Phosphorus - General symptoms

GENERAL

General

(Morning), Grief.

on waking, anxiety. on rising, unable to collect senses.

after rising, confused feeling in head.

vertigo. dizziness. heaviness of head.

heat of head, and dull headache.

while sitting still, dull pain in head.

on waking, pressive headache.

headache. on waking, stupefaction in head.

pulsation in head. headache in forehead.

weakness of eyes. on waking, dryness of eyes.

agglutination of eyes, etc.

in open air, sticking in inner canthus.

twilight, vision better.

on waking, trembling objects in front of vision.

re-echoing in ears. sneezing.

yellow mucus in nose. blood and yellow mucus from nose.

nostrils stooped. itching in left nostril.

upper lip swollen. toothache.

gnawing and boring in tooth.

on waking, feeling as if teeth were chattering, with general trembling.

drawing in lower back teeth.

sour taste. glutinous taste.

hawking of mucus. on waking, dryness of throat.

rawness in throat. pressure in throat.

after rising, thirst. 8 to 9, nausea.

qualmish nausea. after stool, sour vomiting.

distended pain in stomach.

pain in stomach. in bed, pressure in stomach.

colic. heat in abdomen and face.

4 A.M., woke with pain in bowels and diarrhoea.

pain in abdomen. on waking, pressure in lower abdomen.

in bed, spasm in rectum.

three semifluid stools.

desire to urinate. micturition.

erections. hoarseness.

after rising, cough. oppression of chest.

on waking, tightness of chest.

constriction in chest.

catarrhal coating of chest.

on waking, pulsation. in bed, stretching of limbs and chest.

paralysis of limbs. after rising, weakness in limbs.

before rising, heaviness in the extremities.

after rising, drawing pain in joints.

falling asleep of arms.

tearing in inner side of left forearm.

trembling of hands. falling asleep of hands.

weakness in lower extremities.

falling asleep of left lower extremity.

pain in lower extremity.

on waking, tearing in left tibia.

in bed, tension in heels.

tremulousness. on waking, weariness and exhaustion.

on rising, weakness. after urinating.

weakness. exhaustion of mind and body.

after rising, feeling of mental and physical paralysis.

after heated exercise at night, freckles on nose.

perspiration..

(Afternoon), Good-humored.

dizziness. headache. while sitting, tearing in head.

pain in forehead. 3 to 6 P.M., pain in back and left side of head.

while sitting, sticking and tearing in right eyeball.

heartburn. 1 to 11 P.M., nausea.

griping in abdomen. griping jerk in lower abdomen.

5 P.M., fulness about chest.

swelling in axilla. nervous symptoms.

pimples over body. 1 to 5 P.M., chills.

internal chilliness. coldness.

while sitting, rising of heat from back into head..

(Evening), Vivid fancies.

in twilight, sadness. in bed, anxiety and restlessness.

fear. while walking, vertigo.

after eating, vertigo.

in bed, dizziness. 10 P.M., woke with vertigo.

while reflecting, headache.

stitches in head. in bed, turning in head.

pressive headache in forehead.

pain in forehead. stitches in temples and pain in head.

drawing pain in right side of head.

while sitting, turning in right side of head.

throbbing in right parietal bone.

pulsating pain in brain.

sensitiveness of eyes to candlelight.

lachrymation, biting mucus in right eye.

green halo about candlelight.

sneezing. coryza. nosebleed.

in house, nose stopped.

pale, sickly expression.

while lying down, tearing in maxillary bones.

toothache. gnawing and boring in tooth.

tearing in roots of right upper teeth.

bitterness in mouth and throat.

sour eructations. in bed, nausea.

vomiting. distended pain in stomach.

after lying down, cramp in stomach.

9 P.M. till midnight, pressure in stomach.

10, stitches in pit of stomach.

before going to sleep, cutting colic.

griping and constriction below navel.

cutting in intestines.

after eating, pressure in lower abdomen.

sensation in rectum, cutting in rectum.

after walking, itching in anus.

on falling asleep, stitch from neck of bladder into penis.

burning in urethra. pruritus of glans penis.

on reading aloud. dry cough.

in bed, difficult respiration.

oppression of lower portion of chest.

anxiety in chest. cramp in chest.

sticking through chest.

10 P.M., anxiety about heart.

on lying down, pulsation.

pain in arm. swelling in axilla.

uneasiness in lower extremities.

pain in left hip. after lying down, tearing in thigh.

drawing from knee to foot.

in open air, tearing in knee.

swelling of feet. on motion, stitches in left great toe.

orgasm of blood. weakness.

nervous symptoms. after lying down, burning in wart.

in bed, itching in hands.

itching in soles and toes.

yawning, with chilliness.

sleepiness. flushes of heat.

glowing heat of cheeks..

(Night), After midnight, woke ill-humored.

toward morning, on waking from a dream, moody and melancholic.

on waking, stupid. headache.

pain in ear. stoppage of nose.

toothache. tongue burning, coated white.

dryness of mouth, with burning heat.

thirst. eructations, tasting like rotten eggs.

vomiting of mucus, tasting of olive oil.

feeling as of a disordered stomach.

griping and twisting in stomach.

distension of abdomen.

pressure in lower abdomen.

erections. emissions. after waking, constriction in larynx.

woke about midnight by tickling in trachea.

about midnight, paroxysms of cough.

2 A.M., cough and expectoration of mucus.

after walking in open air, oppression of chest.

cramp in chest. on motion, stitches in chest and back.

falling asleep of arms and feet.

drawing in arm and leg.

swelling in axilla. in bed, tearing in right shoulder.

tearing in hands. paralyzed sensation in right lower extremity.

bruised pain in lower extremity.

in bed, dull pain in hip-joints.

tearing in right knee.

stitches in knees. tearing in left malleolus.

beating pain in heels.

orgasm of blood. uneasiness.

5 to 6 P.M., till towards morning, pains.

intoxicated feeling. pain in bones.

itching of blisters on hands.

crawling in feet. itching over whole body.

restless. frequent waking.

historical dreams. before midnight, chill, preceded by perspiration.

in bed, coldness in knees.

sweats..

(After dinner), Confusion of head.

vertigo. headache. jerking in upper part of left temple.

pressure inward above margin of left eye.

sneezing. stitch in palate.

hiccough. pain in stomach.

tension and pressure about stomach.

griping in abdomen. sticking and clawing in left side of anus.

cough. oppression of chest, with anxiety.

burning in lower end of sternum.

tearing in shoulder. sleepiness..

(After eating), Vertigo.

head heavy, dull. candy, pain in teeth.

blisters on tongue. scraping in mouth and weariness.

saliva tastes of food.

bitter taste. thirst. hiccough.

eructations. sour eructations.

empty eructations. acidity.

qualmishness. pressure in stomach.

pulsation beneath pit of stomach.

pressure in abdomen, with distension.

at noon and evening, twisting colic, with rumbling in the abdomen.

urging to stool. pressure upon chest and short breathing.

rush of blood to heart, and palpitation.

weakness. anxiety and uneasiness in blood.

heat in face. sleepiness..

(While sitting), Dulness of head.

roaring in head. tearing in right side of head.

boring and throbbing in right side of scalp.

rush of blood to head.

tearing beneath right ear.

jerking stitch from left ear into lobule.

burning stitches in margin of upper lip.

burning-hot uprisings.

jerks from stomach to throat.

pressure in pit of stomach.

stitches in right side of abdomen, with tearing in head.

pain in haemorrhoids. urging to urinate.

dry cough. oppression of chest.

stitches and sticking in chest.

beating in right side of chest.

jerking pain in left scapula.

weakness in small of back.

a long time, pain in back.

pain in last lumbar vertebra.

bent, pain in small of back.

pain in upper arms. jerking in condyles of wrist.

gnawing pain in right elbow.

stitches in right leg.

on crossing feet, numbness.

tearing in soles. tearing in toes.

jerking in left great toe.

warmth of body..

(While walking), Griping and cutting in upper abdomen.

cutting in left side of lower a abdomen.

stitches in anus. itching in anus.

incontinence of urine.

cutting beneath short ribs.

tightness of tendons under knee.

drawing in knee. tension in right calf.

pain in ankle. swelling of feet.

pain in soles. stitches in corns.

burning in toes. pricking in right great toe.

weariness..

(Rubbing), Itching in left eye.

tearing beneath right ear.

twitching in left malar bone.

tearing from back teeth to zygoma.

tension in malar bone.

griping in right hypochondrium.

stitches and burning in right hypochondrium.

pain in left side of thorax and abdomen.

tearing in left scapula.

pain in small of back.

tearing along forearm.

stitches in left hip. tearing from knee to back of foot.

tearing from knee-joint to inner side of calf.

tearing in toes. itching..

Delirium (fourth day).

dozed off frequently, but only to lapse, into a semi-delirious state (sixth day).

a peculiar phase developed itself in his delirium.

wherever he turned his eyes he saw faces.

they swarmed by him in long panoramic succession.

they leered at him over the footboard of the bed.

they squinted at him through the windows, or came trooping in when the doors were left ajar.

he would watch these apparitions for hours, complaining that they would not let him sleep (eighth day).

the haunting faces of the previous hallucination had disappeared, and he fancied he was some one else, or that he was in several pieces and could not get the fragments properly adjusted (tenth and eleventh days),.

Patient lies apathetic, screams out now and then, so loud that it aroused all in the house.

at other times she is unconscious, gives no answer when called, though there are free intervals during which she recognizes those about her (ninth day).

on the next day consciousness fails entirely.

on the eleventh day she regains consciousness, which she does not again lose,.

My mind was greatly oppressed with melancholy.

tears would start without cause.

a feeling of dread, as if awaiting something terrible, yet unable to resist or move, overcame me.

sometimes it seemed as if I was beginning to bloat, and then I could hear a multitude of voices saying in high glee, "Fill him up a little more and he will burst," followed by demoniacal laughter, which made the cold chills run over me. I imagined myself an aurora borealis, and could distinctly hear voices shouting, "Beautiful! Oh, was not that splendid?" as the pains became more severe and lasting.

soon, however, the agony became so great that it threw off in a measure the stupor that clouded my senses (after five hours),.

She soon became unconscious, and so remained for over twenty-four hours.

during this condition she frequently changed her position, often drew her legs up against the abdomen.

there was a low temperature, 31.2° in the axilla, 31.8° in the anus. The patient was completely apathetic, pupils insensible to light, pulse small, thready, 80, respiration 30, inspiration short, expiration long and stertorous.

the heart gradually became weak, and the patient died,.

Vertigo, followed by nausea and pressing-downward pain in the middle of the brain, with stupefaction, and sensation as if he would tumble down, in the morning and after dinner.

then, in the afternoon, nausea, heartburn, red face, and sensation as if something were seated in the throat, with sadness and weeping without cause.

in the evening, mistiness before the eyes and itching of the eyelids,.

Dull pain in the whole head, with dizziness, so that he could not hold up the head well, and at times could not see well.

on turning the head the pain was aggravated, and extended down into the face, somewhat better on leaning it forward, without heat, with accumulation of water in the mouth and general prostration and sickly look.

these symptoms continued to increase for three or four days, only somewhat relieved by sleep, until there appeared, in the middle of the forehead, an irregular circle, about as large as a half dollar, with a border half an inch broad, consisting of turgid skin of the forehead, which was warmer than the surrounding part.

the redness disappeared on pressure, but immediately returned (eczema erythematosum).

in the middle of this circle there was an irregular round spot of normal skin.

the diseased part of the skin was painless, but cold water and cold air caused smarting,.

Headache, consisting of a sensation of heaviness, extending to the eyeballs, as if the head were drawn forward by a weight, with a feeling of fulness and heaviness in the face, as if too full of blood, like that after studying too intensely.

when the headache was the worst it was accompanied by drawing in the left side of the occiput.

the headache was only transiently relieved by smelling of spirits of wine, and by shaking the head, aggravated by mental work,.

Violent numb and dizzy sensation, with pressive pain in the head, disinclination and inability to work, especially to perform mental labor, and sleepiness.

almost entirely relieved after lying quietly and partly sleeping, returning only after rising and moving about, with a feeling as if there were no firmness in the head, and with sore pain in various places in the head when touched, for several days,.

In the morning the face was red, in the afternoon the turgescence had increased (second day).

turgor of the face heightened, and in the afternoon it had assumed a remarkable bluish-red color, from which, however, the middle of the face was perfectly free.

a colorless band of about an inch in breath, extended from the highest point of the forehead to the chin, and was sharply defined, giving the face a most peculiar appearance (third day).

the bluish-red color of the face had changed into a perfectly cyanotic hue, the median line remaining free from all color (fourth day),.

At the end of three years her face began to swell and she then left the business.

the swelling gradually increased, and she entered the hospital.

several teeth were extracted, with but little relief.

she appears to have repeatedly left and returned to the hospital, with the swelling continuing, until at last an abscess formed in the superior maxillary bone, which left it carious,.

Violent pain in right upper jaw, which was soon succeeded by swelling and abscess of the gums.

eight teeth in succession became rapidly carious and were removed.

this had some effect on the swelling, but it soon increased again, extending to the cheek and part of the neck.

according to the patient's account, the suppuration at the commencement had a strong odor of Phosphorus. Pregnancy appeared to have proved favorable to the disease, but on new examination, there was found to be a necrosis of the superior maxilla,.

Pain in the left upper jaw, with swelling of the upper lip.

the pain afterwards disappeared for awhile, but the lip remained swollen.

several abscesses formed in the mouth, discharged matter between the teeth, and the patient had some of the back teeth drawn and experienced relief from pain for a time, but afterwards it considerably increased and the gum became swollen, so that the mouth could scarcely be opened and the bone became denuded,.

Gradually a red swelling appeared on the under part of the chin.

at first it was the size of a four penny piece, and quickly enlarged until it extended over the face as far as the eyes.

except upon the chin, however, the swelling remained pale and doughy.

upon the original swelling of the chin there was found a group of pustules of the size of hempseed and larger, which, after discharging their thin turbid contents, formed an ulcer the size off a six pence.

at the same time the parts beneath became disorganized into a thin, slightly discolored offensive purulent mass. A disagreeable smell also emanated from the mouth.

the gums and teeth, particularly the front teeth of both jaws, became loose from salivation, which set in at the same time, and the child, from the commencement of the affection, complained much of toothache and headache. Within eight days the ulcer had destroyed the soft parts, even to the bone.

after the use of remedies for ten days, three thin pieces of bone, the size of a bean, detached themselves from the surface of the lower jaw at the chin, and on the following days other small very thin fragments of bone were observed upon the lint.

upon this the sanious discharge was arrested.

the surface of the ulcer became clearer and began to discharge a thin pus, and to form granulations.

three weeks after the exfoliation, the ulcer was cicatrized,.

Suffered much from violent toothache, accompanied with considerable swelling of the right side of the face.

he had a double tooth extracted, but without relief.

the affection progressed so quickly that in a short time he ceased to be able to follow his employment.

one tooth after another dropped out.

he became so weak that he was unable to work.

a swelling of the size of an egg formed below the right orbit, which in a fortnight burst, discharging a large quantity of white pus.

he continued to get worse, all the teeth having fallen out, the gums of the lower jaw retracted, and he now presents the following appearance. The right cheek is considerably swollen.

at the right angle of the lower jaw exists an opening, discharging laudable pus, through which the probe can be passed a couple of inches along bare bone, two inches anterior to this there is another aperture likewise leading to dead bone.

on opening the mouth, the whole of the lower jaw, as far as the ascending rami and down to the reflection of the mucous membrane on the cheek, is quite dead, denuded, and of a leaden-grayish color,.

Seized with toothache, and swelling on the right side of the lower jaw.

to relieve it the gums were lanced, and, finally, the tooth extracted.

after this the pain ceased, but the swelling gradually increased, until a spontaneous opening formed on the under side of the jaw, with a discharge of pus, which has continued since.

she remained in the factory until one week previous to her admission into the hospital. Upon examination after her admission, the inferior maxilla was found necrosed on the right side, and partially on the left.

the jaw was painful, and that side of the face swollen.

the discharge was at times profuse, and apart of it took place through the buccal cavity, rendering it very annoying.

her appetite was good, but mastication difficult and painful.

the necrosis gradually extended, but her general health continued good,.

