h.).

In the evening great desire and urging to go to stool, more in the middle of the abdomen; but no stool came, only the rectum was forced out.

355. Yellowish-white stool of a very large size and passing through the rectum and anus with great difficulty.

Very large stool passing with great difficulty (aft. 12 h.).

Ineffectual urging to stool in the rectum, not in the anus (aft. 1.5 h.).

Ineffectual call and straining to stool and urging in the intestines of the upper part of the abdomen, (Hahnemann's "Oberbauch," usually rendered "epigastrium sometimes means, w here, the abdomen above the navel.) chiefly soon after a meal.

Anxious urging to stool, with inactivity of the rectum ; he cannot press out the faeces without danger of prolapsus of the rectum.

360. Violent urging to stool, more in the upper bowels and upper part of the abdomen ; he has great desire, and yet the stool although soft does not pass in sufficient quantity ; the urging lasts long after the stool is passed (aft. 20 h.).

Ineffectual call and urging to stool.

After sudden urgent call an insufficient quantity of tenacious, claycoloured, but not hard faces is passed with difficulty and not without great straining of the abdominal muscles (almost as if there was a deficiency of the vermicular movement of the bowels) (aft. 3 d.).

Spasmodic tension in the rectum all day.

Sharp pressing pain deep in the rectum after the stool, as from incarcerated flatus (such as usually occurs after a too hasty evacuation--a kind of proctalgia)( Comp. note to 297.) (aft. 2 h.).

365. In the evening after lying down, for two hours, sharp pressing pain in the rectum (proctalgia), without relief in any position, which is allayed spontaneously without discharge of flatus.

Painless contraction of the anus(366, 368. Bee note to 61) a kind of stricture for several days (af. 12 h.).

Creeping and burning in the anus. [Hb. Ts.]

Contraction of the anus (in the evening), which returns next day at the same hour, painful when walking, but most so when standing, but Painless when sitting, with flow of insipid saliva( Comp. 246, 247, 248, 305 )into the mouth (aft. 4, 12, 36 h.).

Several times cutting, rather deep in the rectum (aft. 20 h.).

370. A coarse stitch from the anus deep into the rectum.

Coarse stitches in the anus (aft. 2 h.).

Violent itching in the rectum in the evening in bed.

Creeping in the rectum, as from thread-worms.

In the lower pail of the rectum, towards the anus, disagreeable creeping as from thread-worms (aft. 24 h.).

375. An itching lump at the anus, which is not painful during stool, but which causes an aching when sitting.

Haemorrhoidal sufferings along with soft stool (aft. 5 h.).

Soon or immediately after a stool, pain in the anus, as from blind piles, and like sore pain.

Sore pain in the anus when not at stool (aft. 1 h.).

Pain in the rectum, as from haemorrhoids, constrictive and sore as when a wound is touched (aft. 3 h.).

380. From one to two hours after stool, pain in the rectum, as from bilnd piles, compounded of contraction and sore pain (aft. 2 and 36 h.).

After Straining trio mind with thinking, soon after a stool, pain as from blind piles, aching and as if excoriated (aft. 36 h.).

Swelling of the border of the anus round about, as from distended blood-vessels.

Blind haemorrhoids with pain compounded or aching and soreness (at the anus and in the rectum), more painful when sitting and standing, slighter when walking (Alternating action with 368 )but recurring most severely after enjoying the open air.

(Flow of blood from the anus, with itching of the perinaeum and anus.)

385. Thread-worms crawl out at the anus (aft. 16 h.).

Itching at the anus.

Itching in the perinaeum especially when walking.

(Exhaustion after the stool.)

A sharp pressure on the bladder, as from misplaced flatulence, after supper.

390. A scraping, aching pain on the region of the neck of the bladder, especially when walking and after a meal, when not urinating ; the urine passes without pain.

Frequent micturition. [Hb. Ts.]

Frequent discharge of much watery urine (aft. 2. 6, 20 h.).

Lemon-coloured urine with white sediment (aft. 16 h.).

Cloudy urine.

