Mental
Irritability of a sullen cast; no desire to hold communication with any one; gives surly answers; does not wish to be touched; disinclination to do or say anything; wants to be alone, is quiet and sullen; will scold severely, and abuse when talked to; malicious. Dizziness of the mind, i.e., an unsteady, wavering condition.
Nose
Troublesome dry catarrh of the nose, which usually comes on very early in the morning. Epistaxis with dark blood; smelling too sensitive.
Stomach and Abdomen
No hunger; sour taste; belching of wind, which is difficult--they want to belch, but a kind of œsophageal constriction seems to prevent it; hiccoughing; heartburn. Nausea, particularly where the patient feels very sick at the stomach, feels "If I could only vomit, I would be so much better." Vomiting in general; of bile; of food; of sour matter. Flatus in general; flatulent colic; rumbling and rolling in the bowels; pressing as of a heavy load in the stomach or abdomen, sometime after eating. Affections in the inner belly generally; also upper belly, inner part; sense of stricture or tightness around the hypochondriac region.
Stool and Anus
Obstructed evacuation from inactivity of the bowels, i.e., constipation; constant urging sensation in the rectum for a stool, which never comes; or a small portion of fecal matter may be passed with this urging, leaving the sensation as though a little lump were left behind in the rectum which was yet to come away; stool bloody; mucous stool, having little lumps of feces with the mucus; in dysentery, particularly where there is blood and slime with little lumps of feces in the slime; insufficient feces, particularly where there is a sensation as if more feces were yet to come; complaints after stool; tenesmus without stool.
Sexual
Male: Genital organs in general; any affections, particularly of the prepuce; erections; complaints from involuntary seminal emissions.
Female: Genital organs in general; sexual desire too strong; metrorrhagia; menses too early; lasting too long; profuse; blood too dark; complaints after menstruation. Fainting away after every labor pain; in labor where, with every pain, there is a sensation as though the bowels ought to be moved; in threatened abortion, or retained placenta, after abortion or parturition, with a constant feeling of uneasiness in the rectum, as though the bowels ought to be moved; hæmorrhage from the uterus with the same symptom.
Cough
Tight, dry, hacking cough; with bloody expectoration; blood dark; sour taste of expectoration.
Sleep
Yawning in general; yawning with stretching of the limbs; awaking too early, between three and four A.M., feels pretty well at that time, lies awake two or three hours, falls asleep again, and on re-awakening, feels miserable, bad taste in the mouth, etc.; stupor-like sleep in the morning; sleepy in the daytime; sleepiness in the morning at usual hour of rising; sleepiness in the afternoon; also in the evening; sleeplessness after midnight. Dreams anxious, "pursued by cats and dogs," etc.; anxious dreams about fatal accidents, of quarreling, etc.; about exerting the mind; amorous.
Fever
Chilliness, external or internal; chill with thirst; heat in general; heat with anxiety, with restlessness; aversion to undress or uncover; external heat with internal chilliness; compound fevers in general; perspiration in general; on one side only; when perspiring, wants to throw off the covers.
Sensations
Red colored face, and patient feeling as though he was sitting before a hot fire. Sensation of anxiousness in the body; biting or pungent pain; pain as if bruised in the outer parts, especially where the patient is cross about it, doesn't wish to see any one, or talk about it, etc.; feels uneasy and encumbered by the clothes; dragging pain in the liver, abdomen, etc., as though something were being dragged down; sensation of heaviness in the outer or inner parts; jerking pain in outer parts; "feels unwell," is a little cross, inclined to taciturnity, etc.; itching or tickling in inner parts; there may be a tickling sensation in the throat, for example, with a desire to scratch; sensation of roughness in the inner parts; of tightness or tension in inner parts.
Generalities
Dark hair. Affections in general of the knee-joint; anus; rectum; larynx; trachea; nape of the neck; right ear; gums; inner mouth; palate; gullet; right side of the face; forehead; angles of the eyes; right hypochondrium; right abdominal ring; right side of the sexual organs; right side generally; left side of the chest. Right abdominal ring where there is a protruding inguinal hernia. Humming in the ears; reddish-yellow face. Increase of saliva; aversion to coffee; obstructed flatus; complaints before making water; affections of the bladder in general. Respiration oppressed, particularly if from a tightness around the hypochondria. Complaints in the back; small of the back; lumbago, rheumatism etc., where the patient cannot turn over--to do so he must rise, up, then turn over; something seeming to be in the back which prevents turning over; strong aversion to the open air, can't turn over if air is let in under the bedclothes, also makes him chilly. Bleeding from inner parts, especially if the blood be dark; disposition to catch cold, emaciation in general, Fainting fits; may faint after every labor pain; or patient may have vomiting spells, and faint away after each attack; in diarrhœa may faint after every stool. Jaundice; yellow skin; inflammation of the mucous membranes; inclination to lie down and be alone; increased secretions of mucus; nervous debility; scurvy; spasms in the inner parts; staggering when walking; strictures after inflammation.
Worse
Waking at 4 A.M., with an aggravation; in the morning; after midnight; from mental affections; from anger; anger with anxiety; with vehemence; in the open air; before breakfast; suppressed catarrh; in cold air; dry weather; while coughing (sometimes shocks are felt in the pit of the stomach with every cough); from drinking; in drunkards; after eating (too much); from exertion of the mind; from shaking the head; also from uncovering it; after intoxication; lying on the back; after menstruation; from narcotic medicine; from noise: brandy; coffee; cold food; cold water; wine; involuntary pollutions; pressure of the clothes; derangement of the stomach; after stool; before urinating; while walking in the open air; in clear fine weather; in the wind; when yawning. On waking in the night.
Better
Head symptoms better from having the head wrapped up or covered; lying down; lying on side; from loosening the garments; in the room; from warmth in general or hot things; on getting warm, and getting warm in bed; in damp and wet weather; after discharging wind; while lying in bed.
Remedies following
Act. spic., Arsen., Bellad., Bryon., Lycop., Pulsat., Rhus tox., Sepia, Sulphur.
Antidotes
Coffea, Ignat.
KEY-NOTES TO THE MATERIA MEDICA - GUERNSEY
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