Two years ago he began to be troubled with carious teeth the three molars on the left side of the lower jaw became so painful that he was obliged to masticate on the right side exclusively. Afterwards the teeth on the right side pained him, and he was forced to employ the left ones again. Two months ago he took cold, and after a few days, he found a swelling about the left side of the lower jaw, accompanied with pains in the bone, extending to different parts of the head and face. He had three teeth extracted, which were rotted away at their crowns, but their fangs were entire. At the time of his admission, the three remaining incisors were quite loose.

entire gum on left side swollen and spongy.

fetid pus escaping on the slightest pressure, from the previous site of the extracted teeth.

a probe passed into these openings strikes on bare bone.

over these parts there was considerable exterior swelling.

pulse quick and feeble.

general strength impaired.

face puffy and very pallid.

sleep disturbed by pain in the jaws and general articular pains. The pain and swelling increased on the right half of the face, speedily bringing it into the same condition as the half first affected. The ulceration of the gum over the diseased alveoli advanced.

and as the several openings became confluent, the alveolar margin of the bone became exposed. The soft parts rapidly retracted from the surface of the bone, and the denudation became every day more complete, and its exposure was attended with a copious and most fetid suppuration. From then until now the only difference that has occurred has consisted in the gradually advancing isolation of the bone,.

Began to suffer with toothache in the right side of lower jaw.

this lasted for some time, and was followed soon by a hard lump upon the outside of the jaw.

the pain continued to increase and the swelling to enlarge until an abscess formed in the submaxillary region, and burst, and discharged a large quantity of purulent matter. Upon introducing a probe into the discharging orifice, I found that it led directly to the jaw, which was deprived of its periosteum and in a necrosed condition.

there was, however, no indication that exfoliation had taken place from any part of the jaw, but, on the contrary, the whole bone was firm and solid. At this time the disease seemed to extended only from the right lower canine tooth to the angle of the same side of the jaw. Later he presented himself in a condition much worse than before, now from weakness and exhaustion he had been forced to give up his occupation. All the teeth upon the right side of the jaw have loosened and fallen out.

besides several openings upon the outside of the face, that were freely discharging pus, there were two or three inside of the mouth, from which there issued a large quantity also, and which led directly to the diseased bone. The disease now seemed to involve the whole of the right side of the lower jaw, without there being made the least attempt, seemingly, by the periosteum to replace the dead bone with a new casing of osseous deposit such as usually forms in ordinary cases of necrosis.

nor was there any disposition to exfoliate or to form a sequestrum, but on the contrary the whole jaw was as firm and solid as at the time when it was first examined. His constitution had now become seriously affected, as he was much emaciated and weakened by the great drain of pus that was constantly poured forth from the diseased parts. Later, in the mouth can be felt and easily seen the denuded jaw for an extent of two inches. His breath smells very offensively. The disease now extends from the right temporal-maxillary articulation to the left lower canine tooth. He cannot eat solid food, though his appetite is tolerably good,.

During the last half year she had occasionally suffered from toothache on the right side of the lower jaw. In a few months it became more severe and ceased to be limited to the carious teeth, and extended through the whole jaw, over the cheek, and even to the temporal region and the neck. At the same time considerable febrile disturbance, with occasional rigors, supervened, accompanied by swelling of gums and cheek with erysipelatous redness of the latter. On admittance, the examination showed the right cheek much swollen, and very tense towards the eye, the mouth, the chin, and neck.

the tenderness most considerable in the vicinity of the lower jaw. Pain deepseated, throbbing, piercing, concentrated at the angle of the jaw, and radiating thence over the adjacent soft parts. Extreme tenderness on pressure. The gums of the diseased side of the jaw much swollen, tense, darkened, and tender.

the mucous membrane of the cheek equally so.

between the angle of the jaw and first molar, fetid pus of a phlegmonous character oozed out on pressure. The first and fourth molars on the right side of the lower jaw were carious, the other molars deficient. The swelling of the gums increased, became more tense, extended to the soft palate.

dysphagia and salivation supervened, and the jaw became almost immovable. Suppuration increased, pus laudable, but fetid. During the second week, the four incisors and one molar became loosened, suppuration ichorous and rusty, gums softened and livid, formation of sinuses on the external and internal surface, through which the probe reached the bone, which appeared in part rough, in part smooth. In the progress of the disease, increased retraction of gums from the alveolar surface, fresh abscesses, increased discoloration, and burrowing sinuses, so that the entire jaw was exposed to the probe, both externally and internally. The bone appeared almost entirely detached from the soft parts, floating in an excessively sanious fluid,.

The disease appeared to commence by a swelling in that part of the jaw whence a tooth had been extracted two years before.

the swelling continued to extend until the entire bone became affected. He said that he had suffered great pain through the entire jaw, and that his nights had been sleepless. He looked very ill, was much emaciated, and he presented a curious appearance of the mouth, which was pursed up into a round aperture in consequence of the protrusion forward of the enlarged jaw. There were two fistulous openings, one on each side of the upper part of the neck.

and a probe introduced struck the angle of the jaw, which was quite dead. I examined the mouth and found the jaw quite dead. I could distinguish every part of the bone except the condyles, which were imbedded in soft tissue. There was a large quantity of fetid discharge around the bone, but the principal part came from the vicinity of the condyles. The outside of the cheeks about the masseteric regions was much thickened. The teeth were all gone, and the appearance of the jaw was that from an edentulated cranium,.

Toothache in the left lower jaw, formation of an ulcer on the side of the middle back tooth with violent pains.

as the ulcer opened a piece of bone was discharged.

at last the cheek became swollen and erysipelatous and abscesses formed, which discharged much matter.

the necrosis of the bone progressed until the whole half of the lower jaw had to be removed,.

A carious molar of the right side of the lower jaw was extracted.

from this time (seven months since) the peculiar Phosphorus necrosis may be said to have fairly begun, and it progressed rapidly, for the subject of it was compelled to give up the charge of his department about a fortnight after the tooth was drawn. The face was very much deformed by indurated swelling, which was particularly conspicuous on the right side and about the chin.

three fistulous openings, surrounded by flabby granulations, were upon the right side of the neck.

from these fetid pus exuded freely.

a horribly offensive odor came from the mouth, and saliva and pus were constantly dribbling out.

the gums were spongy on the margin, but partook of the general induration at the sides.

four sound but loose teeth occupied the right alveolar cavities.

the upper jaw seemed healthy.

the patient could not part the two jaws sufficiently to introduce a finger with facility.

a probe detected necrosed bone both on examination in the mouth and through the sinuses.

the examinations gave excessive pain.

a portion of the left lower jaw only seemed clear of the disease.

the symphysis was completely involved,.

The disease seems first to attack the gum of diseased teeth.

it usually makes its appearance in a year or a year and a half after beginning work in the factory.

it is still questionable whether the disease is due to Phosphorus, Acid Phos ^{Phosphoric acid}, or to the ozone generated by the Phosphorus, or even whether it may not be due to general chronic Phosphorus poisoning. The lower jaw was affected in nine cases out of ten, the upper jaw in one case.

the disease very seldom spread from the upper jaw to the bones of the face. The first symptom was tensive pain in the teeth, then looseness of the teeth and discharge of matter between the gum and teeth.

if now the teeth be drawn the swelling and pain increase and involve the whole half of the jaw.

usually the disease progresses slowly and irregularly, with transient periods of improvement.

the soft parts covering the jaws, cheeks, sides of the mouth, become swollen and intolerably painful.

one tooth after another becomes loose, and every pressure upon the gum causes discharge of pus.

the pus often is discharged through the cheek externally. The skin of the margin of the lower jaw becomes red, soft, loosens, and at last infiltrated.

from this infiltration there follows a discharge of matter that seems to come from the alveolar process.

wherever the opening is probed denuded bone is found.

at the same time it is found that the periosteum that has been loosened from the bone has a new deposit of bone on its inner surface, so that the sound passes between two surfaces of bone, one consisting of old bone, the other of new growth.

the denuded bone decays in various directions and is gradually discharged with the matter..

With this the patient suffers from fever, at times violent, considerable emaciation.

nutrition is very much disturbed on account of the difficulty of swallowing, and the digestion suffers on account of the mixture of offensive matter with the food.

sleep at night is possible only by means of increasing doses of Morphia, and the patient gradually sinks with hectic and exhaustion. During the prostration tuberculosis frequent develops.

at times also lobular pneumonia, terminating in gangrene of the lung and pyohaemia,.

The Phosphorus disease of the jaw consists in the first stage of an inflammatory swelling of the gum and soft parts of the mouth, extending over the face and neck, associated with the development of masses of osteophyte of varying extent and thickness about the jaw.

in the second stage the teeth become black, the gum recedes, the osteophytes suppurate, and the jaw becomes denuded, rough, and blackish or grayish-green, and the teeth fall out.

Necrosis of the jaw. the disease begins as toothache, involving one or more teeth in the upper or lower jaw.

the disease spreads to the jawbone, which increases in volume and becomes painful to pressure.

afterwards the soft parts become swollen, especially the gums and cheeks, in the latter erysipelatous inflammation develops, even extending over the whole side of the face and down on to the neck.

the patients have fever, yellow color of the skin, especially of the face, loss of appetite, thirst, irregular stools.

the pain at last extends to the ear and temple, with increased secretion of saliva. Various teeth become loose, and between them there is a discharge of offensive matter, that collects in various parts of the jaw under the gum or under the skin externally, and gradually makes its way into the mouth or through the skin, usually by a number of circuitous channels. The teeth fall out, the jaw becomes denuded, and the necrosis either becomes circumscribed or involves the whole jaw,.

the complaints only appeared after a sojourn in the factory for at least two years, and in individuals habitually exposed to the fumes.

all the workmen whom he had observed had decayed teeth before the disease commenced, not unfrequently before commencing the manufacture.

many other workmen with sound teeth have preserved them in the midst of phosphoric vapors, a fact which induces him to believe that carious teeth constitute a predisposing cause of the disease,.

The disorder at first resembled ordinary toothache, attended however, with swelling of the face.

as the severity of the symptoms increased she became a patient at the Royal Infirmary, but derived little benefit from the treatment.

six months later all the teeth on the right side of the lower jaw fell out, or were removed without difficulty, before the jaw was removed, and on the left side as far as the second bicuspid, all the teeth were sound. There is a great deal of new callus thrown out in the situation of the old bone, so much so that there will be scarcely any disfigurement from the loss of the jaw, a little from the loss of the teeth.

she can close her jaw and chew her meat and bread well.

the bone and teeth of the upper jaw are in a perfectly healthy state, and she now enjoys excellent health,.

Scrofulous subjects are most affected, and in them the disease is most fatal.

almost all the girls employed have the gums more or less affected, and at their junction with the teeth a red ulcerated line, like that produced by mercurial salivation, is apparent. When the individual is robust and the necrosis is confined to a small portion of the bone, exfoliation takes place and a gradual cure follows, but where there exists any tendency to scrofula, phthisis becomes developed, and the patient sinks under the combination,.

Looseness of the gums of the upper and lower incisors, that bled easily.

every morning, on rising the anterior surface of all the incisors was covered with mucus and blood.

the gums of these teeth and of the eyeteeth, all of which were sound and firm, were swollen above and below, very red, the margin became grayish-yellow, and looked as if suppurating.

it bled easily on pressure (the posterior surface of the gum was normal), with bad odor from the mouth,.

Pustular eruption on the forehead (twentieth day).

two days later it extended over the face, as large as a barleycorn, surrounded by a bright-red areola, in the centre of which was the opening of a hair-follicle.

at the same time ecthymatous pustules developed on the nates, about the anus, and a few days later a furuncle, as large as a hazelnut on the left natis, that discharged a greenish bloody matter.

these healed completely about the thirty-second day,.

Great oppression of the chest, so that the patient, during the attack of cough, and in order to expectorate, must sit up in bed, when she experiences great pain, with a constrictive sensation under the sternum.

mucous rattling. rhonchus sibilans in the two inferior thirds of the right lung, in the upper third of the right lung anteriorly, and in the lower half posteriorly.

uncommonly clear tone on percussion.

almost complete immobility of the ribs at these parts.

great arching of the pectoral walls,.

Sticking, commencing at the sternum and extending through the chest to the left scapula, aggravated by working, worse in the evening while spinning.

in the evening the sticking was usually accompanied by slight chilliness, lasting only a few minutes, followed by slight perspiration.

during this paroxysm she was obliged to keep very quiet, else she suffered from a feeling of apprehension, with palpitation.

the corresponding portion of the back was very sensitive to pressure,.

Pains in the upper portion of the right side of the chest, affecting respiration, afterwards changing to a deeply seated pain corresponding to the sixth and seventh ribs, so that deep respiration was at times impossible.

with this burning pain there was a constant desire to cough, which was with difficulty suppressed on account of the pain (tenth day),.

Pulse fell to 75 (after ten hours).

rose to 90, became feeble and irregular (after sixteen hours).

70, regular, in the morning.

60, strong and regular, in the afternoon (second day).

60, regular (third and fourth days).

72, feeble and irregular, in the morning.

90, feeble, at noon. 125, rapid and very feeble, in the afternoon.

130, very weak, in the evening (fifth day).

Dry, irritating cough (second day).

more troublesome, especially when the patient was lying upon the right side, or upon the back, and was attended with slight mucous expectoration (third day).

racking and deep (eighth day).

though severe, less racking (after eleven days).

there remained for two months a deep harassing but dry chest cough, the patient insisting that when the spells came on he could feel something loose and fluttering in the lungs, which occasioned persistent tickling sensations.

the cough was frequently accompanied by nausea and vomiting, especially soon after eating,.

Frequent dry cough, with scanty expectoration, with catarrhal symptoms in the posterior and lower portions of both lungs, especially of the right side.

on the thirteenth day (first chill), percussion showed slight dulness on the right lower portion posteriorly with diminished respiratory murmurs and fine vesicular râles.

change of posture caused a change in the area of dulness.

vocal fremitus diminished beneath the line of dulness on the right posterior portion of the ninth dorsal vertebra.

on the fourteenth day (second chill), the dulness extended upward half an inch, and bronchial breathing was distinct over the area of dulness.

on the seventeenth day the dulness had somewhat diminished, and the expansion of the lung on the posterior right side was more noticed on deep inspiration.

the râles had diminished, but not in the place of the cough.

the cough was now paroxysmal, accompanied by expectoration of tenacious purulent mucus.

the paroxysms of cough were always aggravated after a chill.

on the fiftieth day there were no physical signs of anything abnormal, though the cough was frequent and violent,.

Dry intolerable cough, with violent bronchial catarrh.

afterwards the cough was associated with a slimy, purulent expectoration, with rapid respiration, violent oppression of the chest.

so that when coughing was obliged to sit up, with violent pain beneath the stomach and sensation of constriction.

in the upper third of the right thorax there was remarkable sonority, in the lower portion moist sibilant râles.

ribs almost completely immovable.

thorax decidedly arched,.

The spinous processes of the dorsal vertebrae between the scapulae became exceedingly sensitive to pressure, also the muscles between the spinous processes and the left scapula were sensitive, much worse on the left side.

sticking pains were noticed, beginning at the bone near the left scapula, and extending forward through the chest, or in the reverse direction, from before backwards, at times also extending to the upper arm, relieved by firm pressure upon the back, by rest, and by warmth.

the pains were aggravated by lifting, by working.

worse during the menses, and especially aggravated by unpleasant emotional excitement and by vexation,.

A very decided and remarkable sensation as from a draft of cold air from being too near a half-opened window, in the muscles of the right scapula and along the posterior portion of the right upper arm to the elbow, or a sensation as if a raw wind were blowing upon a moist surface.

at the elbow this sensation changed into a numbness that extended to the fingers (second day),.

Pain in the sacrum at its union with the last dorsal vertebra, as if I had lifted too heavy a weight (after one hour).

not noticed while sitting, lying, stooping, or rising, but only while standing and walking.

aggravated by standing with the sacrum bent backward, coughing, and especially when standing on one foot with the other turned inward and forward, also by bending towards one side.

pressure upon the sacrum was not sensitive, but on the spinal processes of the two last lumbar vertebrae and the neighboring parts it caused a sensation of numbness and rigidity in both feet.

this symptom gradually disappeared in the afternoon,.

Appetite ravenous, but the smallest quantity of food, the moment it enters the stomach, produced vomiting and passages from both bowels and bladder (after twenty-three hours).

could eat but little food, as a few mouthfuls satisfied my ravenous appetite (third day).

could eat nothing but the most easily digestible food, spiced food and pastry invariably producing looseness of the bowels (after two months),.

Dulness over the liver increasing (fifth day).

the next evening the lower margin of the liver could be distinctly felt above the navel.

on the seventh day the margin of the left lobe of the liver could be felt three inches to the left of the median line, and dulness over the liver extended above the fifth rib.

the painfulness to pressure was always increased during and after the chills.

diminution in the volume of the liver took place the twenty-third day.

this corresponded to the diminished painfulness over this region.

on the seventy-ninth day dulness over the liver was found to be unnaturally small.

there was none to the left of the median line.

at this time, and afterwards there was decided enlargement of the spleen,.