395. Stiffness of the penis for some minutes (aft. 1/4 h.).

Stiffness of the penis every time he goes to stool.

During the urging to stool much mucus (prostatic fluid) escaped from the urethra (aft. 5 d.).

(Dark urine passes with burning sensation.)

Coarse stitches along the urethra when walking (Comp 370, 371.) (aft. 5 h.).

400. Soon after dinner a stitch in the anterior part of the urethra, that ends in a tearing.

In the middle of the urethra (when sitting in the evening) a scraping tearing pain (aft. 1 h.).

In the middle of the urethra a scratching scraping and scraping tearing pain (in the evening when lying in bed) (aft. 5 h.).

Creeping and burning in the urethra, especially when urinating, also combined with stitches. [Hb. Ts.]

An itching in the anterior part of the urethra (aft. 2 h.).

405. In the morning scalding of the urine (aft. 12 h.).

Violent, intermitting, racking, tearing aching pain in the toot of the penis, especially when walking, which goes off when he stands leaning against the sacrum.

Along with flatulent distension of the abdomen, burning itching in the neck of the bladder, which excites the sexual desire.

In the very next night a great pollution (in a young man who scarcely ever had anything of the sort).

Itching all around the genitals and on the penis, in the evening after lying down, which goes off by scratching (aft. 3 h.).

410. Smarting burning in the anterior part of the urethra when urinating.

Smarting itching on the glans penis (aft. 4 and 20 h.).

Smarting itching pain on the inner surface of the prepuce (aft. 12 h.).

Sore pain as if excoriated on the seam of the prepuce (aft. 1 h.).

Excoriation and ulcerative pain combined with itching on the border of the prepuce (aft. 24 h.) (aft. 3 and 27 h.).( There is an error in the numeration here. This symptom ought to be 414, and not415 as numbered in the original.)

415. (Spasmodic pain on the glans penis.)

Itching shooting on the scrotum as from innumerable fleas, especially when at rest.

Perspiration of the scrotum.

In the evening swelling of the scrotum (aft. 5 h.).

A rigid, strangling sensation in the testicles, in the evening after lying down in bed.

420. Aching in the testicles.

Lascivious, amorous fancies and rapid excitation of the sexual desire, with weakness of the genitals and impotence, and external disagreeable bodily heat.

Irresistible tendency to seminal emission, with soft penis (aft. 24 h.).

Lasciviousness with impotence (aft. 10, 20h.).

Lasciviousness with uncommon prominence of the clitoris, with weakness and relaxation of the other sexual parts, and cool temperature of the body (aft. 40 h.).

425. Impotence in the male, with feeling of weakness in the hips.

The penis is contracted so that it becomes quite small (after urinating).

The prepuce is retracted and the glares penis remains uncovered, as in impotence (aft. 24 h.).

Complete absence of sexual desire.( I have observed this alternating state with the lascivious symptoms 421-424 remain for a long time just like a secondary action ; cocculus removed it.)

Chronic leucorrhoea.

430. Promotion of the menstrual period. (From the large done of, scruple. See note to 434 .) (Bergius merely says that the drug is emmenagogue. From Hahnemann's note it would seem that the latter thought him to refer to Camelli's observations, in which scruple doses were used, but this is doubtful.) [BERGIUS. 1 c.]

Violent spasmodic pressing together in the uterus, like labour-pains, followed by a purulent, eroding leucorrhoea.( See note to 61.)

Menstrual discharge in coagulated masses.

During the catamenia scanty but black blood of a putrid, nasty smell is discharged.

Catamenia retarded several days.( Appears to be rare alternating action, if not secondary action. At all events, ignite has in many canes often seemed to me to produce the opposite, namely, too early occurrence of the catamenia in its primary action, and hence has homoeopathically cured the too early (and too .profuse) catamenia when the other symptoms corresponded.)

435. In both nostrils a crawling itching.

Sensation of ulceration and soreness on the inner angle of one of both nostrils (aft. 12 h.).

The nostrils are ulcerated.

Tickling in the nose.

