Anula

Inula heleniiim. Elecampane. Scabwort. N. O. Compositae. Tincture of fresh root dug in autumn of the second year. (The juice of the root was proved.)

Clinical

Backache. Cough. Cramp. Dysmenorrhoea. Erysipelas. Leucorrhoea. Rectum, pain in. Sciatica. Toothache.

Characteristics

Inula is a " perennial plant with a stem from three to four feet high ; large saw-toothed leaves tapering to a stalk ; and large heads of yellow flowers. The root has an aromatic camphorlike taste, due to the presence of a crystalline substance called Helonin, allied in chemical constitution to Krcosote. It also contains a quantity of starchy material, called Inulin which differs from ordinary starch in being coloured yellow by Iodine, Elecampane was formerly much used as an aromatic tonic, and as a stimulant of all the secreting organs, likewise in coughs, dyspepsia," &c This quotation from the Treasury of Botany weU sums up the chemistry and ancient medical history of the plant as handed down from the time of Dioscorides. Ben jonson refers to it in one of his poems. A popular tradition credits it with the cure of facial erysipelas, and certain symptoms of the face in the provings seem to confirm this. The homoeopathic knowledge of it is due to Fischer, who proved the root-juice. Clinical experience has confirmed and added to the symptom list. The old reputation of the remedy in coughs is confirmed : " Violent tickling in larynx, producing dry cough, < lying down, < at night ; larynx painful," also " dry cough, with constant tickling in throat-pit, difficult breathing and sensation as if hoarseness would occur." A very pronounced effect was observed in the pelvic organs ; pressing and dragging towards the rectum and genitals, headache and labour-like pains. Inula is one of the remedies which has sensation as of something alive moving about internally ; also twisting as of a ball in umbilical region ; as if a substance would come out of rectum and genitals. Another peculiar sensation is : as though some one was poking him with a finger in various parts of the body, especially in diaphragm, so painful he awoke with clenched teeth. Sticking pains as with pins or a knife are numerous. The majority of the symptoms occurred on the right side. The symptoms are < at night ; < lying down (except the uterine pain, which compels patient to remain lying2; < l motion ; after eating. I. — Compare: Sep. (forcing in genitals and rectum, Crocus and Thuja (sensation of something alive) ; Tereb. (urine smelling of violets) ; Ign. (cough < lying down and in evening) ; Sul. (psora; < at night in bed).

Mind p. 26

Excessive anxiety and trembling of the whole body, chattering of teeth from cold, during menstruation.

Head p. 26

Vertigo on stooping. — Confusion of head with nausea, in evening. — Headache in r. side, afterward in 1. — Tearing, throbbing in forehead and vertex after eating. — Sticking headache in r. side. — Jerking, tearing pain in occiput. — Rush of blood to head with sleeplessness. — Burning headache in l. temple, in a spot as large as a silver dollar, in evening.

Eyes p. 26

Twitching in upper lids. — Burning in l. eyeball. — Swimming before eyes and pressure in temples and forehead.

Ears p. 26

Dull stitches in l. ear, with transient sticking above r. eyebrow in evening.

Nose p. 26

Stitches in r. side of middle of nose. — Sticking, crawling in root of nose, extending to eyebrows.

Face p. 26

Left side of face red and hot, a white spot near nose. — Flushes of heat ; l. cheek glowing.

Teeth p. 26

Pain in decayed teeth, < at night.

Mouth p. 26

Dryness of mouth with scraping and tickling in throat, swallowing difficult.

Throat p. 26

Pain in throat on swallowing ; tickling causing cough.

Stomach p. 26

Nausea in morning coming from stomach. — Twisting as of a ball in epigastric region, above umbilicus. — Sticking pain in epigastric region.

Abdomen p. 26

Violent motion beneath r. hypochondrium, as though something living were moving about, during menstruation. — Sticking : as with two pins to r. of umbilicus ; as from a knife between umbilicus and r. groin. — Stitches in l. side of abdomen towards l. groin.

Stool and Anus p. 26

Pressing dragging towards rectum and genitals, as in labour ; as if substance would come out, occurring repeatedly.

Urinary Organs p. 26

Urging to urinate ten times in one hour ; urine passes by drops. — Urine smells of violets.

Female Sexual Organs p. 26

Movings about in abdomen, as at appearance of menstruation, followed by yellowish leucorrhoea. — Pain in uterus, with pain in small of back, very violent, with pressure as in labour ; urging to stool, which she dreads ; is obliged to remain lying. — Dragging in genitals, with more violent backache than she had ever had before. — Stitches in region of uterus and genitals. — Menses too early and painful.