Distension of the abdomen caused by moving flatus, with evacuation of a thin stool instead of flatus (first twelve hours).

on the second day, with the moving flatus in the abdomen, a bruised pain in the intestines.

on the third day, incarceration of flatus in the right side of the abdomen, with pressive pain.

on the fourth day, incarceration of flatus in the right side of the abdomen, with griping pain,.

Diarrhoea, which is something very unusual with me, as my bowels are generally constipated (third day).

bowels still quite loose (fourth day).

diarrhoea greatly increased, accompanied by a sharp cutting pain in the abdomen, before going to stool (seventh day).

continued but with much less pain, and less frequent discharges (eighth day). All the symptoms of diarrhoea did not disappear until the expiration of two weeks,.

The passages were like the scrapings of the intestines and almost constant, attended with tenesmus for upwards of two hours.

involuntary passages on the least motion.

eight hours later, the passages changed to mucus and mucus mixed with blood and slime, still involuntary. At the end of twelve hours, passages began to become periodical at every half hour, and then every hour, still involuntary, with tenesmus at least an hour after each passage, when they became as far apart as two hours. During the second night I was compelled to use the vessel a number of times, making my calculations to have a passage every two hours, as they were involuntary the moment anything entered the rectum.

this condition lasted for two days, obliging me to go to stool as often as every three hours. During the whole time the passages were odorless, except a slight mouldy smell. After three days, every time I went from a warm room into the open air my bowels would move. For more than two months spiced food and pastry invariably produced looseness of the bowels,.

Excessive constipation that could only be overcome by Castor Equi ^castor oil and injections, with symptoms of accumulation of faeces in the descending colon.

namely, sensitiveness to pressure about the left Poupart's ligament, abnormal hardness low down in the left iliac region.

these symptoms increased until about the fortieth day, then almost a dysentery of watery stools mixed with whitish-yellow and cheesy masses, and tenesmus, though not bloody stools.

this lasted until the sixtieth day,.

Biting and smarting in the meatus urinarius, extending backward for an inch, with pale red swelling on the right side of the apex of the glans penis, beginning at the upper surface and extending to within the orifice of the urethra.

after urinating a drawing extending from the meatus urinarius to the membranous portion of the urethra,.

Urine greatly increased in amount (after four days), and diminished in specific gravity, containing albumen from the fourth to the fourteenth day, containing bile pigment for two weeks.

on the fourth and fifth days it contained large amounts of casts of fat drops.

from the fifth to the tenth days a large amount of peptones.

after ten days a profuse sediment of urates,.

Urine copious, sp. gr. 1020 to 1026, at first slightly acid or neutral, afterwards quite acid.

the triple phosphates at first were very abundant, but disappeared and gave place to an abundant sediment of urates.

the urine was dark-colored and contained much bile-pigment.

after the fourth day of the poisoning the urine contained increasing quantities of albumen.

the microscope showed hyaline cylinders, with here and there some fat or fatty cells of kidney epithelium,.

Amount of urine 800 c.c., sp. gr. 1023 (seventh day).

steadily increasing to the twelfth day, when it was 3000 c.c., sp. gr. 1021.

afterwards it varied, and after three weeks was 3050 c.c., sp. gr. 1010.

afterwards varying, until after about five weeks it ranged from 1100 to 1600 c.c. daily, sp. gr. 1012 to 1016.

urea was always present in large amounts.

the ethereal extract of urine always contained more or less hippuric acid, portions insoluble in alcohol contain a large amount of urates.

urine increased on the ninth day, contained creating,.

The urine gave a reaction of bile-pigment, with some albumen.

sp. gr. 1026. the coloring-matters of the bile gradually increased, but the albumen was not constant.

there were at times copious dejections of water.

on the fourth day a copious secretion of urine commenced.

the urine was greenish-yellow, sp. gr. 1009, decided bile-pigment, decided albumen.

on the twentieth day the urine became clearer, with less bile.

there seemed to be no relation between the amount of bile in the urine and the paroxysms of fever,.

Two glandular swellings in left axilla rapidly increased in size for one week and then gradually disappeared.

very hard, red, and painful.

worse in the afternoon, evening, and forepart of the night.

slight pressure did not increase the pain, but hard pressure made them very painful.

from these, running down the inner surface of the left arm to the wrist, small lumps, about the size of a pea split in half, at irregular intervals, worse from pressure or rubbing quickly,.

Violent contraction of both hands.

the right hand was greatly pronated, the thumb adducted towards the middle finger, the index and middle finger extended, the fourth and fifth fingers partially flexed.

the left hand was in a similar condition, only the last three fingers were strongly flexed.

therewith the patient complained of drawing and pain in both hands and arms.

in the muscles of the thumb and little finger were noticed violent fibrillar twitchings (third day),.

The right hand became swollen as far as the wrist, soft and oedematous.

the base of the index finger and the whole finger thickened, became grayish-black, gangrenous.

sensitiveness to pressure almost completely disappeared.

there was no pain. the whole bone mummified, as in gangrenus senilis.

amputation of the first phalanx became necessary,.

On the upper third of the lower extremity (below the knee) are two moderately extensive wounds, not extending to the bone. After the necrotic parts had been thrown off and granulation was commencing, they were attacked by nosocomial gangrene.

after this had been subdued by strong Causticum ^caustic remedies, extensive gangrenous periostitis of the tibia, with severe febrile disturbance, supervened.

the periosteum peeled off from a large area upwards, as far as the knee-joint.

the bone was rough. It being impossible to expect this to heal, and as the enormous suppuration, the high fever, and the continual sleeplessness were threatening to completely exhaust the patient, amputation of the femur above the condyles was performed on the 4th of February. During the operation it was observed that the periosteum, although of normal thickness, and apparently of intact structure, adhered but very loosely to the bone, and could be turned back as far as the condyles with the greatest facility. We were obliged to take away the sutures a few days after the operation on account of the great pressure of the shaft of the bone against the soft parts.

Sensation as though a soft foreign substance were lying between the articular surfaces of the knees and ankles, so that walking was exceedingly difficult.

when walking she was obliged to be very careful to prevent falling, with some swelling of the soft parts about the joints, without redness or pain.

flexion gave rise to a sensation of great rigidity, but there was no crepitation or fluctuation,.

Stitches, as with a knife, on the outer side of the right leg, about the middle of the tibialis anticus muscle.

this pain was repeated during the day, at longer or shorter intervals, but especially as a burning sticking, at times acute.

they occurred only while sitting and on crossing the legs, and while standing, not on motion.

the points to which they constantly recurred were about the middle of the tibialis anticus, and at the origin of the extensor communis Digitalis Purpurea ^dig. ped. (twenty-fourth day),.

Increased swelling in the feet, with severe pain in the bones of the same, but continue warm as they did at first (after two hours).

feet very sore and painful, in the afternoon (first day).

feet not quite so bad, a dull pain in the joints (third day). The puffiness of the toes and feet, and the gouty pain in the great toes continued for several weeks, rendering it quite difficult and painful to walk or stand,.

During the first five days the patient had a moderate but regular elevation of temperature.

in the evening. in the morning it was nearly normal.

or even lower. with a relatively given frequency of the pulse (from 104 to 120). On the sixth day there was a constant fever of the remittent type.

continuing and reaching its highest point in the evening of the eighth day.

when the pulse was exceedingly small and soft. After the eighth day the temperature fell. On the thirteenth day there began a more regular intermittent form of fever.

with a decided shaking chill.

on the thirteenth day a shaking chill at 8.15 A.M.

lasting twenty minutes.

with a temperature of 41.8° C.

pulse 140. the temperature fell.

during the copious perspiration.

to 40.1°. in the evening rising to 41°. On the fourteenth day chill in the morning.

temperature 40.6°. temperature in the evening.

during the copious perspiration.

37.9°. On the seventeenth day a third chill.

in the evening. lasting twenty-five minutes. On the eighteenth day the fourth chill.

beginning in the morning.

lasting half an hour. temperature 41°.

falling in the evening to 38.8°. The next morning 38.2°.

after which there was almost a regular diminution of temperature.

without a regular type till the twenty-eighth day. There was.

on the average. the normal temperature until the thirty-second day.

when there was a fifth chill.

beginning in the morning.

with sweat in the evening.

also a chill on the thirty-sixth day.

in the morning. after which there followed a remarkably low temperature for a long time.

36.4°. and even 36.1°.

in the morning. and 36.8° to 36.9° in the evening.

then the patient had no chill nor fever for nearly for weeks. On the sixty-third day there was a seventh chill.

lasting twenty minutes.

temperature 37.4°. On the sixty-fifth day a chill.

temperature 38.3°. Seventy-first day a chill. Seventy-ninth day two chills.

the first at 8 A.M. the second about 10 A.M.

temperature fell in the afternoon to 36.7°.

next morning 36.2°. after this there were three additional chills.

during which the temperature did not rise above 38°. On the one hundred and twenty-ninth day the sixteenth chill.

temperature 38.8°. On the one hundred and thirtieth day the seventeenth chill. On the one hundred and forty-third.

one hundred and forty-fourth.

one hundred and forty-sixth.

and one hundred and forty-ninth days.

chills. after which there was no chill for more than three weeks,.

The affection of the bone is difficult to characterize.

it is not a simple caries, nor is it a simple necrosis.

the soft parts detach themselves from the bone to a large extent, and leave below a bony, gray, rough, but solid surface, and a gray fetid suppuration exhales.

after an uncertain period this separates, without any appearance of new bone being formed,.

Vomiting of nearly pure blood (fifth day). Vomiting, or rather regurgitation, without effort, of nearly pure blood, with very profuse epistaxis, oozing of blood from both ears.

the blood of these haemorrhages was very fluid and difficult to coagulate (twenty-first day). The next day the patient raised a little blood from the throat.

with these haemorrhages nervous symptoms returned, pain and numbness of the left arm, and afterwards of other extremities, pain in the region of the throat, stricture of the throat, and sensation of suffocation.

as the haemorrhages diminished, the skin became more deeply jaundiced. After more than a month the haemorrhage returned.

the stools contained a large quantity of pure blood.

there was epistaxis, regurgitations of blood in the throat, and haematuria, followed by great prostration, almost complete loss of voice, very feeble pulse, cold extremities, bruit de souffle with the first sound of the heart.

these haemorrhages gradually diminished, and ceased entirely after about a week. On the fiftieth day there were renewed haemorrhages from the throat, nose, anus, bladder, with pain in the right iliac fossa and in the thigh of the same side, with weakness of the limbs, so that the patient was unable to walk.

these renewed haemorrhages lasted several days, except a little blood with the urine, which continued for five days.

the patient was very much less prostrated by this haemorrhage than by the preceding. After seventy days blood reappeared in the urine.

the patient stated that she had lost as much as two glassfuls of nearly pure blood with the urine. On the next day there was profuse vomiting of blood.

the urine continued to be colored by blood for nine days. This patient, even after three months, suffered from weakness, the bruit de souffle in the praecordial region persisted, and though she was pregnant she did not miscarry.

the blood seemed to be completely restored, and her vital forces re-established.

she passed through her pregnancy, and was delivered without accident, but afterwards she was seized with inveterate diarrhoea, not bloody, which could not be stopped, and which terminated her life eight months after the poisoning,.

Feeling of weakness in the back, as if crushed, followed by weakness of the extremities and trembling after the least exertion. When admitted into the hospital, both the lower limbs were so feeble that the patient was only able to stagger for a moment or two with a trembling step.

when attempting to stand, his knees shook and gave way.

his hands and arms trembled when he attempted to use them.

so feeble that the patient was neither able to raise himself nor to remain in a sitting posture.

all efforts to help him were fruitless.

he continued to live three or four years longer, although the paralysis went on increasingly,.

Dressed myself with difficulty and went to my office.

I was as weak as one suffering from a long and severe fit of illness.

I then took eight pellets of Camphora ^Camphor, this being the first I had taken, the attack being so sudden and prostrating I was not able to help myself to medicine or call assistance (after thirty-five hours),.

Sour bilious vomiting, towards evening, preceded by violent vertigo, with nausea.

together with icy coldness and complete numbness of the hands, afterwards of the feet, with cold sweat on the forehead.

after repeated vomiting, two natural stools within two hours.

the nausea and cold sensation disappeared only after lying down (the twenty-sixth day),.

Violent gastro-enteritis.

the patient was lying cold and pale, like a dying person, unconscious, sunk down in bed, skin covered with cold clammy sweat, here and there a waxy-yellow color, the face almost leaden-gray, with dark rings around the eyes, mouth closed, lips blue, respiration retarded, short, difficult.

heart's impulse weak, intermittent, radial pulse small, slow, irregular, now and then intermittent.

epigastric region and abdomen distended, exceedingly sensitive to the slightest touch.

the patient could scarcely bear the weight of her nightdress, so that she made constant automatic efforts to free herself from all clothing,.

Sensitiveness of the epigastric region, aggravated by pressure.

at the same time the pulse became very rapid. 128, the temperature rose to 38.5°.

during the following night tormented by violent thirst, without sleep, small pulse, 96, temperature 38.8°, with headache.

the icterus of the body was very intense, even the face was slightly yellow.

tongue dry, yellowish.

fetid odor from the mouth.

epigastric region distended, very sensitive to pressure.

palpitation beneath the right ribs moderately painful.

Griping constrictive pain in the epigastric region, which was sensitive to pressure.

afterwards the pain increased and extended upward and downward, so that he was frequently obliged to bend forward, which, however, caused a pressive pain in the forehead, without vertigo or heat.

neither of these pains were affected by walking or by lying down, but were decidedly relieved by eating,.

The menses came on with less pain, were less profuse, and lasted only five days (the next period, previous to which she had taken no medicine, occurred sooner than expected, and was less painful than usual).

in a subsequent proving the menses came on almost entirely without pain, indeed almost unnoticed, but lasted only two days,.

Phosphorus irritates, inflames and degenerates mucous membranes, irritates and inflames serous membranes, inflames spinal cord and nerves, causing paralysis, destroys bone, especially the lower jaw and tibia; disorganizes the blood, causing fatty degeneration of blood vessels and every tissue and organ of the body and thus gives rise to hemorrhages, and hematogenous jaundice.

Active metabolism Rapid growth

Insidious onset, gradually increasing debility, ending in severe or rapid disease (Tarn)

Recurring effects, colds, croup, bleedings, etc

HAEMORRHAGE; vicarious; blood-streaked discharges of ulcers, etc

Decomposition

Polypi

Symptoms due to heart and lung affections

Tall, gracile, nervous and delicate Phthisical habit

Acidosis

Weak spells; in joints; worse exertion

Emptiness; in chest, stomach, etc

Acute senses

Erethistic exhaustion

TIGHTNESS; chest [left], cough, etc

Spots; pains or soreness in

Internal paralysis; throat, rectum, etc

Internal itching, tickling

Throbbings, here and there

Numbness

Jerkings, localised; subsultus

Joints stiff, with little pain

Human barometer

Amative, but excitable and easily irritated

Anxious; fears being alone, twilight, ghosts, thunder-storms, etc

Quickly prostrated by unpleasant impressions

Timid and irresolute

VERTIGO; accompanies many symptoms; floating; on waking; whirling; better stool

Head, heavy, aches over one eye; with hunger; worse children; worse lying on r

side; better cold

Burning in temple

Cold occiput

Vertex throbs

Dandruff

Bald spots

Lachrymation, in wind

Vision; flashes; halos; red; green; black; better shade; narrow fields of; colored, then migraine

Choroiditis

Retinitis albuminurica

Glaucoma

Ears; echoes or reverberations in; deaf to human voice

Otitis; media

Mastoiditis

Nose; nervous motion of alae; coryza, flows and stops; on alternate sides; swelled; caries; ulcer, etc

Epistaxis; of youths; then pneumonia; with cough, etc

Sneezing; worse odors, smoke, etc

with dyspnoea

Descending nose colds Sensitive smell

Pale about nose and mouth Changing, sickly face; hollow eyes, with blue rings

Numb teeth

Gum sore behind central incisors Palate itches

Abscess of hard palate

Sour taste and eructations

As of cotton or something hanging in throat

CRAVES COLD DRINKS WHICH better, but are VOMITED IN A LITTLE WHILE; after Chloroformium ^chloroform

Regurgitates ingesta Waterbrash

Ravenous hunger; nightly; precedes attacks

Craves salt; what is refused when offered

Burning in gullet and stomach, worse eating

Pressure above epigastrium

Stomach; EMPTY, HOLLOW FEELING IN; as if hanging down; worse emotions; tremor, flutter or rolling over in

Sore spot in epigastrium

Rubs abdomen for better

Stool, like cooked sago; granular; slender; tough; diarrhoeic, gray, bluish, watery, pouring out, painless, nervous, involuntary, exhausting Anus open; prolapsed

Dysentery

Urinates, then weak

Pellicle on urine

Periodical albuminuria

Sexually erethistic, but impotent

Prolonged menses; replaced by smarting leucorrhoea

Oppressed for breath; worse least motion

Tight, suffocating breathing, worse cough

Larynx, raw, sore, furry; pains on speaking

Voice, low, hoarse, worse evening; croupy, then bronchitis

Cough; hard, wheezing; dry; violent; painful; tickling; hacking; exhausting; with retching, burning in air-passages or trembling; worse change of temperature, before strangers, laughing, exertion or singing

Expectoration; easy, bluish, rusty, salty, foamy or cold

Pneumonia; l

lower lung; secondary, with sopor

Chest full, heavy; stitches (l upper); pains into throat or r

arm or alternating sides; rattling, worse cold drinks

Dry, burnt feeling in chest with cough, at first dry then loose

Heart, pains into r

arm; violent palpitation from least thing; during goitre, etc

; weak; fatty; orgasms to

Left infra-mammary pain

Mammary abscess

Between scapulae; cramp; burning Spinal irritation, worse heat

Pain forward from l

scapula Tearing in l

shoulder at night

Burning spot in lumbar region

Numb fingers and toes

Palms burn

Paralyzing stitches in hips; then up back

Pain in tibiae; periostitis

Ankles, as if to break

Suppressed foot-sweat

Tottery; stumbles easily

Icy cold feet

Toes cramp

Blood red spots

Thin, foul, bloody pus

Pyaemia

Yellow spots on abdomen

Jaundice; as a concomitant

Skin burns on shaving

Fatty cysts

Sleepless; eyes won't stay shut; from internal heat

Sleepy by day, sleepless before midnight

Sleeps in cat naps

Dreams, of fire; lewd

Somnambulism

Congestion to head, lungs, etc

Soft pulse

Coldness in cerebellum; of knees, in bed

Chilly in a warm room; down back

Craves ices, during the chill

Burning heat; local; up back Hectic

Sweaty; early morning; sticky; without relief

Painless fevers

The Element. P. (A. W. 30.96). Saturated solution in absolute alcohol. Trituration of Red amorphous Phosphorus.

