Peculiarities about the rectum and stool afford hints to the use of this remedy. For instance, when there is inactivity of the rectum, requiring great straining to evacuate even a soft stool. No desire to stool for days, sometimes a week, until there is a large accumulation, and then evacuation seems only after great effort. Even if the accumulated stool be very soft, the same effort is required to pass it. One must strain at stool in order to urinate. We see this in dysentery, typhus, and in many other disorders, when Alumina will be very likely the remedy.
Confusion of intellect, loss of memory, time passes too slowly. Seeing knives or scissors she is seized with desire for suicide. Sad thoughts constantly crowd upon the mind; everything is viewed in a sad light. Very changeable mood the same day, alternating from vivacity to thoughtfulness, full of assurance, great timidity. Fears of losing the reason. All mental symptoms worse on waking in the morning. Has a sensation as if he would fall forwards, which he greatly fears.
Vertigo on opening the eyes; everything turns with him in a circle; with white stars. Headache with constipation, vertex is painful to touch. Nape of the neck and head ache on going to bed, cease in the morning on rising. Semi-lateral affections of the head; old rheumatic affections always on same side.
The eyes are agglutinated on waking in the morning, and burn on being opened, with dread of light. Dimsightedness, which obliges her to wipe her eyes constantly, to sec better. Eyes inflamed, itching at the inner canthus, agglutination at night, and lachrymation by day; yellow halo around the candle. Eyelids thickened, dry, burning, granular lids. The left upper eyelid hangs down as if paralyzed. Dryness and burning of the eyes and lids, dry mucus in the lids and eyes.
Affections of the external ears. Stitches in the ears at night, purulent otorrhœa. Heat and redness of the ear for many evenings, roaring in the ears in the evening.
The septum of the nose is swollen, red, and painful to the touch. Swelling and hardness of the left ala of the nose. Soreness with scabs in the right nostril, with a discharge of much thick, yellow mucus, or pus. Impaired sense of smell. Scurfy, sore nostrils, with discharge of thick, yellow, or yellow-green mucus. Acrid nasal secretions. Ozena, with violent pain in root of the nose. Red nose; point cracked.
The skin of the face feels tense, as if the white of an egg or glue had dried upon it. Involuntary chattering of the lower jaw, with hæmorrhage of the bowels, dark offensive stools.
Toothache, extending to other parts, down the larynx; down the neck and shoulders. Taste insipid, tongue coated with a thin, slimy fur. Increased saliva and mucus, although the mouth may feel dry.
Inflammatory redness in the back part of throat, with thick, viscid mucus. Thick, viscid mucus, from the posterior nares. It is difficult to detach and spit out either of the above. After clearing the throat with so much difficulty, it feels very sore. Stitch in the throat, shooting here and there, on swallowing, and something pointed seems to stick in the throat in the evening. Sensation of constriction, with violent pain, as if a portion of the œsophagus were contracted, sometimes during deglutition, and sometimes not, when swallowing. Can swallow but small morsels at a time. Painful ulcers in the fauces, secreting a brown, badly-smelling pus. Painful deglutition, better after warm drinks. Sensation as of a splinter in the throat.
No appetite, sour eructations, heartburn, food no taste. Appetite for starch, chalk, slate, white rags, charcoal, cloves, acids, coffee or tea-grounds, dry rice, and other indigestible things. Worse from eating potatoes and all irritating things, likewise salt, vinegar, pepper, etc., which produce a cough. Constriction and twisting in the stomach, extending up the œsophagus to the throat. Aversion to meat.
Sticking, pressive pain in the region of the abdominal rings, as if a hernia would protrude there. Left side of the abdomen most frequently affected, Painters' colic.
RECTUM AND STOOL –
Inactivity of the rectum requiring great straining to evacuate even a soft, small stool. No desire to stool for days, until there is a large accumulation, and then great effort is necessary to evacuate. One must strain at stool in order to urinate. Itching and burning at the anus; often feels as if excoriated and very sore after an evacuation. Dropping of blood during an evacuation, and often a stream of blood follows, leaving a soreness; typhus fever. Firm, hard, scanty stools, with pain in the anus and difficulty of evacuation. Hard, knotty stools, covered with mucus. Small stools, sometimes like pipestems (also Phosphor). Moist, hæmorrhoidal protrusion, with lancinating pain. Cannot urinate without passing stool Diarrhœa with scanty stools, with urging in the rectum, blood frequently, passing, often leaving a sore, raw feeling. Green stools in summer complaints.
Feeling of weakness in the bladder and genital organs. Fears he will wet the bed. Urine voided when straining at stool. Smarting, corroding urine, with a thick, white sediment.
Male: Involuntary seminal emissions, arousing all his old symptoms. Discharge of prostatic fluid during a difficult stool.
Female: Prolapsus uteri, ulcerated os. Very abundant acrid leucorrhœa, excoriating all the adjacent parts, sometimes running down the limbs, making walking difficult, relieved by cold water. Leucorrhœa before and after the menses. Menses too soon, too short, scanty, pale, and painful. After the menses great mental and bodily exhaustion. Throbbing, itching, and stitches in the vagina. Burning and itching about the generative organs, internally and externally.
Dry hacking cough, day or night, sometimes with dryness of the throat. Hoarse and hollow voice from spinal affections. Dry cough, early every morning, until a little white mucus is raised. Dry, hacking cough, from elongated uvula; with vomiting; with sneezing. When stooping, a stitching pain runs from the left side of the abdomen to the middle of the chest. Talking or lifting increases the soreness in the chest. Frequent attacks of palpitation of the heart.
NECK AND BACK –
Pain in the back, as if a hot iron were thrust through the lower vertebræ. Violent stitches in the middle of the back. The cervical muscles draw the head back during sleep. Many spinal complaints are cured by this remedy.
Upper: Brittle nails and brittle skin on fingers. Much pain in shoulders, arms, and fingers.
Lower: Great heaviness in lower limbs; when walking, he staggers and has to sit down. When sitting, the nates go to sleep. In the thighs and legs, long continued tension, like a cramp, extending downwards. Trembling of the knees. Frequent cramps in the calves. Numbness of the heel on stepping upon the foot. Soles of the feet too sore to step upon. Faint and tired, must sit down. Many troubles from spinal affections.
Restless sleep, always awakening with palpitation of the heart. Tired and drowsy. Confused, anxious dreams; dreams about thieves.
Intolerable itching of the whole body, especially when becoming heated from any cause, even in bed; has to scratch until the skin bleeds. Chapped skin. Boils or itching exanthemata on perineum. Brittle nails.
Sensation of throbbings, and pulsations in inner parts. Great and tremulous lassitude of the whole body. Spasms, with laughing and talking between the paroxysms. Very marked fatigue on talking. So excessively faint and tired, must lie or sit down. Patient improves for a time, then relapses.
On alternate days, in the afternoon, in a warm room. From eating potatoes.
In the open air.
Bryon., Chamom., Ipec.
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