Respiratory Organs p. 26

Violent tickling in larynx, producing dry cough, < lying down ; < at night ; larynx painful. — Cough with abundant thick expectoration ; accompanied by weakness of digestive tract, general languor and debility and much leucorrhoea ; skin has been the seat of psoric manifestations; engorged glands (chronic bronchitis). — Difficult breathing with dry cough, constant ticking in throat-pit. — Dry, tickling cough. lODIUM 27

Chest p. 27

Stitches behind sternum and beneath l. seventh and eighth ribs. — Throbbing, jerking pain as from suppuration, in middle of chest

Neck and Back p. 27

Pain through back and chest, on inspiration.— Transient pain in r. scapula. — Violent backache during menstruation.

Upper Limbs p. 27

Stitches and tearing pain in r. shoulder and wrist. — Tearing, cramp-like pain in tip of L shoulder ; in scaleni muscles on l. side of neck, as if pulled by pincers. — Tearing, jerking in r. arm. — Upper arms as far as elbows fall asleep. — Tearing in palm of l. hand, unable to double fingers. — Fine stitches in index finger. — Tearing in r. little finger, it seems dead.

Lower Limbs p. 27

Tensive drawing in hips extending to nates. — Sticking in r. hip extending to groin ; in middle toes of r. foot ; in r. heel. — Stitches : in thighs ; in l. ankle, when walking ; as if sprained ; in r. heel. — Spasmodic sticking beneath bend of r. knee, hot face and chilliness. — Cramp in calves during sleep.

Skin p. 27

Itching i as from fleas ; violent on legs during menses, with burning after scratching, in bed.

Sleep p. 27

Sleep restless, starting and crying out. — Dreams : lascivious ; disgusting.