Alopecia areata. Amaurosis. Amblyopia. Anćmia, acute pernicious. Anus, fissure of. Antrum, disease of. Arteries, disease of. Asthma. Bone, diseases of. Brain, affections of.

softening of. Brain-fag. Breast, abscess of.

fistulć. of. Bronchitis.

intestinal. nasal. Chilblains. Chlorosis. Chorea. Ciliary neuralgia. Coccygodynia. Cold. Constipation. Consumption. Corpulency. Cough. Croup. Dandruff. Diarrhoea. Dropsy. Ecchymosis. Enteric fever. Ephelis. Epilepsy. Erotomania. Exophthalmos. Exostosis. Eyes, affections of. Fainting. Fatty degeneration. Fistula. Flatulence. Fungus hćmatoides. Gastritis. Glaucoma. Gleet. Gums, ulceration of. Hćmoglobinuria. Hćmorrhagic diathesis. Headache. Heart, degeneration of.

murmurs of. Hydrocele. Hydrocephalus. Hysteria. Impotence. Intussusception. Jaundice.

malignant. of pregnancy.

of anćmia. Jaw, disease of. Joints, affections of. Keratitis. Lactation, disorders of. Laryngitis. Levitation. Lightning, effects of. Lienteria. Liver, diseases of.

acute yellow atrophy of. Locomotor ataxy. Lumps, hćmorrhage from.

oedema of. paralysis of. Marasmus. Menorrhagia. Menstruation, symptoms before. Mollities ossium. Morphoea. Muscć.

volitantes. Nćvus. Nails, ulcers round. Neuralgia. Nightmare. Nipples, sore. Nose, bleeding from. Numbness. Nymphomania. Odour of body, changed. Oesophagus, pain in. Ozćna. Pancreas, disorders of. Paralysis.

pseudo-hypertrophic. general of insane. Periostitis. Perspiration, abnormal. Petit mal. Plague. Pneumonia. Polypus. Pregnancy, vomiting of. Proctalgia. Proctitis. Progressive muscular atrophy. Pruritus ani. Psoriasis. Puerperal convulsions. Purpura. Pylorus, thickening of. Retinitis. Rheumatism.

Phosphorus (Light-bearer, Morning Star) "was discovered in 1673 by Brandt, an alchymist of Hamburgh, and shortly afterwards by Kunkel, in Saxony." Teste, from whom I quote, says that attempts were made to use Phos. in medicine immediately after discovery. Kunkel made it into his "luminous pills," and Kramer claimed to have cured with it diarrhoea, epilepsy, and malignant fevers. Teste gives a list of old-school cures, which include Continuous, bilious, and intermittent fevers.

general oedema. measles.

two cases of pneumonia of left lung, with ataxic symptoms.

chronic rheumatism of the legs.

apoplexy. hydrocephalus.

periodic headaches (in one case with menstrual irregularity).

catalepsy. epilepsy. gutta serena.

asthenia facilis. chronic lead poisoning,.

a list which shows a very good idea of the range of action of Phos.

Hahnemann's proving brought out the fine indications, without which the generals are of little service, and to Hahnemann's symptoms have been added those of later provings and of numerous cases of poisoning, and the effects on workers in match factories, especially necrosis of the lower jaw.

The vapour given off by unignited Phos. is Phosphorus oxide.

The form of the disease differs according to whether the upper or lower jaw is attacked.

In the, former case it pursues generally a chronic and mild course, ending in exfoliation, cicatrisation, and cure.

In the latter the necrosis may be either acute or chronic., but is always severe, and the patients usually die of "consumptive fever" (C. D. P.).

Here is a typical case quoted in C. D. P. from B. J. H., iv. 287 J. D., 21, had been four years in a match factory.

For two and a half years he had only laryngeal irritation from the local action of the fumes.

He then began to cough very much and expectorate thick white mucus.

Then most violent toothache set in, with swelling on right side of face.

A molar was extracted but without relief, and one tooth after another dropped out.

He became too weak to walk.

A swelling as big as an egg formed below right orbit, burst in a fortnight, and discharged a large quantity of white pus.

He grew worse all the teeth fell out; gums of lower jaw were retracted.

Examination found right cheek swollen.

At right angle of lower jaw an opening discharging laudable pus, through which a probe can be passed two inches along bare bone, and two inches anterior to this another aperture leads to the same.

On opening mouth the whole lower jaw as far as ascending rami and down to reflection of mucous membrane is denuded and of leaden greyish colour.

On right upper jaw probe can be passed over bare bone. Pareira Brava ^Pareira (C. D. P.) has observed in phosphorus workers "a peculiar sallow, bloated complexion, with dull expression of eye and gastric derangement," when there was no affection of the jaws.

In cases of acute poisoning the most remarkable effect noted is acute fatty degeneration of the liver and engorgement of the lungs.

At first there is tenderness of the liver, but as it shrinks this passes away.

The right lung is more affected than the left.

The symptoms of acute Phos. poisoning are exceedingly painful if consciousness is retained; violent tearing pains in oesophagus, chest, stomach; vomiting and diarrhoea; rectal, vesical, uterine tenesmus; bloating of abdomen; sensitiveness to touch; hćmorrhages from all orifices.

A man, 48, inhaled vapour of burning Phos.

Among his symptoms were A sensation as if something twitched under skin or was creeping between skin and flesh.

Twitching of single bundles of fibres at different times like playing on a piano.

Tongue when speaking often refuses to move, so that he stammers (C. D. P.).

A case reported by J. O. Müller and translated in C. D. P. brings out some very characteristic symptoms of Phos.

A strong woman, 30, took about three grains of Phos. from matches.

Among her symptoms were After eight hours violent and noisy, vomitings.

Prostrated, cold, pallid, as if moribund and unconscious.

Cold, clammy sweat, general; skin here and there waxy yellow; complexion leaden grey; dark blue rings round eyes; pulse small, hard, slow, unrhythmic, intermitting.

Abdomen distended, very sensitive all over, the slightest touch causing violent pains; could not bear weight of nightdress.

Senses and mind in unconscious apathy; could only be roused by loud calling into her ear. Aconite ^Aco. 1 every ten minutes revived her.

She complained of very violent burning pain in lower chest (oesophagus?), stomach, and whole abdomen agg. by every touch or change of posture.

Vomiting and diarrhoea had ceased, but she still had retching and ineffectual straining at stool with burning like fire in large intestine and anus.

She passed with difficulty small quantities of dark yellow urine, smelling strongly of garlic, after micturition very severe burning.

Boring, burning pains in bones, especially of skull, palate, nose, jaws, and teeth, agg. taking cold or warm things into mouth or chewing, only tepid liquid nutriment could be borne.

At times numb pain in teeth; they felt loose as if they would fall out.

Apathy alternating with angry words and actions.

After menses, burning leucorrhoea that made the parts sore.

Soft parts of joints swollen.

Considerable rigidity of joints.

The skin, which had been pale, put on a yellow tint, bloated swellings appeared in places on eyelids and face, pitting on pressure.

On nape, back, and other parts the skin could be raised by the fingers in large folds, which slowly smoothed down again.

Finally a peculiar exanthema appeared on the skin about the joints like eczema; vesicles in groups turned rapidly into scabs and frequently recurred. Sulphur ^Sulph. was given and gradual recovery occurred.

In a youth poisoned by Phos. there was nausea and sour taste; milk tasted burnt; every smell (tobacco, wine, beer) agg. the nausea.

One of the provers had Loathing of butcher's meat and bad appetite.

Phosphorus burns are among the most painful of all burns, and the burning sensations of the poisonings are prominent also in the provings "Glowing sensation throughout epigastrium and chest." "A flame seemed passing through me." "Warming sensation right side of heart and below left clavicle.

Phosphorus heat spread to apex of left scapula and to acromion, when it left the heart." "From 11 a.m. till 4 p.m. remarkable numb feeling in left leg from knee to toes, sometimes sensation as if hot blood flowed into it." Other symptoms from the provings are "Drawing forcing towards pelvis and rectum as if menses coming on." Intense sexual excitement in men with erections, emissions.

later impotence.

Dr. Sorge, 34, had this symptom "Weight in occiput and nape, down whole spine a dull feeling as if over-filled with blood, and in sacrum a peculiar paralytic feeling like what one feels in the limbs when exposed to unavoidable danger; heaviness of feet, which were not placed on ground with usual energy.

Walk less strong, often stumbled on a smooth road.

Diminished sexual appetite, and feeling as if the penis would not become erect when excitement was present.

Mental indifference (quite unusual)." E. R. Heath had some decidedly "phosphorescent" symptoms Darting, cutting pains, causing much distress, starting from different points and flashing over whole abdomen.

imagined an aurora borealis and seemed to hear distinctly voices shouting "Beautiful, oh! was not that splendid?" as the pains became more severe and lasting.

He sprang from bed and tried to collect his thoughts; had numbness all over with sensation of myriads of needles slightly pricking him.

Throat dry and parched; a flame seemed to pass through him.

Feet seemed glued to the floor.

With great difficulty he reached the vessel, and as soon as the bowels began to act the pains changed to cramps.

Stools were like scrapings of intestines, almost constant, with tenesmus, for over two hours, after which he lay down in bed, weak, sore, almost helpless.

The same prover had Intolerable thirst; drink did not quench it, but caused cold, clammy sweat to exude the moment the water entered the stomach.

Later Involuntary passages, periodic; rectum insensible; sphincter paralysed; slight prolapse after each stool.

Stools inodorous save for a slight mouldy smell.

H. Noah Martin proved Red amorphous Phosphorus.

The symptoms do not differ from those of transparent Phos., and are included in the Schema.

Such are the materials out of which the picture of the great remedy known in homoeopathy by the name Phosphorus has been drawn, the characteristic features being pointed up with the added light and shade of clinical experience. The types of constitution in which Phos. has been found particularly suitable are strongly marked ($51$) Tall, slender persons, of sanguine temperament, fair skin, blonde or red hair, quick, lively perceptions and sensitive nature. (2) Young people who grow too rapidly and are inclined to stoop.

chlorotic. anćmic. (3) Persons of waxy, translucent skin.

half anćmic, half jaundiced. (4) Tall, slender, narrow-chested, phthisical patients.

delicate eyelashes, soft hair. (5) Tall, slim, dark-haired persons, especially women, disposed to stoop. (6) Nervous, weak persons who like to be magnetised. (7) Hćmorrhagic patients.

Hard, dry cough, rusty sputa; agg. at twilight and till midnight; agg. lying on left side; amel. lying on right side; abdomen distended, sore, very sensitive to touch; stools offensive, bloody, involuntary; the anus appearing to remain open.

Each one of the symptoms I have italicised is a keynote of Phos.

When any of them are present (with or without the pneumonia) Phos. is likely to be the remedy.

The delirium is low, muttering, stupid; or violent; or there may be a state of ecstasy; or odd ideas, that his bones are in fragments and he cannot fit the pieces together.

As a leading constituent of nervous matter Phos. has a deep action on the organ of mind and sensation.

It produces an excitable condition, exaltation of mental faculties, and the condition which follows over-exertion.

The mind, like the special senses, is too excitable and impressionable.

Easily angered and becomes vehement; actually gets beside himself with anger and suffers physically in consequence.

At other times anxious and restless, especially in the dark and at twilight (the restlessness of Phos. is universal; patient cannot sit or stand still a moment; it belongs to the stage of irritation, and is succeeded by apathy if the condition is not arrested).

Imagines he sees faces grinning at him from the corners of the room.

Such conditions are found in cases resulting from losses of fluids; over-work of brain; sexual excesses and abuse, and take shape in general paralysis of the insane with mania of grandeur; and in apoplexy and its sequelć; in Duchenne's pseudo-hypertrophic paralysis, in locomotor ataxy and other paralyses.

A very characteristic condition of Phos. in nervous cases is fibrillary twitching of individual bundles of fibres in muscles.

Numbness and formication in paralysed limbs indicate it in hemiplegia and paraplegia.

Spasms on paralysed side.

In other cases the burning pains of Phos. are prominent burning between the scapulć; burning in spots along the spine; feeling of intense heat running up the back (no other remedy has exactly this symptom).

The uncertain gait, neuralgic pain, and fuzzy feeling of the feet, give the correspondence with locomotor ataxy, when the conditions correspond.

Epilepsy from masturbation.

Petit mal epilepsy with consciousness.

Man of Itzehoe (H. R., xv. 268) cured this case of sciatica An elderly lady had for eight weeks a continual burning pain running along back of left thigh and leg, compelling her to spend most of the day in bed.

Entire limb so weak that she could hardly walk. agg.

Lying on left side. amel.

Lying on right side or on back. agg.

By movement. agg. By cold air. amel.

Being warmly-covered. agg.

In evening. Phos. 6x, every two hours, caused aggravation for the first three days, and after that gave relief, but did not cure.

Phos. 30, one powder every evening, completed the cure in a week.

But the action of Phos. is not confined to the brain and spinal cord, it also affects the cranial bones and spinal column.

I cured mainly with Phos. 1m a case of spinal caries with paralytic symptoms in a lady aged 67.

That is, I cured the caries and removed the paralysis, though the curvature remained.

There was a history of a strained back thirty-five years before, and of lumbago and sciatica five years before I saw her.

She had many pains in the scapula and chest, and could not walk unless supported about the waist.

Incidentally Phos. set up a symptom of its own Dryness of mouth, lips, and throat.

Phos. has burning thirst for cold water; cold water relieves, but as soon as it becomes warm in the stomach it is vomited.

Phosphorus is one of the keynotes of Phos., and distinguishes it from all other remedies in cases of vomiting.

Desire for cold foods and preference for cold meat is very characteristic of Phos., and the cold food, like the cold drink, may be vomited as soon as it becomes warm inside.

Ice cream amel. the gastric pains.

There is nausea on putting hands into warm water; sneezing and coryza from putting hands in water.

Regurgitation of ingesta in mouthfuls.

During pregnancy the sight of water = vomiting.

The appetite of Phos. is remarkable Must eat often or he faints.

Hungry soon after a meal; hungry in the night, must eat.

Craving for salt (Phos. remedies the effects of excessive salt-eating).

The sinking, faint feeling of Phos. is felt in the whole abdominal cavity; also in head, chest, and stomach.

The stools of Phos. are peculiar, whether constipated or diarrhoeic Long, tough, hard fćces (like a dog's); voided with great difficulty and straining.

Diarrhoea as soon as anything enters the rectum; profuse pouring away as from a hydrant; watery with sago-like particles; with sensation as if the anus stood open involuntary; during cholera-time painless; morning of old people bloody stool; blood-streaked stool; stool like shreddy membranes.