(Immediately epistaxis.)

440. First dropping from the nose, then coryza (aft.1/2 h.).

Fluent coryza. [Gss.]

Stoppage of one nostrils as if a leaf obstructed it internally ; not as from stuffed coryza.

Catarrh, stuffed coryza..

A feeling of catarrh on the chest : his air-tubes are full of mucus (aft. 1/4 h.).

445. Hollow, dry cough, in the morning on waking from sleep.

In the evening after lying down, on going to sleep, irritation to cough (aft. 6 h ).

In the evening after lying down, a (not tickling) constant irritation to short cough in the larynx, which does not go off by coughing, but rather by suppressing the cough (aft. 5 h.).

Very short, often quite dry cough, the irritation to which is in the pit of the throat. as from feather dust being inhaled, that does not go off by coughing but which is renewed all the oftener the more he abandons himself to the .cough, especially aggravated towards evening.

A sudden (not tickling) interruption of the breathing in the upper part of the trachea above the pit of the throat, which irresistibly excites to short violent cough, in the evening (aft.1 h.).

450. A constricting sensation in the pit of the throat, which excises coughing as from sulphur vapour (See note to 61)

(Every impulse of the cough causes a painful sensation in the penis, like a sudden penetration of blood into it.)

Difficult expectoration from the chest.

Yellow expectoration, smelling and tasting like old catarrh (aft. 12 h.).

Palpitation of the heart.( Other symptoms of the heart and circulation will be found from 741 to 748.) [Hb. Ts.]

455. Shooting in the cardiac region during expectoration (aft. 1/4 h.).

Shooting in the left side (aft. 1/4 and 3 h.).

Frequent stitches in the side of the chest, in the region of the last rib, when not breathing, synchronous with the pulse.

Single coarse stitches on the right side of the chest when not breathing, also on the tibia (aft. 1 h ).

First aching in the left side of the chest, followed by fine shooting in the right side of the chest (aft. 1 h.).

460. Aching ;first in the left, then in the right side of the chest. then in the ankle-joint (aft. 1 h.).

Aching in the thoracic cavity, just behind the sternum. [Hb. Ts.]

A pressure in the region of the middle of the sternum, as with a sharp body (See note to 297 )(aft. 20 h.).

An aching in the middle of the sternum soon after a meal (aft. 24 h.).

Along with oppression of the chest aching in the scrobiculus cordis, which is increased by inspiration and soon changes into stitches in the scrobiculus cordis (aft. 2 h.).

465. Oppression of the chest and respiration( 465, 468, 472. See note to 61 )(aft. 5 h.).

Tightness of the chest. [Hb. Ts.]

Feeling of anxiety and oppression. of the chest wakes him at 12 o'clock at night from sleep ; he had to breathe often and deeply, and could only get to sleep after an hour. [Hb. Ts.]

Oppression of the chest after midnight, as if the chest were too narrow, whereby the respiration was impeded (aft. 12 h.).

On stooping forward a pain on the front of the chest, from both sides of the sternum, as if the ribs pushed together pressed painfully against one another (in the morning) (aft. 15 h.).

470. A tensive pain on the front of the chest when he raises himself straight up (when sitting) (aft. 16 h.).

A tensive pain over the chest on standing upright (aft. 24 h.).

Aching and pressing on the chest (aft. 7 and 9 d.).

When walking his breath fails him, and when he stands still he gets a cough.

(When he shut his mouth he could get no air through the nose.).

475. Very exhausted in the whole body; when he walks he feels as if his breath would fail him, he becomes qualmish in the scrobiculus cordis and then he coughs.

Fulness in the chest.

Inspiration is impeded as by a weight lying upon him, expiration is all the easier.

Slow inspiration, quick expiration (Alternating action with 656 )(aft. 3 h.).

(Must often breathe deeply, and deep breathing momentarily diminished the pressure on the chest.)

480. Slow inspiration, for which he must heave up from the depths of the abdomen; (he must fetch his breath from low down in the body) (aft. 1 h.).