Fever p. 27

Coldness, shaking in bed, cold, blue hands and nails. lodiom. lodium. Iodine. An element. I. (A. W. 126-53). Tincture. Wail—Atitef disordered. Atrophy, Brain, atrophy of. Breasts, affections of. Cancer. Chilblains. Chyluria. Constipation. Consumption, Coryra. Cough, Croup, Debility. Diabetes. Diarrhoea. Diphtheria. Emaciation. Enteric fever. Galactorrhoea. Goitre. Haemorrhoids. Headaches. Heart, hypertrophy of; affections of. Hiccough. Hydrocephalus. Iritis, jaundice, joints, affections of. Lactation, disordered. Laryngitis. Leucorrhoea. Liver, affections of. Lymphatic swellings. Melancholia. Mollities osmium. Ovaries affections of; dropsy of. Ozatia. Prostate gland, enlarged. Rheumatic gout. Rheumatism, Salivation. Scars. Seborrhea. Sterility. S>'chili8. Tabes mesenterica. Throat, affections of. Uterus, affections of. Voice, affections of. Vomiting, Worms. Charaoterlstios. — The most prominent feature of the action of lodium is its power of causing absorption. It is this power which has made the drug such a favourite among old-school practitioners as a paint in all kinds of swellings. Given internally its power is much greater : the absorbents are stimulated to fresh activity ; muscles, fat, tissues, and glands waste away, and general emaciation is the result. When new growths and hyperplasias are present, these come under the action of lod. before the normal tissues. I have seen it given with excellent effect in the lower attenuations, when swollen and deformed joints have been left behind after an attack of acute rheumatism. Scrofulous and syphilitic indurations, effusions and tumours, and especially goitre, are equally amenable to its resolvent action. Emaciation of single parts. In this connection must be mentioned its power to set up a ravenous appetite. " Eats ravenously, yet emates," is z, keynote. It seems as if the waste of tissue set 28 lODIUM up the desire for absorbing great quantities of food. Absence of appetite is also among the effects of lod.f and either condition may indicate it. I once used it with excellent effect in the case of a young woman who had had a nervous shock, and had lost all appetite and desire to live. She was much emaciated, and had quietly made up her mind to starve herself to death. I gave five drops of lod. 3X in a wineglass of water half an hour before meal-times, and her appetite returned with such vigour she could not choose but eat, and was soon restored to a normal mental and bodily state. I have recorded another similar case of nervous shock producing rapid emaciation and vomiting cured by lod, in my book on Indigestion. Both these patients were somewhat dark, and lod. is specially suited to persons of dark hair and complexion ; dark, yellow, tawny skin. Herein it is the antipodes of Bromium and Spongia, Its mental symptoms are more marked than those of Brom, There is increased erethism, patient very excitable and restless, moving about from place to place. Fears every little occurrence will end seriously. In his anxiety shuns every one, even his doctor. Fixed ideas are among the lod, effects ; also sudden impulses. A patient of mine had once been given Iodine for goitre by an allopath. She was compelled to discontinue it because it produced this inconvenient symptom : impulse to run ; she felt she must fall if she walked. lod. produces atrophy of nerve and brain tissue, as well as of other tissues (Allen mentions that it is valuable in persistent headaches with vertigo in old people) ; and it also has a place in acute hydrocephalus ; and in pleuritic effusions. In tubercular disease of all kinds it may be called for : tabes mesenterica ; pulmonary phthisis. In rheumatism and heart affections it has a large sphere. It is indicated by indurations or atrophy of testes, ovaries, and uterus. The salivary glands and pancreas are especially affected by /o4., and a diarrhoea of milky, whey-like stools, often indicative of pancreatic disease, is especially amenable to its action. In pneumonia and phthisical affections with lung consolidation it is of great service. The chief indications are : Dyspnoea ; cough with blood-streaked expectoration ; tickling all over chest ; weakness and emaciation ; < of symptoms in a warm room. This last, " < by warmth," is a leading modality of lod. In defects of growth, curvature of bones, and in children's ailments, it follows well upon Calc. In phthisis of rapidly-growing young people, thin and dark, it is especially indicated. There are many marked symptoms in the heart sphere : palpitation from slightest cause ; sensation as if being squeezed ; hypertrophy. With the heart symptoms there is a " gone," exhausted feeling, and the patient is scarcely able to breathe or walk. C. S. McKay noticed lumbrici passed by an infant who had tasted Iodine accidentally, and used the experience in another case, giving a dilute solution (one part of the f to three of water ; of this three drops every three hours), and !)produced the expulsion of lumbrici when Santonin had completely ailed. An ioduretted solution of Kali iod. (Kali iod. gr. xxxv., loa. gr. iv.. Aqua Ji. ; ten drops for a dose) has been used with success as a taenicide, expelling the tapeworm, dead. Erethism is marked in Iod. : nervousness ; restlessness ; twitching ; subsultus tendinum and trembling ; also sense of trembling in inner parts. Facial paralysis and lODIUM 59 ei»lepsy have followed suppression of goitre by large doses of lod. Weakness is excessive. Fainting on going upstairs. (General weakness and loss of appetite and pain in temples, and pain in left chest as if something were being torn away : heart large. — Cooper). Motion and exertion of all kinds <. Sitting up >, and Ij'ing down < dyspnœa and heart affections. < By warmth ; by wrapping up ; in warm room. < In wet weather. Drinking cold milk > constipation. > By eating, of hunger and other symptoms, is another marked character of lod. lod. is a sensitive remedy, and many symptoms are < by touch and pressure. Nash thinks lod, one of the remedies affected by the moon's changes. In cases of goitre where it is indicated he gives a powder of lod, cm. every night for four nights after the moon has passed the full. Relations. — lod. must be compared with Iodoform and Kali iod. The febrile, inflammatory, and skin symptoms of lod. are more violent and pronounced than those of the other two. K. iod. has less erethism than lod., has > from external warmth (though both have > in open air) ; and K. iod. has not the excessive appetite of Iod. or the general > from eating. Iod. is antidoted by : Starch or wheat flour mixed with water (to large doses). Antidotes to small doses Ant t., Apis, Ars., Bell., Camph., Chi., Chi. sul., Coff., Hep., Op., Pho. Spo., Sul. It antidotes : Merc. Follows well: Merc; Hep. (croup) ; Ars. Followed well by : Aco., Arg. n., Calc, Merc, sol., Pho., Pul. Com plementaiy : Lye Compare : Brom. (Brom. has light hair and com flexion ; Iod. dark ; Bro. carrion-like odour of ulcers) ; Chlorum Nat m. (ravenous appetite yet gets thin — Nat. m. especially about the neck) ; Kali iod. (talkative as if from alcohol) ; Bar. c (tabes mesenterica, extreme hunger, emaciates, talkative, averse to strangers ; Bar. c. suited to dwarfish persons ; has not the intolerable crossness of Iod., which is < than that of Ant. c.) ; Alumina (apprehensive, fears) ; Apis (joint effusions, sensitiveness, hydrocephalus) ; Cact. and Spig. (heart) ; Hydrast (uterine affections) ; Ars., Calc, Cin.,Sil. and Staph, (ravenous hunger) ; Hyo. (loss of voice ; Iod. antidotes this) ; Sul. Causation, — Nervous shock. Disappointed love.

Mind p. 29

Lach3rose disposition and mental dejection. — Melancholy hypochondriasis, sadness, heart-ache, and anxiety. — Fear : shuns persons. — Amdous apprehensions. — Restless agitation (with inclination tomove about), which will neither permit the patient to remain seated, nor to sleep. — Irresistible impulse to run; feels she will fall if she walks. — Cross, irascible, peevish. — Heart palpitates " like lightning " when thinking of real or imaginary wrongs. — Sudden maniacal impulses ; to murder. — Excessive mental excitement, with great susceptibility. — Illusions of moral feeling. — Loquacity and immoderate gaiety. — Hesitation and irresolution. — Indolence of mind, with great repugnance to all intellectual labour. — Fixedness, immovableness of thought. — Delirium. — Effects of amorousness ; of disappointed love.