With the stool there is burning in the anus and tenesmus.

There are also pains of all descriptions in the anus, notably stitches shooting up rectum.

A man suffering from pneumonia, to whom I gave Phos. 3, after a few days developed attacks of violent pain in rectum and anus, with distension of abdomen and desire for stool.

stool light, lumpy, constipated, only passed by aid of Glycerinum ^glycerine enema.

after stool, complete relief of pain.

sometimes the attack waked him from sleep.

With Phos. 200 I cured a very severe proctalgia coming on at every menstrual period.

During urination, and also when not urinating, there is burning in the urethra.

Another very characteristic burning of Phos. is burning palms, cannot bear to have the hands covered.

Flashes of heat beginning in hands and spreading to face.

In intermittents when there is heat at night beginning in stomach; faint and hungry in night; heat of hands.

There is also chilliness towards evening; icy coldness of hands, knees, and feet, even in bed.

Sweat is anxious, profuse, exhausting on slightest exertion; profuse at night; cold and clammy, smelling of Sulphur ^sulphur or of garlic.

Phos. corresponds to yellow fever in many particulars; disorganisation of the liver and blood with jaundice; hćmorrhages.

It has caused acute fatty degeneration of the liver; and corresponds also to fatty degeneration of pancreas with gastric symptoms and oily stools, and fatty and amyloid degeneration of the kidneys.

Phos. stands at the head of hćmorrhagics, and corresponds to the hćmorrhagic diathesis.

The blood loses its coagulability.

Very small wounds bleed profusely.

Blood-streaked discharges are very characteristic when from lungs, nose, bowels, or other orifices.

Hćmorrhoids. Menses are more profuse and longer-lasting than usual.

There may be vicarious menstruation in the form of hćmoptysis, epistaxis, or hćmaturia.

Left ovarian pain. Leucorrhoea which causes blisters.

Sexual excitement is great in both sexes, going to the extent of satyriasis and nymphomania.

Frequent erections in men, and sexual thoughts entirely beyond the patient's control.

Erections in spite of efforts to control passion in young men.

Impotence from over-indulgence or from celibacy.

The female breasts are the seat of many burning, shooting, cramping pains, and Phos. has proved a leading remedy in mammary abscess and fistulć.

The characteristics are Erysipelatous appearance; red streaks starting from opening; thin, ichorous discharge.

The hćmorrhagic action of Phos. is seen in many forms of pulmonary hćmorrhage and congestion blood-streaked or rusty sputa; tasting salty; when patients with delicate chests bring up phlegm tinged with blood whenever they take cold Phos. will generally clear up the case.

Phthisis florida may also need Phos.

It has also a "stomach-" or "liver-" cough; cough comes on after eating, and starts from a tickling in pit of stomach.

Cough agg. when strangers enter the room.

Cough agg. from strong odours (part of the general sensitiveness of the drug).

Bronchial catarrh amel. in all grades may require it.

Cough = tearing pain under sternum as if something was being torn loose.

Suffocative pains in upper part of chest with constriction of larynx and engorgement of lungs; mucous râles; panting and laboured breathing, even emphysema.

After the cough an asthmatic attack.

The Conditions of Phos. will generally decide when it should be given.

T. D. Stow (J. of Homoeopathics, August, 1890) reports the case of H. B., 52, farmer, who had for six months a sharp pain with soreness in third intercostal space, three inches to left of sternum, limiting inspirations.

Dyspnoea on exercise; dry cough during the day till 10 p.m.

Thick, yellow, sweetish sputa from 6 a.m. to 10 a.m.

Cough agg. lying on left side; when talking; when eating and just after eating; on going into cold air; by change of weather. amel.

In fairly warm room; lying on right side.

Prefers cold food. Has become alarmed by the persistence of the attack and loss of flesh.

Three doses of Phos. 500 (Dunham), taken on three successive days, cured.

Phosphorus case was translated in Hahn.

Month, September, 1890, from Alg.

H. Zeit. Whilst walking rapidly against the west wind three months before, X. felt a pain under middle of sternum with sensitiveness of the part to pressure.

Pulse rapid. Phos. 6 removed the symptoms for two weeks, when pain and sensitiveness returned, and with the pain a sensation as though gas would rise from epigastrium.

During all this time he was heavily drugged.

A rather long walk brought on a severe attack of angina pectoris. Belladonna ^Bell. 1x gave much relief.

Nicholas noticed the patient at times put his hand to the back of his neck.

Phos. 1 relieved entirely.

Phos. corresponds to headache and other sufferings from grief.

Hot vertex after grief.

It has shocks in occiput; coldness in cerebellum; congestion of brain seeming to rise from spine into head.

Phos. has "splitting headache caused by cough." Neuralgic pains of many kinds, and impending paralysis.

The attacks are induced by mental exertion; worry; washing clothes; and are agg. by music; noises; strong odours. Galega Officinalis ^Gale, of Quebec, discovered in Phos. a remedy for "washerwoman's headache" (Organon, iii. 30).

His patient had these symptoms Whenever she washes clothes or walks fast she has.

rush of blood to head, red face and eyes, heat on head, scalp sensitive to touch, sudden shooting pains, especially in vertex. Phos. cm cured. I cured a somewhat similar case (H. W., xxiv. 455) with Phos. 30 every four hours.

only in my case the headaches always appeared the morning after washing violent shooting pains left side of vertex, amel. wrapping head in flannel. I had given several medicines previously which had improved the general health, but had done very little for the headaches. Phos. affects all parts of the eye.

retina, choroid, vitreous and crystalline lenses, cornea, and conjunctivć.

It has arrested cataract and glaucoma, and cured retinitis albuminuria from suppressed menses.

The leading symptoms are Colours appear black before the eyes.

Always sees green. Halo round candle.

Letters appear red whilst reading.

As if a grey veil over everything.

Twitching of lids. Pustule on cornea.

Burning pains. The characteristic skin of Phos. is waxy, and either clear and pale or yellow.

Under a "Phosphorus treatment" which was in vogue a generation ago, patients had a peculiarly waxy, fine, clear complexion; and in one case which came under my observation there was also very marked enlargement of the liver.

In a case of rheumatism in an old lady who had waxy pallor, Cooper gave Phos. and set free all the joints.

All kinds of eruptions May be set up.

Exanthema with pustules (like small-pox), ulcers, psoriasis, Usnea Barbata ^lichen, eczema, blood boils, purpura.

Hansen cured a case of purpura in a girl of ten (H. W., xxxv. 105).

The disease began with loss of appetite and pains in the stomach, but as soon as the purpura spots appeared the pains ceased and the appetite returned.

The inner aspects of the thighs were affected.

Inflammation and eruptions about joints.

Fistulć with callous edges from glands.

The joints most affected by Phos. are the hip and knee.

The left side of the lower jaw is more affected than the right.

Caries and exostoses of spine and other parts have been cured with Phos.

De Noë Walker cured with Phos. 6 a large exostosis of the femur which had been pronounced osteo-sarcoma by old-school authorities.

There are some forms of rheumatism which only Phos. can cure.

These are characterised by great stiffness of the joints, more stiffness than pain.

A drawing, tearing, tight feeling in parts.

Stiffness of old people.

Paralytic rheumatism from exposure to rain.

The tight sensation appears in the girdle pain of spinal affections; tightness of skin of face and forehead. (Also stiffness in brain; in eyes.) Allied to the rheumatic symptoms of Phos. is its sensitiveness to effects of storms, especially thunderstorms.

Phos. has cured more cases of headache always coming on when thunderstorms are about than any other remedy in my experience.

It has also cured blindness from lightning stroke.

The headaches from inhaling the steam of a washtub perhaps come in the same category as effects of vapour-laden air when storms are about.

Mills (quoted H. W., xxxi. 33) relates a typical case of thunderstorm effect Mrs.

R, tall, thin, dark, of mild and gentle disposition, was seen by the doctor during a thunderstorm.

He found her sitting on the stairs, trembling and cold and bathed in cold, clammy sweat, full of nervous dread, and almost beside herself.

One dose of Phos. cm cured.

Some weeks later she witnessed a worse storm with complete unconcern.

The power of Phos. over septic conditions is illustrated in a case of Howard Crutcher's (quoted H. W., xxxiii. 405).

A girl, 16, had perforating appendicitis, operation having been delayed too long in consequence of opposition of friends.

Although he deemed it useless he was persuaded to operate, and found a large abscess behind the colon, freely communicating with the peritoneal cavity.

Up to the fourth day the patient progressed favourably.

Then there was a collapse pulse 130, mind wandering, urine and fćces passed without restraint.

The patient was rapidly sinking; Arsenicum Album ^Arsen. gave no help.

The doctor sent word to the students who were nursing the patient that they might try a hot saline enema.

On attempting to give it the rectum was found to be open, no resistance being offered by the sphincter.

Greyish-while fćCaladium Seguinum ^cal discharges, watery and offensive, passed constantly. "The students, recognising the indication for Phos., gave a dose of that remedy, and instead of dying the girl got well." Peculiar sensations are As if about to die.

As if immersed in hot water.

Anxiety as if below left breast.

As if he had been lying at night with head too low.

As if everything had stopped in head.

As if chair were rising.

As if eyes would be pressed out; or pressed down by weight about them.

As if painful nodes under scalp.

As if pulled by hair. As if head would burst.

As if something exploded in head.

As if skin of face too tight.

As if something were pulled tight over ears.

As if dust in right eye; sand in left eye; eyeballs large.

As if something lay before ears; foreign body in ears.

As if nose stuck together.

As if nails driven into jaws.

As if food did not digest properly.

As if heavy Weight in stomach.

Stomach as if freezing.

As if something cooking in stomach.

Anus as if open. Larynx as if lined with fur.

As if skin on larynx. As if a piece of skin hanging loose in larynx.

As if something in middle of sternum torn loose.

As if heart had grown fast.

As if chest eviscerated.

As if a narrow band encircled body and lay upon heart.

As if great weight lying on middle of sternum.

Back as if broken. As if Merc Viv ^quicksilver moved up and down spinal cord.

Coccyx as if ulcerated.

Soles as if he had walked too much.

Feet as if asleep. Ankles as if sprained.

Suddenness is a feature of Phos.

Sudden prostration such as may occur in diphtheria, measles, scarlatina, or any disease in which the system has sustained a profound shock.

The left side is somewhat more affected than the right, the venous more than the arterial system.

The symptoms of Phos. are agg. from touch (cannot bear touch of nightdress); from pressure (but pressure amel. feeling as if something before ears and pains in chest).

Rubbing amel. Mesmerism amel.

Rest agg. pain in arms and shoulders.

Lying down = intense pains in eyes; agg. colic and tearing in jaws; amel. heat of scalp and incarcerated flatus.

Weakness after stool and after urinating, compelling lying down.

Lying on back agg. diarrhoea; asthma; amel. pneumonia; pain in arm.

Lying on left side agg.; on right side amel.

Sitting agg. Motion; exertion; walking, especially fast walking, agg.

Exertion physical or mental agg.

Laughing agg. (cough).

Coughing = headache. Talking agg. pain in larynx. agg.

From spraining parts. agg.

Lifting arms. agg. Before sleep, amel. after. (Some symptoms are agg. on waking, but this is less characteristic.) agg.

Morning; evening (especially twilight); before midnight.

Heat agg. boring in teeth; back pains; itching spots of skin.

Warm food and drink agg. (but hot drinks amel. flatulent colic).

Warm water, putting hands in = toothache.

Warm wraps amel. neuralgia of head and heat of scalp.

Weather changes (either way) agg.

Open air amel. pain in forehead; hemicrania; stuffed feeling in nose; agg. vertigo; toothache cough tearing in labia taking cold easily.

Wind agg. Thunderstorm agg.

Washing with cold water amel.

Washing clothes; wet weather agg. agg.

Light noise music; piano playing. amel.

In the dark.

Asthma after cough, Arsenicum Album ^Ars. (Arsenicum Album ^Ars. before and after).

Fancies himself in pieces, Baptisia Tinctoria ^Bapt.

Stitches up vagina, Sulphur ^Sul., Sepia ^Sep., Pulsatilla ^Pul., Nitric Acid ^{Nit. ac}., Alumina ^Alum., Berberis Vulgaris ^Berb., Ammonium Carbonicum ^{Am. c.} Weakening night-sweats, Chininum Sulphuricum ^Chi., Calc Carb ^Calc., Lycopodium ^Lyc.

Sweats towards morning, Calc Carb ^Calc., Lycopodium ^Lyc. (Phos. on awaking).

Tongue glazed, Lachesis ^Lach. (Lachesis ^Lach. red; Phos. dry, cracked, black).

Lienteria, Chininum Sulphuricum ^Chi.

Cough agg. entering cold air from warm room (Bryonia ^Bry. opposite).

Fear of darkness, Am. m., Calc Carb ^Calc., Stro., Val., Stramonium ^Stram.

Fear of ghosts, Pulsatilla ^Pul.

Sense of insecurity in bowels, Aloe Socotrina ^Alo.

Piles during menses, Collins., Ignatia ^Ign., Lachesis ^Lach., Pulsatilla ^Pul.

Effect of raising arms high to lift things, Rhus Tox ^Rhus.

Chilblains; general paralysis, Agaricus Muscarius ^Agar.

Headache with increased intellectual powers (Phytolacca Decandra ^Phyt. with increased hearing).

Hunger at night, Chininum Sulphuricum ^Chi. s., Psorinum ^Pso., Pulsatilla ^Pul., Ignatia ^Ign., Lycopodium ^Lyc. (Phosphorus ^Pho. unappeasable hunger with febrile heat).

Left ovarian pain, Colocynthis ^Coloc., Thuja ^Thuj., Lachesis ^Lach., Bryonia ^Bry.

Somnambulism, Can. i., Sulphur ^Sul., Luna.

Sensation of anus open, Phos. ac., Apis Mel ^Apis (Lachesis ^Lach. as if vagina Open). agg.

Walking fast, Pulsatilla ^Pul.

Regurgitation of food, Sulphur ^Sul.

Nocturnal salivation, Chamomilla ^Cham., Nux Vomica ^Nux, Rhus Tox ^Rhus.

Difficult swallowing of liquids, Belladonna ^Bell., Causticum ^Caust., Can., Hyoscyamus Niger ^Hyo., Ignatia ^Ign., Lachesis ^Lach., Lycopodium ^Lyc.

Blood from bowel, Merc Viv ^Merc., Nitric Acid ^{Nit. ac}., Sulphur ^Sul., Capsicum Annuum ^Caps., Merc Viv ^Merc. c. Menorrhagia, Calc Carb ^Calc.

Laughs at serious things, Anacardium ^Anac., Lycopodium ^Lyc., Nux Vomica ^Nux m., Platinum Metallicum ^Plat.

Hćmorrhage, blood does not coagulate, Sanguisuga.

Fatty changes in blood, kidneys, spinal cord.

brain-fag. crawling and tingling sensations.

sexual excitement with erethism.

backache as if it would break Pic. ac. (Phos. has more irritability and over-sensitiveness to external impressions with the weakness; the senses are too acute, or if failing, accompanied by photopsies; Pic. ac. has more intense erections and less lasciviousness than Phos.).

In general features. taciturn and distrustful.

inclined to be angry and scold.

sensation of tension. nervous weakness and restlessness, Causticum ^Caust. (Phos. has great soreness of larynx, fears to cough or talk; Causticum ^Caust, has cough amel. by cold drink, Hoarseness of Phos. is agg. evening, of Causticum ^Caust. agg. morning).

Scrofula, tuberculosis, swelling of glands, indolent ulceration, difficult learning to talk and walk (Phos. has delicate, refined skin, features sharp and rather handsome; Calc Carb ^Calc. large, swollen lips).

Small ulcers surrounding large ones (Hep. pimples round sore eyes).

Phthisis florida, Fer. (Fer. has apparent plethora with great oppression of chest from least exertion).

Weakness and goneness in stomach at 11 a.m.; softening of brain; enervation accompanied by trembling; restlessness, Zincum Metallicum ^<">Zincum Metallicum ^Zn. (Zincum Metallicum ^Zn. has ptosis; agg. from wine; restlessness of feet, Phos. of entire body).

Functional paralysis from fatigue or emotion, Stan., Cocculus Indicus ^Coccul., Ignatia ^Ign., Nat Mur ^{Nat. mur}., Collins.

Hoarseness, agg. evening, weak chest, cough, copious expectoration, hectic, Stan. (Phos. has more blood-streaked sputa; tightness across chest).

Bone disease, abscess, especially of breast, with fistulous openings; over-excitability of nervous system; cough excited by speaking, Silicea ^Sil.