Short breathing alternates with longer, gentle with violent breathing (Comp. 657 )(aft. 2 h.).

Pain on the sternum, as if bruised, also excitable by touch (aft. 14 h.).

A throbbing on the right side of the cheat (aft. 1.5 h.).

On breathing deeply a stitch in the nipple, with flatulent movements in the abdomen (aft. 5 h.).

485. In the morning in bed, sharp pressive pain in the cervical vertebrae, when at rest (See note to 297)

Shooting in the nape.

Shooting tearing pain in the nape (aft. 2.5h.).

Tearing pain in the nape on moving the neck, as from a twist of the neck (aft. 12 h.).

Stiffness of the nape.

490.Heat and burning in the nape, or on one side of the neck, externally.

On the neck just above the left shoulder a painful pressure.( Comp. 485 )[Gss.]

On the left, not far from the spinal column, where the true ribs are separated from the false, an obtuse shooting. (Comp. 494.)

In the middle of the spinal column, rather towards the left side, a deep, tearing pain. [Gss.]

Aching shooting pain in the spinal column when walking in the open air.

495. Simple pain in the scapula increased by moving the arm and by letting it hang down (aft. 20 h.).

(In the morning some stitches at the apex of the scapula.)

A throbbing in the sacrum (aft. 7 h.).

(In the sacrum (and on the chest) a tensive pain on standing up. right) (aft 24 h.).

Stitches in the sacrum (aft. 48 h.).

500. Pain in the sacrum, also when lying on the back, in the morning in bed.( 500, 501. An alternating action with the disappearance of an ignatia symptom by lying on the back (see 19, 47, 48, 62, 5, 9, 600).)

Aching bruised pain in the sacrum when lying on the back, in the morning in bed.

In the shoulder-joint pain as if dislocated when moving the arms.

In the joint of the humerus, when bending the arm back, a pain as from prolonged hard work, or as if bruised.

In the joint of the humerus a griping, clutching, beating and partly drawing pain when at rest (which becomes shooting on moving).

( Comp. 452.)

505. In the joint of the humerus a rheumatic pain, or as if bruised, when walking in the open air (aft. 10 h.).

Pain in the humeral joint as if it were dislocated (aft. 10 h.).

In the deltoid muscle of the upper arm a quivering twitching (aft. 24 h.).

On turning the arm inwards simple pain in the biceps muscle (aft. 2 h.).

In the muscles of the arm pain, as if bruised, when the arm hangs or is raised up.

510. The arm on the side he lies on goes to sleep (aft. 8 h.).

When lying on the right side, in the evening in bed, the head of the shoulder of the left side is painful as if bruised, and the pain goes away when he lies on the painful arm (aft. 12 h.).

Intolerable (indescribable) pain in the shafts of the bones and in the joints of the arm, on which he is not lying, in the evening in bed, which only goes off when he lies on the painful arm (aft. 12 h.).

Intolerable (indescrilable) pain in the shafts of the bones and in the joints of the arm on which he is lying, in the morning in bed, which only goes off when he lies on the other painless side (513, 514 (and probably also 515) stand towards the symptoms 511, 512 as alternating states, and are both primary actions. Their difference seems to depend on the different periods of the day in which each chiefly manifests itself, evening and morning. Even the kind of pain appears to be different in each of these alternating states. See 599,601 ) (aft. 20 h.).

In the morning in bed, pain as if bruised in the head of the shoulder of the side on which he lies, which goes off when he lies on the opposite side or on the back. (aft 24 h.).

515. In the evening after lying down, in one part of the muscles of the forearm, a twitching as if a mouse were crawling under the skin (aft. 36 h.).

Drawing pain in the arms.

From the upper arm to the wrist and as far as the fingers a pulsating drawing.

From cold air (a chill ?) tearing in the right arm and on the right side of the head (aft. 12 h.).

Just above the right elbow painful drawing (Comp. 516, 513. ) (aft. 36 h.). [Gss.]

520. On the wrist tearing pain in the morning after waking.

On the wrist and in the fingers tearing pain.