Head p. 29

Confusion of the head (with aversion to earnest work). — In the morning, dizziness. — Vertigo ; throbbing in the head and all over the 36 lODIUM body. — Vertigo with red face, palpitation, hysteria, nervousness. — Headache, in hot air, as well as from the prolonged movement of a carriage, or from a long walk, and < by noise and speech. — Pain, as from a bruise, in the brain, with want of strength- in the body, as from paralysis. — Acute pressive pains in the forehead. — Headache, as if a tape or band were tightly drawn around the head. — Pressure on a small spot, above the root of the nose. — Congestion in the head, with beating in the brain. — Throbbing in the head at every motion. — Hair falls out.

Eyes p. 30

Pains in orbits. — Feeling of depression above the eyes, as if they were deeply sunken, in the evening. — Pain, as from excoriation, in the eyes. — Inflammation of the eyes, sometimes after taking cold. — Watery white swelling of the eyelids.— Dirty yellowish colour of the sclerotica. — Protrusion of the balls. — Lachrymation.— -Convulsive movements, and quivering of the eyes ; of the (lower) eyelids. — Weak sight. — Dimness of vision following upon application of Iodine to any part of body. — Choroid-iritis. — Diplopia. — Sparks and scintillations before the eyes.

Ears p. 30

Buzzing in the ears. — Hardness of hearing. — Sensibility to noise. — (Chronic deafness with adhesions in middle ear. — Deafness from Eustachian catarrh, inflamed tonsils, roaring in the ears, &c.).

Nose p. 30

Small scab in the r. nostril. — Epistaxis. — Red, burning spot on the nose, below the eyes. — Stoppage of the nose, or secretion of mucus more abundant than usual. — Dry coryza, becoming fluent in the open air « evening). — Fluent coryza with much sneezing. — Violent coryza with lachrymation and frontal headache ; discharge hot, nose sore, fever. — Blowing of much yellow mucus from the nose.

Face p. 30

Complexion pale, yellowish, or easily tanned ; or greenish. — Aeneous eruption on r. side of face, with burning, and itching, twitching of r. upper eyelid, and twitchings in other parts. — Sallow, distressed countenance. — Bluish lips, with swelling of the superficial veins. — Frequent and sudden redness of the face, with sensation of burning in the ears. — Face sunken, with eyes cast down. — Starting of the muscles of the face. — Suppurating ulcer on the l. cheek, with swelling of the contiguous glands. — Swelling of submaxillary glands.

Teeth p. 30

Pressive pains in the molars. — Teeth yellow, and covered with mucus, in the morning ; easily blunted by vegetable acids. — Inflammatory swelling and bleeding of the gums, with swelling of the cheek ; the gums are painful to the touch. — Teeth loose. — Softening of the gums.

Mouth p. 30

Aphthae in the mouth. — Ulcers in the mouth. — Pain and swelling of the glands of the interior of the mouth. — Exhalation of putrid odour from the mouth ; after Mercury. — Salivation. — Tongue loaded with a thick coating. — Dryness of the tongue.

Throat p. 30

Swelling and elongation of the uvula. — Sore throat, with pressive pain, when not swallowing. — Permanent constriction of the gullet and impeded deglutition. — Increased secretion of watery saliva. — Inflammation of the gullet, with sensation of burning and scraping ; burning in the fauces. — Ulcers in throat, with swelling of glands of neck.

Appetite p. 30

Disagreeable, saponaceous, sourish, or bitter salt taste. — Increased thirst day and night. — Appetite variable ; at one time bulimy, at another, absence of appetite. — Unuial hunger, with amelioration after a lODIUM 31 meal (after having eaten a good deal). — Great weakness oi digestion. — Eats too often and too much ; rapid pigeon, but losing flesh all the time.

Stomach p. 31

Risings, generally acid, with burning sensation. — Heartburn, after heavy food. — Hiccough. — Pyrosis, esp. after indigestible food. — Qualmishness, nausea (with spasmodic pain in the stomach). — Frequent nausea. — Violent vomitings renewed by eating. — Vomiting of bilious matter, or of yellowish mucus. — Excessive pains in the stomach, with bilious evacuations. — Aching in the stomach after every meal. — Cramp-like, gnawing, or burning pains in the stomach. — Inflammation in the stomach. — Pulsations in the epigastrium. — Gastric derangement with constipation.

Abdomen p. 31

Abdominal pains, which return after every meal. — Inflation of the abdomen. — Incarceration of flatulence (l. side of abdomen). — Enlargement of the abdomen, which renders it impossible to lie down without danger of suffocation. — Region of liver sore to pressure ; swelling and hypertrophy of liver ; jaundice. — Hard, painful swelling of the spleen. — Cramplike pains in the atxiomen. — Violent colic — Pains in the abdomen, like those of parturition. — Swelling and inflammation of the mesenteric glands. — Pancreas enlarged ; whitish, whey-like diarrhoea. — Abdominal pulsations ; throbbing of abdominal aorta. — Trembling in the abdomen, from the pit of the stomach to the periphery, with increased heat. — Hard swelling of the inguinal glands.