Phthisis; rapidly growing young people, Iodium ^Iod. (Phos. is nearest Iodium ^Iod. in phthisis).

Aphonia with rawness of larynx, Carbo Veg ^{Carb. v}.

Heat at vertex; imperfect growth of tissue; morning diarrhoea, Sulphur ^Sul. (Sulphur ^Sul. has hunger at 11 a.m. with the heat at vertex, Phos. has not; Phos. has green painless stools, Sulphur ^Sul. stools changing colour, and raw sore anus).

Irritation of respiratory tract, sore larynx (Phos. has irritation lower down; sore larynx, agg. from talking or pressure, Belladonna ^Bell. only from pressure).

Capillary bronchitis, Ipecacuanha ^Ipec. (Phos. more inflammatory).

Prostration, Chininum Sulphuricum ^Chi. (Phos. sudden, Chininum Sulphuricum ^Chi. not).

Vicarious menstruation, Bryonia ^Bry., Pulsatilla ^Puls., Senecio Aureus ^Senec.

Cold; cerebral softening, Nux Vomica ^Nux (Phos. follows Nux Vomica ^Nux in both; if cold goes to chest in spite of Nux Vomica ^Nux).

Cough from reflex nervous influence, Ambra Grisea ^Ambra (Amb. agg. when strangers in room).

Irritability; intolerance of mental strain, Nux Vomica ^Nux.

Vomiting after drinking cold water, Arsenicum Album ^Ars. (Arsenicum Album ^Ars. immediately; Phosphorus ^Pho. as soon as warm in stomach), Bism. (immediately after eating, with burning cardalgia), Kreosotum ^Kre. (of undigested food hours after eating).

Diarrhoea as soon as he eats, Arsenicum Album ^Ars.

Weakness after stool, Conium Mac ^Con., Nux Vomica ^Nux.

Sensitive to storms and electricity, Rhododendron ^Rhod., Merc Viv ^Merc., Morph.

Polypi. Teuc., Calc Carb ^Calc., Sanguinaria Canadensis ^Sang., Psorinum ^Pso., Lemn. amel.

From cold drinks and food (Lycopodium ^Lyc. opposite).

Hysteria, Ignatia ^Ign.

Deafness, especially to human voice (Ignatia ^Ign. opposite).

Small wounds bleed much, Lachesis ^Lach. agg.

Putting hands in water, Lac. d. Apathy; weakness and prostration from loss of fluids, Acid Phos ^{Pho. ac.} (Phos. has more dryness of tongue and sensorial excitement).

Diarrhoea blood-streaked and looking like flesh water, Cantharis ^Canth., Rhus Tox ^Rhus.

Shreddy, membranous diarrhoea, Arsenicum Album ^Ars., Causticum ^Caust. agg.

Twilight, Pulsatilla ^Puls.

Hepatisation of lungs, Antimonium Tartaricum ^{Ant. t}., Sulphur ^Sul., Lycopodium ^Lyc. (these correspond to the later breaking-up stage).

Can only lie right side (Merc Viv ^Merc. can only lie left).

Levitation, Acid Phos ^{Phos. ac}., Sticta Pulmonaria ^Stict. Pulsatilla ^pul.

Desire for acids, Phell.

Affections of skin about joints, Sepia ^Sep. Tongue as if burnt, Sanguinaria Canadensis ^Sang.

Tuberculosis, Bacil., Tuberculinum ^Tuberc.

Explosion in head, Aloe Socotrina ^Alo.

Jerks in head during stool, Indm.

Numb, stiff feeling in brain, Graphites ^Graph.

Duchenne's paralysis, Curar.

Growing ends of bones, Conchiolinum ^Conch.

Effects of hair-cutting, Belladonna ^Bell.

Teste puts Phos. in three of his groups, of which Pulsatilla ^Puls., Ipecacuanha ^Ipec., and Fer. are the types.

Causation.

agg. In morning. evening.

before falling asleep.

on waking. before breakfast.

after taking cold. while coughing.

before or after eating.

from violent bleeding.

from spraining parts. while lying on back.

lying on l. side. from laughing (often producing cough).

from light in general.

light of the lamp. warm food ("very thirsty, takes water, likes it, feels better, gets warm in stomach and is vomited").

reading aloud. from strong smells.

after stool (exhausted, &c.).

while Swallowing drink.

in the wind. when singing.

when the weather changes either way.

Phosphorus is chemically prepared from bone-acid (Acid Phos ^{phosphoric acid}) by distillation with Carbo Veg ^charcoal; it is remarkable for its easy spontaneous combustion. It is dynamized for homoeopathic use in the manner described at the end of the first part of this work, p. 147.

Phosphorus properly potentized in this manner is one of the most indispensable and chiefly antipsoric remedies.

How entirely medicinal substances, by potentizing through trituration and succussion (which were first used by Homoeopathy), are removed out of their chemical sphere, may be seen, among other things, by the remarkable fact, that a powder of sugar of milk containing one or two pellets moistened with this medicine, potentized to, say, the decillionth attenuation, though it may have been kept a year and a day, will yet retain its medicinal virtue undiminished, and shows the dynamic effect of phosphorus, and has not, therefore, been turned into phosphoric acrid, which has quite a different effect on the human health.

Nevertheless this medicine will rarely be found appropriate in cases of chronic (unvenereal) diseases, where lack of sexual impulse and weakness in the genital parts is manifest, or the female period is retarded, or generally, where there is too great weakness and lack of vital strength. If it should, nevertheless, be homoeopathically indicated, in order to keep up the strength as far as possible, the transfer of vital power from a healthy person (mesmerism) should be made use of.

, from time to time a kindly, strong, healthy person should hold for a few minutes the hands of the feeble patient in his hands, directing his mind upon him with compassionate heart and with an earnest desire of benefiting him.

or he may lay his hands on the most enfeebled, suffering part of his body, keeping away all noise which might distract the attention of the one who communicates the force and also of the patient.

no persons must be allowed to crowd up while this treatment is going on.

So to be named after , in thankful acknowledgement, as he was the first active promulgator of this new power.

Phosphorus medicine is best adapted to cases where there are long continued soft or thin stools.

In cases where the potentized phosphorus was homoeopathically indicated, it also removed the following ailments if they happened to be present at the same time.

Lack of cheerfulness, apprehensiveness when alone.

anxiety about the future.

irritability and anxiety.

timidity. liability to be startled.

irritability and peevishness.

. vertigo of various kinds.

stupefying headache. rush of blood to the head.

. shooting pains, externally on the side of the head.

itching on the head.

burning and erosion on the outer canthus.

inflammation of the eyes, with heat and pressure as from a grain of sand.

lachrymation in the wind.

lachrymating eyes, closed at night by suppuration.

the eyelids are difficult to open.

dimness of vision. short-sightedness.

day-blindness, when everything appeared covered with a grey covering.

obscuration of the eyes by candle-light.

cataract. glaucoma. black appearance before the eyes.

, with respect to human speech.

expulsion of blood from the nose.

epistaxis. bad smell from the nose.

lack of smell. dirty complexion.

redness and burning of the cheeks.

tearing in the upper and lower jaws, while lying down by night.

toothache as from festering, in the morning when chewing.

shooting toothache, every night till two o'clock.

soreness in the inside of the mouth.

mucus in the mouth. white tongue.

, by day and by night.

scratching and burning in the throat.

erosion and burning in the throat.

. slimy taste in the mouth.

cheesy taste in the mouth.

lack of taste. spasmodic eructations.

sour eructations. hungry morning nausea.

longing for something refreshing.

hunger after eating. ravenous hunger.

after partaking of acid things, always waterbrash.

nausea after eating. qualmishness in the abdomen after breakfast.

heat and apprehensiveness after eating.

burning in the hands after eating.

after eating, indolence and drowsiness.

stomachache. , with vomiting of all the ingesta.

a sort of constriction of the upper gastric orifice so that the food just eaten returns into the mouth.

painfulness of the scrobiculus cordis when touched.

digging in the scrobiculus cordis.

fullness in the stomach.

bloatedness after dinner.

pains in the abdomen, in the morning in bed.

want of tensive force in the abdomen.

straining in the sides of the abdomen.

. inguinal hernia. severe tenesmus.

stool too dry. chronic discharge of thin and soft stools.

. discharge of tape-worm.

itching of the anus.

emission of mucus from the anus, which is always open.

tension in the urethra.

erosion in the urethra when urinating.

scalding of the urine.

twitching like burning in the urethra, when not urinating.

too violent erections in the evening.

. feeble and too rapid emission of semen during coitus.

. menses too scanty and watery.

during the menses, fermentation.

leucorrhoea.

. troublesome dryness of the nose.

constant flow of mucus from the nose.

roughness of the throat.

expectoration of mucus from the throat.

tickling in the throat.

exciting cough. tickling on the chest.

. chronic cough. cough excited by laughter.

cough leading to vomiting.

. nocturnal cough with stitches in the throat.

hard breathing. loud, panting breath.

pressure on the chest.

heaviness in the chest.

stitches in the left side of the chest, where there is also a stitch when it is touched.

chronic stitches in the side.

pain as of sore burning in the chest.

pain below the left side of the chest, when lying upon it.

while sitting. pain as of a fracture in the back.

. thick neck. pain of the arm on lifting it.

tearing shooting in the arms and the scapulae.

heat of the hands. trembling of the hands.

drawing pain in the knees.

twitching in the calves.

exostosis of the tibiae.

nocturnal coldness of the feet.

the soles of the feet are sore as from festering, when he walks.

jerks in the feet by day, and by night before going to sleep.

tearing in the limbs. numbness of the tips of the fingers and of the toes.

yellow spots on the abdomen and the chest.

brown spots on the body.

straining by lifting. pulsations all over the body.

drowsiness by day. drowsiness in the morning.

. sleep full of dreams.

frightful dreams. chilliness every evening in bed.

transient heat. morning sweat.

My fellow-observers are the Medical Counsellor, .; , .; the doctors and , . in their "," and three anonymous persons there ., . and . ibid.; , .; , ., and , .

A pathogenesis of Phosphorus appears in the first edition of this work, containing 963 symptoms from Hahnemann and 62 from authors. Soon after, Hartlaub and Trinks published another one in Vol. I. of their , without any information as to how it was obtained. To this belong the Hartlaub and the "three unknown persons" of the above list. "." being Bandis and "." of course, Nenning. The contributions from Stapf, Gross, Hering, SchréTerebinthina ^ter and Goullon are doubtless of the usual kind. Hahnemann's own symptoms are increased by 206, and the citations from authors have risen to 84.

PHOSPHORUS.

Statements from authors.

General statement.

Effects of one grain in divided doses. This symptom not found.

, with muddled feeling or stupefaction in the head, as if she would lose consciousness, occasionally on entering from the open air into the warm room.

Vertigo, then nausea and a depressing pain in the middle of the brain, with stupefaction and a sensation as if he would fall down.

in the morning and after dinner.

then in the afternoon, nausea, heartburn, red face and a sensation as if something was lodged in the throat.

with sadness and weeping without a cause.

in the evening like gauze before the eyes and itching on the eyelid.;.

Violent sensation of numbness and dizziness, with pressive pain in the head, incapacity and indisposition to do work, especially mental work, with drowsiness.

after quietly lying down in a half sleep, it is almost quite removed, but soon begins again after rising and moving about, with a sensation as if there was no cohesion in the head, and with sore pain of single spots of the head when touched, for several days.;.

Stitches, at times burning, in the frontal region, on the crown, in the sides of the head, into the left and upper part of the head, and in the temples, at times with the sensation, as if she was pulled by the hair, or also as if the head would burst.

at times after dinner, or in the morning, mostly while sitting, sometimes transiently relieved by rubbing.;.

Not accessible.

(TO BOUTTAZ.). Not accessible.

She has to hold objects near to the eyes, if she wants to see anything distinctly.

at a distance everything appears as if in a smoke, or as if through a gauze.

but even when holding objects near, she cannot bear to look at them steadily for a long time.

she can see better when she dilates the pupils by shading the eyes with her hand.

Effects of gr. ½ to ij.

See Sympt. 1884.

Cannot be traced.

Lack of appetite and hunger.

eating is quite indifferent to him, and he would not eat, but that eating-time has come.

no flavor in his food and drink.

everything he partakes of has only too little taste, but no foreign flavor, and almost everything tastes alike.

spirituous liquors taste water, and he lacks the customary inclination to smoke.

Collection of observations from authors.

Effects of three grains.

(TO ROBBI). Statements and observations. (, 1818.)

From two grains.

Sour, bilious vomiting, toward evening, after previous violent vertigo with nausea.

first the hands, and then also the feet became icy cold and quite benumbed.

the forehead was covered with clammy sweat.

after repeated vomiting there ensued within two hours two ordinary evacuations.

nausea and sense of coldness only passed off after lying down (26th d.).;.

From repeated overdosing with Sympt. 786 and 925.

More properly, ; see note to Sympt. 763.

Statement about over-action.

Not accessible.

See Note to Sympt. 763.

During the menses, she feels very ill (especially in the evening), she has pains in the back, as if bruised and torn.

drawing in the whole body, palpitation with anxiety, pinching across the stomach, with contractive pain.

she felt tired and weary and as if she would fall over, and could not stay up for severe nausea, but had to lie down.

* * * * *

See Sympt. 1249.

See Sympt. 1249

With Sympt. 763, 786 and 925.

For "quick" the original has "very quick."

In LOBSTEIN'S case no fullness is mentioned.

Not found.

Phosphor. Hahnemann. The Element

Coryza fluent, dulness of head, sleepiness, especially during the day and after meals.

blowing blood from nose.

alternating fluent and dry, with frequent sneezing.

dry, forming crusts, adhering firmly.

profuse discharge, flowing down into fauces.

neck swollen. eyes staring, consequent on the resulting, stagnation of blood.

scarlatina.

The complaints of Phosphorus are most likely to arise in the feeble constitutions, such as have been born sick, grown up slender, and grown too rapidly.

Its complaints are found in such as are emaciated, and in those who are rapidly emaciating; in children who are going into marasmus, and in persons who have in them the foundation of consumption fairly well laid. Delicate, waxy, anemic and emaciated subjects. In persons who are vehement, irascible.

Phosphorus expresses the person's disposition somewhat as well as his internal constitutional state. Internally he is in a turmoil. Subject to violent pulsations, complaints from electric changes in the atmosphere.

violent palpitations and orgasms. In chlorotic girls who have grown too rapidly and have suddenly taken on weakness, pallor, green sickness, with menstrual difficulties. Ebullitions and congestions. Hemorrhagic constitutions.

Blood Small wounds bleed much; the prick of the needle will bubble forth much bright red blood.

Hemorrhage from small wounds, from the nose, from the lungs, from the stomach, from the bladder and from the uterus. Bleeding from ulcerations. False granulations that bleed. Purpura hoemorrhagica. Black and blue spots.

Blood settles beneath the conjunctiva, or beneath the skin anywhere.

dropsical condition. Bloating of the hands and feet, especially dropsical conditions after scarlet fever. The mucous membranes are all pale, such as is found after bleeding or in low forms of disease. A marked state of anemia and relaxed condition of the muscles. Muscles flabby. Fatty degeneration of the muscles.

The genitals hang down. In the woman, relaxation of the pelvic organs, prolapsus and other displacements. Stiffness is a marked feature of Phosphorus Stiffness on beginning to move. Limbs stiff like a foundered horse, especially in the morning. Rheumatic stiffness in all the limbs. Phosphorus has tearing, drawing pains in the limbs. Drawing, tearing pains in affected parts. Phosphorus complaints are worse in cold weather.

The patient himself, generally considered, is sensitive to cold. All his complaints are worse from cold and cold applications, and better from beat and warm applications, except the complaints of the head and stomach, which are ameliorated from cold as will hereafter be described. Phosphorus has been very useful in weak, relaxed conditions of the joints following sprains, when the symptoms agree.

Necrosis is another feature of Phosphorus, especially of the lower jaw, but may be useful in necrosis of any of the bones. Exostoses of the skull with tearing pains. Tearing, boring pains, especially at night. Phosphorus has cured polypi of the nose and cars. Scrofulous and glandular swellings. Glands enlarge, especially after contusions like Bellis Perennis ^Bellis

Glandular affections of weak, pale, sickly individuals, such as suffer from diarrhea, such as suffer from exhaustive conditions, abscesses, fistulous openings, with hectic fever. Abscesses with copious discharge of yellow pus. Malignant growths are greatly restrained by the use of Phosphorus, when the symptoms agree. Burning pains are observed everywhere. Burning in the brain, burning in the skin. Burning in the stomach, in the chest, and in various parts.