In the thumb-joint tearing pain as if it were dislocated, in the morning while slumbering in bed.

A stiffness in the right wrist and sensation as if it were asleep.

In the carpal bones of the right hand a drawing (Comp. 520, 521 ) (aft. 36 h.). (Gss.]

525. On the left wrist a paralytic pain as if the hand were sprained or dislocated.

Some stitches in the last joint of the thumb (aft. 10 h.).

Itching pricks on the thumb-joint, which make him scratch.

In the proximal phalanx of the index finger pain as if it were dislocated, on moving.

Warm sweat on the inner surface of the hand fingers (aft. 16 h.).

530. Copious warm sweat of the hands, in the evening (aft. 8 h.).

Warm sweat of the palms (aft. 36 h.).

Transient yellowness of the hands, as from jaundice.

On touching a hair on the hand a penetrating, fine prick, as if a splinter were sticking there.( Comp. 124.)

In the evening after lying down spasmodic movement hither and thither of the index finger.

535. On exerting the fingers, out-stretching cramp of the middle finger (which is relieved by stroking).

Shooting in the hip-joint (aft. 24 h.).

In the morning (from 4 to 8 o'clock), in the hip-joint and knee, shooting pain when walking and moving the legs (aft. 8 h.).

Almost paralytic immobility of the inferior extremities, with single twitchings in them.

In the morning on rising from bed, stiffness of the knees and ankle-joints, of the thigh and sacrum (aft. 38 h.).

540. When sitting, pain in the posterior muscles of the thigh, as if they were bruised (aft. 5 h ).

On the centre of the thigh a deep violent pressure. [ Gss. ]

Violent shooting on the inner side below the left knee.( Comp. 537,) [Gss.]

He could not walk and is forced to sit down, because when walking the knees are involuntarily drawn up (aft, 1/2 h.). [Fr. H-n.]

After going upstairs a stiffness in the knee-joint, which impedes her movement.

545. Stiffness of the knees and loins, which causes pain on movement.

As if stiff in the feet, in the morning (aft. 24 and 96 h.).

Boil on the inner side of the thigh (aft. 12 h.).

After a meal, when sitting, the (thigh and) leg goes to sleep (aft. 5 h.).

Formication in the feet.( 549 551 (and again 548), and 552, 555 constitute three different alternating states.)

550. Fornication as if on the bones of the feet, not as if asleep (aft. 10 h.).

Fine pricking formication on the legs (the skin of the calves), after midnight, which does not permit him to rest or to remain in bed.

The legs to above the knee go to sleep in the evening when sitting.

In the whole of the left leg a paralytic pain, excited by walking, and continuing afterwards when sitting. [Gss.]

In the whole of the left leg painful drawing, in bed before going to sleep ; it sometimes ceases, but returns all the more violently. [ Gss.]

555. The leg goes to sleep when sitting at dinner (aft. 6 h.).

A tension in the legs to above the knee, with heaviness of the limbs.

A stretching,( A kind of cramp, or at least, the commencement thereof.) in the calves on extending the legs or walking.

Cramp of the calf when walking, which goes off when standing and when at rest.( 558 is alternating action with 559-561 ; both apparently of the same rank.) (aft. 4 h.).

Attacks of cramp in the muscles of the foot and toes, when sitting.

560. Attacks of cramp in the calf when sitting at dinner.

Cramp in the calf quite early in bed, on flexing the limb, which goes off on extending the limb or pressing against something (aft. 8 h.).

Intermittent shooting on the inner border of the foot (aft. 5 h.). [Gss.]

Above the right outer ankle intermittent pressure, [ Gss.]

In the right foot violent drawing. [Gss.]

565. In the ball of the heel a numbness (as if asleep) when walking.

In the ball of the heel or rather in the periosteum of the astragalus, a pain as if contused, or as from a jump from a great height (aft. 3 h.).

In the ball of the heel or rather in the periosteum of the os calcis pain when walking as from internal soreness (aft. 4 h.).

Aching pain in the tibia when walking (aft. 2 h.).