Stool and Anus p. 31

Hard, knotty, dark-coloured faeces. Constipation. — Loose, soft evacuations, sometimes whitish, alternately with constipation. — Evacuations copious of the consistence of pap. — Violent, frothy diarrhoea, or composed of sanguineous mucus. — Dysenteric evacuations of thick mucus, or sometimes purulent, with retention of faecal matter. — In the evening, sensation of itching and burning in the anus. — Piles protrude and burn ; < from heat.

Urinary Organs p. 31

Suppressed secretion of urine. — Copious and frequent flow of urine. — Involuntary emission of urine at night. — Urine of a deep colour, turbid, or yellowish green ; or milky ; or acrid and corrosive. — Parti-coloured cuticle on the urine. — (Incontinence in old people with prostatic enlargement.)— (Diabetes.)

Male Sexual Organs p. 31

Complete loss of sexual power ; testicles atrophied. — Violent and constant erections. — Sexual desire increased. — Painful pullings in the anterior part of the penis. — Aching, pressing, twisting, or forcing pain in spermatic cords ; after sexual dalliance. — Swelling and hardness of the testes.— Hardness of the prostate gland. — After stool, milk-like fluid runs from urethra. — Hydrocele. — Offensive sweat of genitals.

Female Sexual Organs p. 31

Catamenia at one time too late, at another too early. — Menses premature, violent and copious. — Metrorrhagia. —Weakness, palpitation of the heart, and many sufferings, before, during, and after the catamenia. — Atrophy of ovaries and breasts, with sterility. — Pain (dull, pressing, wedge-like) commencing in r. ovary passing down broad ligament to uterus. — Great sensitiveness of r. ovarian region during or after menses. — Inflammation of r. ovary with an itching eruption on head and hands following application of Iodine to os uteri. — Chronic oophoritis (1.) with thick, yellow, burning Leucorrhoea, > after eating (H. N. Martin.) — Pain in lower abdomen ; < l. ovarian region ; > by motion and by eating. — 32 lODIUM Induration and swelling (cancer?) of the uterus. — Uterine hasinorrhai renewed after every stool. — Leucorrhoea, corroding the limbs and the linen ; acrid ; profuse ; worse at time of menses. — Flaccidity and atrophy of the breasts. — Mammary hyperaesthesia. — Heaviness of breasts as if they would fall off. — Acute pain and soreness in breasts with metritis. — Bluish red nodosities size of hazel nut ; in both breasts ; dry, black points at tips. — Galactorrhoea ; thin, watery milk ; weakness ; emaciation. — Milk suppressed ; breasts atrophied and relaxed.

Respiratory Organs p. 32

Insupportable hoarseness and tingling in the throat, esp. in morning. — The voice becomes deeper. — Membranous croup, with wheezing and sawing respiration ; dry, barking cough, esp. in children with dark eyes and hair ; child grasps throat with hand. — Croup, with much mucous expectoration, sometimes streaked with blood. — Inflammation of the throat, of the larynx and trachea, with contractive pain of excoriation. — Pain in the larynx, with discharge of hardened mucus. — Contraction and heat in the larynx. — Increased secretion of mucus in the trachea, with frequent hawking. — Dry cough, with, pressure, shooting, and sensation of burning in the chest. — Cough in the morning. — Cough, with expectoration of abundant, and sometimes sanguineous mucus, pains in the chest, and fever. — Rattling of mucus in the chest, with roughness under the sternum and oppression of the chest. — Cough, resembling whooping-cough, excited by an insupportable tickling in the chest, with anguish before the paroxysm, and excessive emaciation. — Hepatization ; worse upper part of r. lung.

Chest p. 32

Difficulty of respiration, and dyspnœa. — Difficulty of expanding the chest on taking an inspiration. — Suffocation. — Shooting in the l. side, on breathing. — Loss of power to breathe, esp. on going upstairs. — Weakness of the chest. — Congestion in the chest. — Burning, shooting tension in the integuments of the chest.

Heart p. 32

Sensation of weakness in the chest (and heart). — Violent palpitation of the heart ; increased by the least exertion (from walking or going downstairs). — Sensation as if the heart were squeezed together. — Constant, heavy, oppressive pain in region of heart, with sharp, piercing, movable pain. — Great precordial anxiety, obliging him to constantly change his position. — (Hypertrophy of heart, very like that of Am,, and like that often met with in housemaids and others from over-exertion. — Fatty degeneration of heart. — Cooper.) — Pulse rapid, small, weak, with tumultuous, irregular, at times intermittent action of heart.