Paralysis that comes with apoplexy. Jerking and twitching of the muscles such as has been found in paralysis. Spasms of the paralyzed parts. Tearing, drawing, burning pains throughout the body.

The Phosphorus patient wants to be rubbed. He is generally better after sleep. Always wants to rest. Always tired. The Phosphorus patient undergoes great excitement. Tremulousness. Wild thoughts. Excitability, keeping him awake at night. Violent imaginations.

The mind may be overactive or may be extremely passive with loss of memory. Irritability of mind and body and great prostration of mind after slight mental effort, and of the body afar slight physical exertion.

Anxiety, gloomy forebodings. Fear that something will happen. Anxious at twilight. Anxious when alone. Apprehensiveness. Apprehensive during thunder storms, which brings on many complaints; palpitation, diarrhea and trembling. Trembling of the whole body.

Apathy or indifference; indifferent to his friends and surroundings. Indifferent to his children. Answers no questions, takes no notice of his family and things about him, answers slowly, thinks sluggishly, seems dazed or in a stupor. Everything looks dark, he is weary of life, gloomy and says nothing.

Dejected; a most marked case of hypochondriasis. Weeping, sad, hysterical; will uncover the body and expose his person. Violent, loquacious; delirium. Delirium of low forms of fever, or delirium of mania a potu.

Maniacal attacks come on during sleep with fury and extreme violence, so that no one dares approach him, and this progresses to imbecility, silliness, weak brain, idiocy. Brain fag from mental overwork and constant strain of eyes. Vertigo is a very common symptom throughout all of the complaints of Phosphorus Staggering while walking as if intoxicated. Vertigo when in the open air.

vertigo after eating. vertigo in the evening. Heaviness and confusion in the head and things go round.

great weakness of the head.

All of these mental symptoms are worse in the dark; worse when alone; sometimes worse from music; worse from excitement; worse from playing the piano.

The blood mounts to the head. The headaches are ameliorated from cold and worse from heat, worse from motion, and better from rest, worse lying down. The patient is often compelled to sit upright, with great pressure upon the head and cold applications. The face is flushed and hot; burning in the brain.

The warm room, warm surroundings, warm food, putting the hands into warm water will increase the headache. The complaints of the head like the complaints of the stomach are worse from heat, warm applications and from warm food, and better from cold things.

while the complaints of the body are better from warmth and, worse from cold.

The headaches are most violent and are often attended with hunger or preceded by hunger; headaches with vomiting, red face, and scanty urine; uraemic headaches; violent neuralgic pains darting, tearing, shooting through the head; pressing pains in the head. Periodical headaches, headaches brought on from mental exertion.

Great heat in the head and stiffness in the muscles of the face and jaws. This is sometimes attended with coldness in the back of the head. Shocks through the brain. The headaches are worse from noise, from light; apoplectic congestion of the head. It has cured acute hydrocephalus and hydrocephaloid symptoms.

Chronic inflammation of the meninges of the brain.

softening of the brain.

imbecility. insanity. Violent head pains.

atrophy of the brain. medulla oblongata. The scalp is covered with dandruff.

the hair falls out in patches, leaving bald places here and there. Great heat in the scalp.

tension in the scalp and face and forehead as if bound by a bandage. Scaly eruptions on the bald places of the head.

exostoses on the skull.

The complaints of the head are brought on from becoming overheated. Sensation as if the hair were pulled; great soreness of the scalp; must let the hair hang down during headaches.

Objects look red and often blue in the field of vision, or objects sometimes look green and gray as is observed in incipient cataract. Colors, also, appear black before the eyes. Vision is vague; the eyes give out while reading; sees better in the morning, in the twilight.

The eye symptoms, like Phosphorus in general, have amelioration after rest. Momentary blindness like fainting; seems to suddenly become blind; paralysis of the optic nerve; blindness after electric shocks, or after a stroke of lightning. It has cured glaucoma. It has cured inflammation of the retina in Bright's disease.

It has cured opacity of the vitreous humor. It has cured paralytic weakness of the various muscles of the eyes. It has cured paralysis of the third pair of nerves where there is falling of the lids; sub-acute inflammation of the eyes.

Burning, redness, and smarting ameliorated from cold applications. The eyelids twitch and tremble.

swelling of the eyelids.

dropsical swelling of the eyelids.

great darkness around the eyes.

great circles around the eyes. It is a very useful remedy in malignant growths involving the eye, restraining very much the progress of the disease.

The eye symptoms like the head and mind symptoms are such as often come on in brain workers; working under a bright light causing much determination of blood to the head in which the eyes as well as other parts suffer.

One of the most striking features of Phosphorus is inability to understand the articulations of the human voice. Hearing is difficult. He sometimes feels as if there were something over the ears; as if the ears were covered, obstructing the waves of sound.

Violent itching in the ears; congestion of the external ear; itching, tearing, throbbing, burning pains within the ear, It has cured polypi in the ears.

He takes cold in the nose, but the most common seat of the Phosphorus cold is in the chest, and most of his difficulties begin in the chest, but Phosphorus cures nasal catarrh and coryza.

There is painful dryness in the nose; constant sneezing and running from the nose of bloody water.

Frequent alternations of fluent and stopped-up conditions of the nose.

coryza with sore throat.

stoppage of the nostrils.

much sneezing and stopping of the nose alternating with dryness of the nose in scarlet fever.

nostrils filled with green mucus.

a copious nasal discharge of greenish-yellow, blood-streaked mucus, worse in the morning.

bad odor from the nose.

frequent blowing of blood from the nose.

copious hemorrhage from the nose of bright red blood.

swelling of the nose, redness and shining.

very sensitive to touch.

necrosis of the bones of the nose.

It has cured polypi of the nose, especially bleeding polypi. Fan-like motion of the nose, like Lycopodium ^Lycopodium

The color is changeable.

swollen, oedematous face.

puffed under the eyes.

lips and eyelids swollen. Again, red spots upon the checks, which appear in hectic fever.

the hectic blush. Tension of the skin and of the face.

tearing, shooting pains all through the face and about the eyes, from the temples and vertex down to the zygoma. Jerking, tearing pains in the teeth.

The pains of the teeth are often ameliorated by warmth, while those of the head are ameliorated by cold. The pains of the teeth are worse when talking and eating, and worse after eating It has violent neuralgias of the face involving the jaw and temples, with hot, bloated face, worse from talking and from eating.

It has caries of the lower jaw, with great heat, burning and fistulous openings. Neuralgia of the face and teeth; has to be wrapped up at night; worse in windy weather.

The countenance is sickly, sunken, declining, as if a serious sickness was coming.

The lips are parched, dry and bleeding. The lips become black, brown and cracked as in low forms of fever, and with necrosis of the lower jaw. Inflammation of the parotid gland, especially when it suppurates or there are fistulous openings. Rapid decay of the teeth. The gums bleed and settle away from the teeth.

Phosphorus is very useful for the bright red hemorrhage after the extraction of teeth. The tongue is swollen and speech is difficult. It is difficult to articulate. The taste in the mouth is bitter or sour, especially sour after taking milk; sometimes salty or sweetish; bitter after eating.

Taste of hydrogen sulphide in the morning. The tongue is coated like fur; sometimes chalky-white, sometimes yellow; dry, cracked and bleeding; sordes on the teeth. Crusts form upon the mucous membranes of the mouth, gums, lips and tongue. The tongue is swollen and the papillae are engorged.

The mouth may be covered with thrush, as in nursing sore mouth.

bloody erosions of the mouth.

nursing sore mouth. Much watery saliva and bloody saliva flows from the mouth. The saliva is copious, tasting sweetish, saltish or foul. The mucous membranes of the throat are like those of the mouth. Great dryness, roughness, rawness, excoriation, bleeding, and inflammation of the tonsils.

inflammation of the throat.

sensation of cotton in the throat.

sensation of velvet in the throat.

The tonsils are much swollen. Intense pain in the throat and burning in the throat that extends into the oesophagus. Inability to swallow any nourishment because of paralysis of the oesophagus or acute inflammation of the mucous membranes of the throat and oesophagus; constriction of the oesophagus.

In Phosphorus there is violent hunger and very soon after eating the hunger returns again. Must eat during the chill. Must get tip in the night to eat. Feels faint and is driven to eat. Ravenous hunger during headache; he knows that the headache is coming on because of his violent hunger; in periodical headaches.

The hunger is often spasmodic, because at times there is aversion to food. Again, he wants to eat and as soon as the food is offered he does not want it. Thirst is one of the most constant features of Phosphorus.

In acute and chronic complaints there is violent thirst.

thirst for ice-cold drinks. Wants something refreshing.

is ameliorated momentarily by drinking cold things, but the thirst appears as soon as the water gets warm in the stomach. Vomiting comes on as soon as the water becomes warm in the stomach, but there are many conditions where the ice-cold water agrees.

Unquenchable thirst. When the water is vomited there is always unquenchable thirst. He wants cold food as well as cold drinks; refreshing, spicy things, juicy things; desire for wines and sour things. Phosphorus often cures the violent' longing in inebriates for alcohol.

It simply resembles the congestion of the mucous membrane of the stomach. Aversion to sweets, to meat, to boiled milk, to salt fish, to beer, to puddings, to tea and coffee.

Many of the complaints of Phosphorus are ameliorated by eating. The nervous symptoms of Phosphorus drive the patient to eat and he feels better for a little while, and then he must eat again or the nervous symptoms will come on. Often he can sleep better after eating and cannot go to sleep until he eats something.

The stomach symptoms are ameliorated by cold things and aggravated by warm things. The nausea and vomiting are brought on by putting the hands into warm water, from being in a warm room, from warm things and from taking warm things into the stomach. The nausea of pregnancy is cured when the woman cannot put the hands into warm water without bringing on vomiting. Another marked feature of Phosphorus is eructations of food.

The food is eructated by mouthful until the stomach is emptied of the last meal. Constant nausea except when something cold is in he stomach. As soon as water becomes warm in the stomach it comes up. This very much resembles the vomiting and nausea of Chloroformium ^Chloroform, and Phosphorus is a great friend to the surgeon because he can nearly always antidote the stomach affections of Chloroformium ^Chloroform by Phosphorus Vomiting of blood and violent vomiting of sour fluids.

vomiting of bile and mucus.

vomiting of black substances, coffee-ground substances. Awful sinking, gone feeling in the stomach.

Phosphorus sometimes comes at 11 o'clock like Sulphur ^Sulphur Pressing pains, burning pains, tearing pains in the stomach.

pain in the stomach after eating.

sensitiveness in the pit of the stomach.

coldness, as if freezing, in the pit of the stomach.

paroxysms of knife-like pains in the stomach.

The pains in the stomach are ameliorated by ice-cold things for a moment; spasmodic contractions of the stomach; hemorrhage from the stomach; vomiting of great quantities of clotted blood; long-standing dyspepsia; much flatulence; regurgitation of food; distended stomach and abdomen; ulceration of the stomach.

The liver furnishes us many symptoms of Phosphorus. Congestion of the liver, fullness, pain, hardness, fatty degeneration of the liver, hyperemia of the liver. Phosphorus is one of the most useful liver remedies; hard, large liver. With the stomach and liver symptoms there is commonly jaundice.

Phosphorus is rich in symptoms of the rectum and stool.

involuntary discharges from the bowels.

copious emission of fluids.

foetid, gushing stools.

horribly offensive, yellow, watery stools. The patient lies as if dying, the stools passing involuntarily.

stools of white mucus.

stools of slime intermingled with little specks like tallow.

involuntary oozings from the constantly wide open anus.

bloody discharges like meat washings, involuntary, on every motion. Burning in the rectum during stool. Protrusion of the rectum.

protrusion of hoemorrhoidal tumors. Sharp, stitching pains from the coccyx up the spine to the base of the brain drawing the neck backward, and this symptom occurs during stool. It has occurred during involuntary stool.

After stool painful cramps in the rectum.

burning in the anus. violent tenesmus.

sinking feeling in the abdomen.

obliged to lie down. exhaustion and fainting. The copious diarrhea is like the profuse flow of water from a hydrant. It is useful in cholera times and in cholera morbus. It is a useful medicine for chronic diarrhea with soft, thin stools. It has been a very useful remedy in cholera infantum. It has also cured dysentery with bloody mucus, scanty stools with violent tenesmus. It also cures inveterate constipation.

The stool is hard, long, and slender, described in the books as like that of a dog. Alternating diarrhea and constipation in old people. Spasms of the rectum. Paralysis of the bowel, so that it is impossible to strain at stool, Hemorrhage from the bowels. It has cured polypi of the rectum.

inflammation of the rectum. It has many times cured bleeding, protruding hemorrhoids.

hemorrhoids that burn. It has cured fissures of the anus. Among many of these bowel symptoms the anus feels as if wide open.

gradual weakness. considerable heat of the head.

coldness of the extremities, and sugar in the urine. Phosphorus will cure fatty degeneration of the kidneys. Renal calculi. No desire to pass urine though the bladder is full.

There is a paralytic weakness which resembles the paralytic weakness throughout all the muscles of the body. He is unable to strain to pass the urine because such straining increases pain in the region of the bladder.

Profuse, pale, watery urine; frequent and scanty or completely suppressed urine. Turbid, whitish urine; curdled like milk. Albuminous urine. Involuntary urination during sleep.

Tearing in the urethra; twitching and burning in the urethra. Periodical sick headaches sometimes are preceded by scanty urine and sometimes by a copious watery flow of urine.

Men The male sexual organs furnish many symptoms of Phosphorus

Violent sexual desire driving him frantic. Erections frequent and painful day and night. Seminal emissions at night even without lascivious dreams. Sexual debility from the inordinate use of table salt. Impotence after excessive excitement and secret vice, preceded by over-excitement of the sexual organs.

Frequent discharges day and night of thin, slimy, colorless fluid from the urethra. Sexual abuse with spinal disease. Discharges of prostatic fluid during a hard stool. Chronic urethral discharges due to hypertrophy of the prostate gland gleety discharge, Swelling and soreness of the testes and cord.

Women In the woman it is equally useful.

Phosphorus has cured many cases of sterility supposed to depend upon violent sexual excitement. Violent sexual excitement with aversion to coition. Violent pain in the ovaries extending down the inner side of the thighs during menstruation caused by inflammation of the ovaries.

The menstrual period is too early, flow bright red, lasting too long, is copious.

during the menstrual period ice-cold feet and hands.

nausea. pain in the back, as if broken.

blue rings around eyes.

loss of flesh. much fearfulness. It has also menstrual suppression in consumptives with cough, bleeding from the nose, and spitting of blood. Violent sexual excitement driving to secret vice.

Copious yellow leucorrhoea with great weakness.

leucorrhoea instead of menses.

white, watery leucorrhoea, acrid, excoriating.

milky leucorrhoea, copious when walking. The leucorrhoea is so excoriating that blisters form upon the genitals. Burning and smarting in the vagina. Stitching pains upward from the vagina into the pelvis. While there is violent sexual excitement during coition there. is lack of sensation in the vagina, as if it were numb.

Condylomata appear like fig warts and excrescences about the genitals and in the, vagina. Bleeding warts. Erectile tumors on the external genitals.

Dropsical swelling of the labia. Cauliflower excrescences with much bleeding. Painful, hard, large nodosities in the female mammary glands. Fibroid tumors of the breast. Fibroid tumors of the uterus with copious hemorrhages

During pregnancy and lactation violent sexual desire.

vomiting of pregnancy. Much prostration, sinking, and trembling, puerperal convulsions.

pain in the back, as if it would break. Increased secretion of milk out of season. Inflammation of the mammary glands with much heat, weight, and suppuration. Erysipelas of the breasts or of the genitals.

Phosphorus has cured many cases of croup, membranous croup, when all the symptoms were present. Every change of weather, from becoming overheated, and colds settle in the larynx, producing loss of voice and hoarseness, especially in public speakers and singers. Hoarseness and loss of voice.

great dryness in the larynx and all of the air passages. Hard, dry, rasping cough that shakes the whole body from irritation in the larynx.

The irritation travels down the air passages, affecting the trachea, along with difficult respiration; asthmatic breathing; clutching in the larynx; suffocation; dyspnoea; spasms and constrictions of the chest.

Violent, stridulous inspiration in the evening on falling asleep; fear of suffocation; labored breathing. Paralysis of the lungs; fullness in the chest after eating, much irritation in the larynx; difficult breathing; scraping of mucus from the larynx after eating.

Tightness felt over the sternum, and with all complaints great weakness of the chest.

pressure as of a weight over the middle of the sternum.

feeling of a rush of blood to the chest with or without violent pulsations. Sensation of heat in the chest mounting to the head.

flushes of heat in the chest extending upward. Stitching pain in the chest.

spasmodic pains in the chest.

violent stitching pains in the left side of the chest better by lying on the right side. These are pains likely to occur ig pleurisy or in pleurisy with pneumonia.