In the anterior tibial muscles an undulating, as it were griping and beating, tearing aching pain, especially on moving.

570. Aching in the left ankle-joint (with an internal tickle) which forced him to make a trembling movement of the left foot in order to get relief.

In the ankle-joint, in the morning, when walking, pain as from dislocation.( Comp. 506.) (but not shooting).

On the dorsum of the loot a tearing pain (aft. 20 h.).

Internally in the ball of the heel, are itching twitching pain, especially in the morning in bed.

Tearing burning pain in the heel bone, in the morning on waking (aft. 8 h.).

575. On the dorsum of the foot a spot the seat of burning itching pain when at test.

Burning pain in the corn when sitting.

Burning pain on pressure in a hitherto painless corn on the foot.

The shoes press painfully on the upper part of the toes ; corns commence to have burning pain.

An itching burning (as from chilblains) in the heel and other parts of the foot (aft. 8 h.).

580. On the side of the foot burning shooting, or burning cutting pain.

Shooting pain under the ankle on moving.

Early in the morning several stitches in the heel (aft. 20 h.).

In the dusk of the evening weariness of the fee as from a long walk, with quiet disposition.

Could not drag the feet along, as if he had walked a long way.

585. Heaviness of the feet.( Comp. 556.)

Heaviness of one foot.

Weakness of the feet.

Creaking and clacking, in the knees (aft. 2 h.).

Coldness of the feet and legs to above the knee.

590. Chill about the knee, that is not cold externally.

Hot knees (with tickling itching of one knee) with cold nose (aft. 3 h.).

(Stiffness of the ankle-joint.)

Painful sensitiveness of the soles when walking (aft. 4 h.).

Feet are burning hot.

595. A creeping as if internally in the bones of the whole body.

Creeping, gone-to-sleep feeling in the limbs(Comp 548, 550, 555.)(aft 4 h. several times).

Weariness of the legs and arms.

Sensation of weakness and exhaustion in the arms and legs.

Here and there in the periosteum in the middle of the shafts of the bones (not in the joints) a transient pressure, a3 with a hard body, like contused pain, by day, but especially when lying on one side or the other, in the evening in bed, that goes off by tying on the back(599, 600, and comp. 19, 47 48, 62, in which the pain only goes oft when lying on the k, constitute a third alternating action with 513, 514, and with 511 and 512.) (aft. 20, 36 h.).

600. At night on one or the other side, on which he is lying, pain as if bruised, in the joints of the neck, back, and shoulders, which only goes off when lying on the back (aft. 12 h.).

In the joints of the shoulders, hip and knees, a pain as from a sprain or dislocation (aft. 8 h.).

About the joints or somewhat above them, a continued shooting pain.

A deep shooting burning pain on various parts,( e. g. on the corner of the mouth, under the first joint of the thumb, &C.) without itching.

In the external elevated parts of the joints, a burning shooting pain accompanied by itching (aft. 1 h.).

605. In the evening on going to sleep, jerks and twitches through the whole body(605, 607, comp -with 608, 665, 667. ) (aft. 96 h.),

Jerks and single twitchings of the limbs (aft. 10, 12 h.).

Single twitchings of the limbs when going to sleep (aft. 3 h.).

After lying down twitching and quivering in single muscular parts, here and there on the body (aft. 2 h,).( Another error in the enumeration of the symptoms occurs here in the original.)

Innumerable fine stitches here and there, like flea-bites (especially in bed). (Comp, 604 and the alternating action 603.)

610. Itching here and there on the body, after getting somewhat heated by walking in the open air.

In the evening, after lying down in bed, itching here and there, which readily goes off by scratching.( 611, 612, Characteristic of ignatia is the itching wich is readily removed from the part by slight seratching.)

Itching here and there in the body, under the shoulder, &c., at night, which goes off by scratching,

Itching on the wrist-joint, on the elbow-joint, and on the neck.

The outer skin and the periosteum are painful (aft. 8 h.).