Neck and Back p. 32

Tension in the neck. — Swelling of the exterior of the neck. — Swelling of the neck when speaking. — Swelling of the glands of the neck, of the nape of the neck, and of the armpits. — Hard and large goitres. — Constant sensation of constriction in the goitres. — Yellowish spots on the neck, and redness, as from ecchymosis. — Cramps in the back. — Pain in sacrum and coccyx. — Spinal complaints, with gressus vaccinum.

Limbs p. 32

Chronic arthritic affections ; with violent nightly pains. — Stiff and enlarged joints after acute rheumatism. — Subsultus tendinum — Cold hands and feet.

Upper Limbs p. 32

Pains in the bones of the arms, < when lying down, and disturbing the sleep. — Lassitude in the arms in the morning, in bed. — Convulsive movements and trembling of the arms, of the hands, and iodoformum ii of the fingers. — Numbness of the fingers. — Tearing pains in the fingers. — Startings of the tendons of the fingers.-* Panaris. — Constant coldness of the hands, which are covered with a cold sweat during labour. — Carphologia.

Lower Limbs p. 33

Cramp-like pains in the legs when seated. — Heaviness, swelling, trembling and paralysis of the legs. — Rheumatic pullings in the thighs and knees. — Inflammatory swelling of the knee, with tearing pains, and suppuration. — Hot, bright-red swelling of the knee, with inflammation, pricking and burning; < by touch and pressure. — Dropsical swelling of the knee. — White swelling of the knee. — Cramps in the feet, esp. at night — Startings of the tendons of the feet — GBdematous swelling of the feet — Chilblains. — Acrid and corrosive sweat on the feet. — Pain in the corns.

Generalities p. 33

Erratic pains in the joints. — Chronic rheumatism in the joints, with violent pains at night ; without swelling. — Sensation of torpor in the limbs. — Convulsive starting and twitching of the tendons. — Distortion of the bones. — Pains in the bones at night. — Swelling and induration of the glands. — Haemorrhage from di£Ferment organs. — Powerful over-excitement of all the nervous Sjrstem. — Ebullition of blood, and pulsation over the whole body, increased by the slightest exertion. — Trembling of the limbs. — Tottering walk. — Great weakness ; even speaking excites perspiration. — Plastic exudations. — Atrophy and emaciation till reduced to the state of a skeleton (with good appetite). — Emaciation ; ending in marasmus ; of glandular tissues (mammae, testicles, thyroid gland, &c.). — (Œdematous swelling, even of the whole body.

Skin p. 33

Sldn rough, dry, or clammy, moist, and of a dirty yellow. — Tetters. — Furfur. — Panaris. — Itching and itching pimples on an old cicatrix. — Papulous eruptions tending to pustulation.

Sleep p. 33

Agitated dreams. — Restless sleep with vivid or anxious dreams. — Nocturnal sweat.