Complaints of chest, worse in cold air. Rawness in the trachea extending into the lungs.

burning in the chest. acute pain in the lower part of the lungs.

violent pain in the chest with coughing. The patient is compelled to hold the chest with the hand. Inflammation of the lungs with anxiety, oppression, and expectoration of bright red blood.

The Phosphorus patient suffers from copious hemorrhages from the lungs in phthisical conditions, in inflammation, inflammation of the bronchial tubes with intense fever and violent shaking cough.

the body trembles with the cough.

tearing pains in the sternum with the cough.

suffocation and constriction of the chest. Pain in the larynx. The expectoration may be blood-streaked or rust-colored as it is in pneumonia. It may be purulent. In the later stages it becomes thick, yellow, sweetish.

Phosphorus is a useful remedy in old bronchial catarrhs, in complaints that date from pneumonia or from bronchitis. Every cold settles in the chest. The lungs seem to be weak. Again, in hepatization during pneumonia with hard, dry, hacking cough.

in hepatization of the lungs during pneumonia Phosphorus, Sulphur ^Sulphur and Lycopodium ^Lycopodium are the most frequently indicated medicines.

Phosphorus is often the remedy to follow Arsenicum Album ^Arsenic when Arsenicum Album ^Arsenic has been suited to the restlessness, prostration, and anxiety that comes to a place where because of hepatization it is capable of accomplishing no more toward the cure of a case. If, then, the patient has thirst for ice-cold water, constriction of the chest, dry, hacking cough, paralytic weakness of the lungs, and expectoration of blood or frothy mucus Phosphorus is the best remedy.

In pneumonia, there may be burning in the chest, burning in the head, hot cheeks, and fever; gesticulation and delirium; violent thirst for ice-cold water; fan-like motion of the nose; difficult breathing; catchy inspiration; lying on the back with the head thrown far back; short, dry cough.

The carotids pulsate. Rawness in the chest.

bruised feeling in the chest.

Threatened paralysis of the lungs. Again, Phosphorus is a useful remedy when tuberculosis is about to make its appearance, in persons who are narrow-chested, slender, and of feeble vitality. All colds settle in the chest. After each cold, much rattling, hard cough that shakes the whole body, in persons who are feeble, pale, sickly, and disposed to hemorrhages.

Phosphorus is a dangerous medicine to give very high in some cases of phthisis, in the last stages of phthisis. In this case they should have received Phosphorus when they were yet curable. In these cases Phosphorus 30 th may sometimes be used with safety and it will act as a test in doubtful cases to see whether reaction can be brought about. In such cases where reaction can be brought about the administration later of a still higher potency may be found useful, but in the beginning with Phosphorus in phthisical cases far advanced it is better not to go higher than the 30 th or 200 th.

Phosphorus very low will act as a poison in really Phosphorus cases and the only safety some patients have had who have received Phosphorus so very low was due to the fact that the Phosphorus was not similar enough to either kill or cure.

Tightness in the chest and palpitation over the body.

pressure in the region of the heart. Phosphorus has cured endocarditis. Phosphorus has cured enlargement of the heart and dilatation and also fatty degeneration. With fatty degeneration where there is much venous stagnation, puffiness of the face, particularly under the eyelids, Phosphorus is often the remedy.

In all of these cardiac affections thirst for very cold water will always be present. Internal heat; he wants something cold to cool his insides.

Violent orgasms of blood in the chest from every excitement, from worry, and from anticipation. Phosphorus has many neuralgic pains upon the outer chest and yellow brown spots.

Stiffness on rising from a seat. Sensation of intense heat in the back running up the back. The patient complains of a hot spine.

Soreness in places up and down the spine; soreness to touch between the! shoulders; pulsations in various places in the back and in the whole spine.

The coccyx is sensitive to pressure.

pain in the coccyx as if ulcerated, preventing motion. Pain in the back during menstruation and during confinement as if the back would break. Spinal affections and inflammations, Weakness of the limbs after mental exertion, prolonged physical exertion, being overheated, sunstroke and sexual excesses.

paralytic weakness. Myelitis.

softening of the spine.

progressive spinal paralysis.

Phosphorus has been a useful remedy in locomotor ataxia, palliating many of the symptoms.

the pains. restoring the reflexes. Phosphorus is often suitable and restrains the progress in multiple sclerosis where there is much weakness and trembling of the extremities. Phosphorus has cured caries of the vertebrae in scrofulous children. Phosphorus is a broad remedy in various diseases of the spine.

Limbs In the limbs we have paralytic weakness extending to both arms and legs, with trembling and numbness; paralysis of one or of both lower extremities or of the upper extremities with trembling and numbness.

The hands and arms become very cold. The limbs emaciate and the veins become distended; the arms burn; periodical constriction of the fingers; numbness increasing to complete insensibility of the fingers; finger tips feel numb and insensible.

Great restlessness in the lower limbs; weariness in the lower limbs; weakness in the lower limbs, especially observed on walking, unsteady and trembling gait; paralysis of the lower limbs. Acute inflarnmation of the joints of the knees and hip joint.

Burning, tearing pains in the limbs from exposure to cold, Rheumatism of the joints and muscles.

stiffness of the joints on becoming cold. All complaints of the limbs are ameliorated by heat, while complaints of the head and stomach are ameliorated by cold. The complaints of the chest are ameliorated by heat. The lower limbs are covered with foetid sweat, The lower limbs are gangrenous. Inflammation of the periosteum of the tibia. Ulcers upon the lower limbs.

feet icy-cold.

The Phosphorus patient wants to lie down; exhausted; he is unable to walk; staggers when walking from weakness and from vertigo. A gradual progressing weakness creeps over him; weakness; trembling; faintness.

Jerking and twitching of the muscles; spasms of the paralyzed parts. Epilepsy; convulsions; neuralgic pains of the various parts of the body and of the limbs especially, ameliorated by heat. It has cured multiple neuritis.

The eruptions are dry and scaly.

dry furfuraceous herpes.

blood blisters. purple spots.

yellow spots on the chest and abdomen.

formication and itching in the paralyzed parts.

numbness of the skin. irregular brown spots upon the body.

psoriasis of the knees, legs, elbows, and eyebrows.

hives and blood boils.

phlegmonous inflammation.

Chronic suppurating openings with hectic fever; fistulous openings; ulcers bleed on appearance of the menses; deep eating ulcers; indolent ulcers; malignant ulcers.

Inflammation of the larynx with hoarseness in the morning.

husky voice. great sensitiveness of the larynx to touch and cold air.

pain and burning in the larynx on talking.

weakness in the vocal cords.

violent tickling of the larynx while talking.

constriction and spasms of the larynx.

constant irritation to cough in the larynx.

tuberculous condition of the larynx.

bleeding. loss of voice.

cannot speak a word on account of pain in the larynx.

sensation of velvet in the larynx.

rawness and smarting in the larynx.

In the chest, Phosphorus produces oppression.

anxiety, weakness and constriction going along with its chest complaints. Heaviness as if a great weight were lying upon the chest. With the cough, bronchitis, pneumonia and cardiac symptoms there is always more or less constriction of the chest as if bound, or as if bandaged, or as if tied tight with a string.

Tall, slender, narrow-chested, phthisical patients, delicate eyelashes, soft hair or nervous, weak persons who like to be magnetized. Waxy, half anaemic, jaundiced persons.

Anxious, universal restlessness, cant stand or sit still. worse in dark or when left alone, before a thunder storm.

Burnings prominent in every place, as in mouth, stomach, small intestines, anus, between scapulae, intense, running up spine, palms of hands, heat begins in hands, spreads to face.

Craving for cold things, ice cream, which agrees, or cold water, which is thrown up as it gets warm in the stomach. Must eat often or he faints. Must get up at night to eat.

Sinking, faint, empty feeling in head, chest, stomach and whole abdominal cavity.

Cough, worse twilight till midnight, worse lying on left side, better on right side. Right lower lobe most affected.

Diarrhoea, profuse, pouring out as from a hydrant; watery with sagolike particles or dysenteric, with wide open anus.

Apathetic, unwilling to talk, answers slowly, moves sluggishly.

Constipation faeces slender, long, dry, tough and hard like a dog's; voided with difficulty.

Haemorrhagic diathesis; slight wounds bleed profusely, haemoptysis; metrorrhagia worse; vicarious, from nose, stomach, anus, urethra in amenorrhoea.

Cannot talk; the larynx is so painful; cough, going from warm to cold air, laughing, talking, reading, eating lying on left side (Drosera Rotundifolia ^Dros., Stan.).

As a general characteristic, Burning is almost as strong under Phosphorus as under Arsenicum Album ^Arsenicum and Sulphur ^Sulphur. There is no organ or tissue in which it may not be found, from the outer skin to the innermost surface of every tract or parenchyma. It may be subjective only without actual rise of temperature, or it may attend organic changes in malignant diseases, with great rise of temperature. The sensation of burning in an intense degree should always place Phosphorus in the front rank for consideration. Again, there is perhaps no remedy having stronger action on The Nervous System. It attacks it in its very citadel of strength, the brain and spinal cord, producing softening or atrophy with all its attendant symptoms in their order, as prostration, trembling, numbness, and complete paralysis. It does this in both acute and chronic form of disease.

Its action at the first may be characterized by a burning heat in various parts, and especially in the skin, with restless moving and anxiety, especially at twilight. Over-sensitiveness of all senses, such as external impressions; light, odors, noises, touch, etc., and later when organic changes have taken place the other extreme, of loss of motion, sensation, and sensitiveness obtains.

Then again Phosphorus attacks the bones in the form of necrosis. It is so especially of the lower jaw, but is also true of other parts, as the vertebrae; and I once cured a very extensive and long standing case of caries of the tibia with it.

Fatty degeneration of heart, liver and kidneys, with the characteristic anaemic condition, should call attention to Phosphorus. General emaciation, rapid or slowly progressing like atrophy in children, also comes under its tissue destroying power.

And so we find it to be a remedy of wide range and great power. But it is never enough for the homoeopathist to know simply the action in general upon any organ or set of organs. He must know how it acts differently from other remedies when acting upon the same tissue or organs. Now while Phosphorus acts upon the mind, to cause, "great anxiety and restlessness" as in other remedies, Aconite ^Aconite, Arsenicum Album ^Arsenicum, etc, it must be remembered that it is the anxiety and restlessness that precedes another state.

It belongs to a stage of irritation in the brain and nervous system which if not checked will go on to organic changes, which will be attended with a very different set of symptoms such as come for instance from actual brain softening in which appears apathy, sluggishness.. There is one particular symptom worthy of note the patient fears to be left alone.

There is no remedy that covers a greater variety of mind symptoms arising from brain trouble than Phosphorus. No remedy produces greater vertigo, with a longer list of various connections. I have found it one of the best and oftenest indicated for vertigo of the aged. Chronic congestion to the head is characteristic, and the sense of burning in the brain is prominent; the heat and congestion seems to come up from the spine. .

Heat running up the back is more characteristic of this than any other remedy. Deafness is prominent, and is peculiar, in that it is especially deafness to the human voice, a common symptom in the aged. The most frequent use I have made of the remedy in nose affections is in a chronic catarrh, in which the patient frequently blows small quantities of blood from the nose; the handkerchief is always bloody.

As I said when writing upon the tissues, the face of Phosphorus is characteristically pale and bloated around the eyes, but in pneumonia we often find circumscribed redness of the cheek upon the side of the lung inflamed. This is also true with Sanguinaria Nitrica ^Sanguinaria. About the mouth and tongue I do not know anything particularly characteristic. It has a peculiar symptom of the throat. The food swallowed comes up immediately as if it had never reached the stomach. This is supposed to be due to spasmodic stricture of the oesophagus.

Under appetite and thirst we have some very valuable indications for Phosphorus.

Hunger is one, must eat often or he faints; right after or soon after a meal, is hungry.

The thirst is also peculiar. He wants cold things, like Pulsatilla ^Pulsatilla, but as soon as they get warm in the stomach they are vomited.

Some people have an abnormal craving for salt, or salt food, and eat too much of it. Phosphorus is a good remedy to counteract the bad effects. (Nat Mur ^{Nat. mur}.).

We have many kinds of vomiting under Phosphorus, but nothing characteristic except the one already mentioned.

We have already spoken of the hungry, faint feeling in the stomach. Sometimes this is described as an empty, gone feeling, and here again we think of such remedies as Ignatia ^Ignatia, Hydrastis Canadensis ^Hydrastis, Sepia ^Sepia and others; but Phosphorus does not stop here with this sensation, but extends through the whole abdomen. No remedy has this feeling in the abdomen so strong as Phosphorus. Under stool and rectum occur some very characteristic symptoms also, for instance Stools profuse, watery, pouring away as from a hydrant, with lumps of white mucus, like grains of tallow. Stools bloody, with small white particles like opaque frog-spawn. Stools involuntarily oozing from a constantly open anus, or dysenteric stools with wide-open anus and great tenesmus. Constipation.

Phosphorus powerfully excites the sexual appetite in both sexes. It is almost irresistible, and leads the patient into a mania in which he will expose himself. This is succeeded by the opposite extreme of impotence, though the desire remains after the ability to perform is gone. Of course, these sexual symptoms are accompanied with concomitant symptoms of the drug.

In bronchitis the cough is tight, worse from evening to midnight, also from speaking, laughing, reading aloud (Argentum met.), cold, and lying on left side. The patient suppresses the cough with a moan just as long as he can, because it hurts him so. The whole body trembles with the cough.

It has great oppression of breathing in both acute and chronic affections of the lungs. There is heaviness, as of a weight on the chest. In pneumonia, for which Phosphorus is one of our best remedies, it attacks by preference the lower half of the right lung. It is apt to be indicated by the symptoms, either at the beginning of the stage of hepatization, when it puts a stop to the further progress of the disease, but its more frequent application comes in where the stage of hepatization is past and we want to break it up and promote absorption or resolution. Here it has no equal, as I am fully convinced by abundant experience.

Now, do not misunderstand and give the remedy blindly on a pathological indication only. If you do you will sometimes fail, and ought to. But I repeat, Phosphorus will oftener be found the indicated one here than any other. After the hepatization begins to break up, other remedies like Tartar emetic, Sulphur ^Sulphur and Lycopodium ^Lycopodium will come in.

In pleuritis you will find stitches in the left side increased by lying upon the left side. Remember in both affections Phosphorus is characteristically increased by lying upon the left side.

In tuberculosis, it is oftenest indicated in the incipient stage with symptom of cough, oppression and general weakness already mentioned; but I have often found it indicated in the later stages, and if given very high and in the single dose and not repeated have seen it greatly benefit even incurable cases. If given too low and repeated it will fearfully aggravate.

One of the most characteristic symptoms of Phosphorus is, "feeling of intense heat running up the back." Again the burning may be in spots along the spine. Also it has intense heat burning between the scapula (See also Lycopodium ^Lycopodium.) These, like the rest of the burning of Phosphorus, often occur in diseases of the spine and nervous system, but not necessarily so. Like Zincum Metallicum ^Zinc, these burnings may be purely subjective, but are none the less valuable as therapeutic indications.

Another very characteristic symptom of Phosphorus is burning of the hands. It is as strong as the burning feet of Sulphur ^Sulphur, and is found both in acute and chronic diseases; cannot bear to have the hands covered. The flashes of heat all over (which Phosphorus has) begin in the hands and spread from there even to the face. It now remains to call attention to the Constitution of Phosphorus.

1. "Tall, slender persons of sanguine temperament, fair skin, blonde or red hair, quick, lively perception and sensitive nature."

2. "Tall, slender phthisical patients, delicate eyelashes, soft hair."

3. "Tall, slender women disposed to stoop."

4. "Young people who grow too rapidly and are inclined to stoop."

5. "Nervous, weak persons who like to be magnetized."

Now, in number four there is not the tendency to grow fat, like Calc Carb ^{Calcarea carbonica}, but tall, and you will notice that the Phosphorus element in Calc phos ^{Calcarea phosphorica} takes away the fat producing property of the Calc Carb ^Calcarea element.

Now, in closing, we desire to say we have only touched upon the wonderful virtues of Phosphorus, which must be studied in its entirety. Enough, however, we trust to convince of its great value.

Dose

Third to thirtieth potency. Should not be given too low or in too continuous doses. Especially in tuberculous cases. It may act as Euthanasia here.

Region

CAVITIES Head LUNGS

Heart

CIRCULATION Blood BLOOD-VESSELS

Arteries

MUCOUS MEMBRANES STOMACH

BOWELS

Lungs (lower)

NERVES Brain Cord

Bones Jaw; upper

Shin

Spine

Liver