615. Sensitiveness of the skin to a draught of air ; he feels in the abdomen as if he should get a chill (aft. 4 h.).

Simple violent pain, only felt when touched, here and there, on a small spot, e.g. on the ribs, &c.

The symptoms of ignatia are aggravated by drinking coffee and smoking tobacco.

Burning in the ulcer.

Renewal of the pains immediately after dinner, immediately after lying down in the evening, and immediately after waking in the morning.

620. Leaves a tendency to swelling of the cervical glands, toothache, and looseness of the teeth, as also to stomachache.

Great general weariness from slight movement.

Is unwilling to move, shirks work.

Exhaustion, weariness, in the evening.

When walking in the open air a heaviness in the legs, with anxiety, which went off in the room, but depression of spirits came on instead.

625. The knees gave way under him from weakness.

Exhaustion and lassitude after dinner ; lie felt unfit for his usual work, and contrary to custom fell asleep over, it. [Hb. Ts.]

Discomfort in the morning after getting up (the 2nd d.). [ Hb. Ts.]

Exhaustion in the limbs. [Hb. Ts.]

Great exhaustion and weariness, he felt as if he had had a very long walk. [Hb. Ts.]

630. Exhaustion, as from a weakness about the scrobiculus cordis ; he became qualmish; he. must lie down.( Comp. 267, 335.)

So tired that he has no wish to .cress himself and go out ; he has no pleasure in anything, prefers to lie down (aft. 4 h.).

Staggers when walking, readily falls and stumbles over the least thing that lies in his way.( Comp. 754.)

Weariness as if his eyelids would close.

He becomes very sleepy on hearing sad news.

635. He falls asleep when sitting reading (aft. 4 h.).

Drowsiness, which invites him to sleep when sitting ; but on lying down there ensues a half-waking, dreamful sleep (aft. 1/4 h.).

Very profound and yet not refreshing sleep.( He thinks he has not slept at all when he awakes.)

Profound sleep(637, 638 constitute alternating actions with 639, 647, 648. ) (aft. 3 h.).

Sleeplessness.

640. Frequent yawning. [Hb. Ts.]

Inclination to sleep. [Hb. Ts.]

Early sleepiness in the evening. [Hb. Ts.]

Drowsiness after dinner, and deep, sound. unrefreshing afternoon sleep for two hours ; after waking feeling of exhaustion. [Hb. Ts.]

Sound and continued sleep, from which he wakes still tired. [Hb.Ts.]

645. Uncommonly sound but not refreshing midday sleep. [Hb. Ts.]

Restless sleep. [Hb. Ts.]

Sleeplessness ; cannot go to sleep, and awakes (at night) from no perceptible cause (aft. 14 h.).

Sleep so light that he hears everything in it, e.g. the striking of a clock at a great distance.

In the evening in bed flatulent colic : a kind of pressure in the abdomen here and there, recurring every time he wakes at night.

650. In the night in bed he often changes his position, lies sometimes in one place sometimes in another.

Moaning talking in sleep ; he tosses about in bed (Comp. 652.) (aft. 2, 5, h.).

Stamps with his feet in sleep(Comp. 662) (aft. 4 h.).

He moves the mouth in sleep, as if he were eating (aft. 3 h.).

In sleep she moves the muscles of the open mouth in all directions, almost convulsively, and at the same time the hands ire twitched inward (aft. 2 h.).

655. In sleep, groaning, grunting, sighing (aft. 4 h.).

During sleep short inspiration(656 in alternation with 479, 480.) and slow expiration.

During sleep all kinds of breathing, alternately short and slow, violent and gentle, suspended, snoring.( Comp. 481.)

In the evening in bed, feeling. as of an ebullition ;r : the blood, on account of which he could not get to sleep.

During sleep snoring inspiration.

660. Lies in sleep on the back arid lays the open hand under the occiput.

In the morning he lies on the back and puts one arm above the head so that the outspread hand comes to lie under the occiput or in the nape.

Starts up suddenly ire sleep, moans with piteous expression of countenance, kicks and stamps with the feet the hands and face being at the same time pale and cold.