Fever p. 33

Shivering, even in a warm room. — Chill alternating with heat — Cold feet all night — Internal dry heat, with external coldness. — Profuse night-sweat. — Increase of bodily heat — Fugitive heat. — Acid perspiration in the morning. — Pulse quick, small, and hard ; weak, threadlike. — The pulse becomes much quicker as soon as one moves about. — Fever, with consumption. — (West Indian and African fevers ; ague.) iodoformum. lodofonn. CHI3. Trituration. Solution. Clinical — Breast, pains in. Chancre. Cough. Delirium. Diplopia. Eczema. Enteric fever. Eye, affections of. General paralysis. Headache. Heart, affections of. Hydrocephalus. Locomotor ataxy. Mania. Meningitis. Tuberculosis. Characteristics. — Iodoform has been proved by Underwood and Haines. To the symptoms experienced by them have been added the recorded effects observed on patients treated with it in old-school practice. Many cases of fatal poisoning have occurred. All the symptoms acute meningitis have been produced in some instances, and this fact has been tum to good account by homoeopathists. An excel- 34 iodoformum lent collection of the pathogenetic effects of Idf. will be found in C. D. P., from which I taJce the following : A boy of lo had Idf. thickly appHed to a point in amputated limb at which the stitches did not hold well. On the third day he was sleepy, after a restless night with frequent sighing. The dressing was renewed, and on the same day, not having eaten anything since the day before, he had several attacks of vomiting, bilious and easy. All these symptoms increased during the next few days. The child was constipated and seemed to suffer from his head. Nights veiy restless ; sleep interrupted by sighing and cries like those of meningitis. Drowsiness during day. Pupils unequally contracted ; reacted slowly to light He was perfectly indifferent and did not recognise those about him. Later, nightly agitation was replaced by tranquil dehrium. Pulse rapid and small. On the sixth day the dressing was changed, on the seventh day the symptoms began to abate, and disappeared after the ninth. W. J. Martin (Hahn. Month. xxxi. 799) cured two cases of tubercular meningitis with Idf, 2x. He put ± grains in half a tumbler of water, and gave a teaspoonful every two hours. One case was that of a child, fourteen months old, and the symptoms were : Sleeps much ; moves mouth constantly as though chewing or sucking ; bores head back and rolls it from side to side. Had been ill twelve days. Violent convulsions followed, face distorted, eyes squinting, head retracted, neck and back stiff, automatic movement of one arm and leg. The child was expected to die that night, but Idf was now given, and improvement set in. Fever abated, and in one week all symptoms had passed away. Drowsiness is a marked feature. In cases of medicinal poisoning the symptoms sometimes come speedily, and sometimes only after a long period of medication, when they set in with great suddenness and intensity. For instance, a woman, 26, who had taken 42 grains of Idf in eighty days, suddenly after a hot bath felt very dizzy and weak in the legs, felt unable to knit, and diplopia set in. Symptoms of mania followed ; weakness, staggering on closing the eyes. For twelve days she was unable to walk alone. These symptoms having set in suddenly after a hot bath seems to show that the " < by heat, and by damp " of lod. is reproduced in Idf Trees has observed evidences of poisoning develop slowly and insidiously : Malaise, loss of strength and of appetite, occasional vomiting ; and the patient is weighed down with a sense of depression ; moderate fever, rapid pulse ; drowsiness ; complete hebetude ; wasting. The external use of it has set up eczema. In one case, that of a soldier (H. W. xxv. 292) who had had Iodoform applied to his arm, a scarlatina-like rash appeared, spreading from the arm over the body, and ending in desquamation. Scarlatina was actually diagnosed, but some doubt was raised, and, suspicion being thrown on the Idf, a piece of silver was placed in the mouth. Immediately a garlic taste was experienced showing the presence of Idf, which other tests confirmee!. Idf imparts a garlic odour to silver. The symptoms are < at night ; by warmth ; by motion ; by touch ; by riding in cars. > By uncovering. Relations. — Antidoted by: Hep.; Sang. (skin). Compare: lod. ; Kali iod. ; Merc. iodoformum 35 I. Mind*— Elated.-~£icitemeot interrupted by broken sleep.— Transient irritation interrupting somnolence. — Excitement, melancholia, hallucinations of sight and hearing. — Screams out, leaves her bed but falls down after walking a few steps, talks nonsense unconnectedly, is unable to hold anything, sees everything double. — Talkativeness excessive ; fear of death with anguish ; holds fast to any person near her bed, and bemoans her approaching death. — Drowsiness developing into perfect coma. — Suddenly began to behave as if out of his mind ; answered questions unwillingly and hesitating. — Delusions, dressing himself in strange costumes ; imagining himself a prodigious height and growing rapidly. — His ideas all of an exalted kind ; imagined he had the best tenor voice in the world and proceeded to hire a large concert hall. (After insu£action of Idf, into tunica vaginalis ; he was sent to an asylum and recovered in four months.) — Apathetic, amnesia for recent events, nightly restlessness, did not recognise persons, weak-minded. — Forgetful.

Head p. 35

Confusion, with nausea. — Feeling as if he bad been intoxicated the previous day. — Headache all night ; vertigo on sitting up in bed. — Sudden giddiness. — Stitching pain in head. — Headache on waking. — Heaviness of head : on attempting to rise, with aching in vertex. — Head heavy at night as if he could not raise it from the pillow, heaviness next morning after waking, with intermittent pain in skull, < l. side. — Frontal pain; < descending stairs, with shooting in r. ear ; neuralgic, < stooping.— Stitching in temples. — Neuralgic pains in nerves of temples, < r. extending to behind ears. — Pain in temples as from a weight — Sticking in r. side of head. — Pain in occiput and l. lumbar region. — Itching of occiput.

Eyes p. 35

Eyes bloodshot and painful. — Smarting and burning in eyes ; smarting and stinging. — Bruised feeling in r. eye in morning. — Sensitive to light — Objects appear tessellated and red, > rising. — Sees all persons and objects as through a veil. — Vision double. — Exquisite diplqia.'' In purulent ulcers of the cornea, and esp. ulcus cornea Uffens, l. has no equal." — Sattler in old-school practice.)

Ears p. 35

Sticking in r. ear ; sticking, then fulness. — Ears feeling dry and feverish ; and full. — Neuralgic pains in L ear. — Dull hearing.

Nose p. 35

Dryness in nose, and he complains that he cannot get any discharge from it ; with fulness of membrane and constant snuffing.— Constant sensation as if smelling fumes of iodine. — Smell as of decaying leaves in a swamp.

Face p. 35

Pains in malar-bones ; in zygomatic muscles, < motion and bending forward. — Drawing in malar-bones, with pressing. — Stiffness of zygomatic muscles.— Twitching of facial muscles. — Aching in r. lower jaw, increasing to pain as from a weight. — Lips and throat dry ; lips dry and stinging.

Teeth p. 35

Sharp pain in upper teeth.— Aching in sound teeth; in decayed teeth, < upper and r., coming and going quickly ; toothache in afternoon quickly changing to temples. — Teeth feel sore and too long.

Mouth p. 35

Metallic taste. 9. Throat* — Stitching in r. side of throat. — Dryness of throat, with bitter taste ; dryness, with rawness on swallowing. 36 iodoformum

Stomach p. 36

Nausea ; at times.

Abdomen p. 36

Rumbling in abdomen. — Scaphoid abdomen. — Flatulent colic. — Cutting in abdomen. — Warmth in abdomen and rectum, with nausea and desire for stool. — R. inguinal region, sharp pain ; cutting, with desire for stool ; sore pain.

Stool and Anus p. 36

Desire for a liquid stool.— Stool delayed ; with feeling as if anus were drawn up into rectum.

Urinary Organs p. 36

Urine very yellow ; and smelling like saffron. — Albumen and casts in urine.

Respiratory Organs p. 36

Aphonic disturbance of voice.—Cough from dryness of throat— Cough on ing to bed, with wheezing from mucus

Throat p. 36

Smothering sensation. — Respiration irregular ; deep inspirations alternating with apnoea.

Chest p. 36

Sticking in r. chest, extending to lower angle of scapula.— Pain in l. chest. — Sharp pain in r. chest. — Ulcerative pain in l. breast, to r. of nipple at night, then grasping at base of heart, next day aching in l. breast- Soreness on taking a long breath. — Soreness in lungs. — Sore pain in apex of r. lung, on breathing sensation as if two ulcerated surfaces were in contact. — Feeling in lungs as from a heavy cold. — Feeling as if a weight rested on chest, preventing free expansion.

Heart p. 36

Sticking through heart.— Pulse rapid; 150 to 180.

Neck and Back p. 36

Contraction of muscles of neck.— Bruised sensation in nape. — Spine sore, does not wish it touched.— Pain along spine ; along r. side of dorsal vertebrae ; in lumbar region, with weakness and straining.— Sharp pain in angle of scapula.

Limbs p. 36

Pain in l. arm and l. leg, < lower half of tibia and fibula, then extending into foot. — Bruised feeling in l. arm and leg, as the pain increases the muscles feel ulcerated.

Upper Limbs p. 36

Sticking in l. shoulder ; and arm. — Pain in median nerve of l. arm. — Pain in I. humerus, with bruised pain in muscles around the bone. — Rheumatic pain in r. arm ; < using it. — Bruised pain in l. arm in morning on touch. — Pain in l. elbow ; in nerves of l. hand. — Sharp pain in nerves of l. hand.

Lower Limbs p. 36

Pain along l. crural nerve. — Pain in inside of knees. — Neuralgic pain in l. knee. — Weakness of knees on ascending stairs. — Weakness < standing, with pain. — Rheumatic pain in gastrocnemii ; rheum bism of flexor muscles of legs. — Cutting in l. ankle on walking in open air.— Sticking in r. instep.— Pain in l. foot, < walking.

Generalities p. 36

Sudden dizziness ; weak in the legs. — Body in constant spasmodic motion, twitching of facial muscles, deep inspirations alternating with apnoea ; every movement made slowly and without energy ; on closing eyes cannot stand or walk straight. — Constantly wearied and tired. — Rapid collapse ending in coma and death. — Sphincters paralysed. — Stiffness of certain limbs, convulsive movements. — Screams as if suffering from meningitis ; draws up legs a good deal ; twitching and rolling.

Skin p. 36

Red rash over loins, back of arms and elbows (from application to inflamed bursa patellae. The rash was cured by Sang,), — Pine eruption of macules, papules, and vesicles on face, neck, hands, and wrists ; diffuse redness with œdema followed ; worst on hands and between fingers, vesicles running together and epithelium separating ; back of hands desquamated (in a nurse who had been applying it to a patient). — Horrible irritation all over body (from application to wound).

Sleep p. 37

Sleepiness. — Intermittent sleepiness ending in coma. — Wakefulness. — Jerks and shocks in nerves when trying to sleep. — Restless sleep, full of dreams. — Restless, < after 2 a.m. — Sound sleep till 1.30 a.m., then sudden waking, restlessness and sleeplessness till 4.30, then partially conscious sleep for an hour and a half, then heavy sleep and difficult arousing. — Confused dreams; of accidents.

Fever p. 37

Susceptible to hot weather. — Heat at night, keeps laying off covers. — Temperature may be elevated to 104"or more. — Sweats easily from motion. — Sweat on head.