Excruciating pains of the lower limbs, preventing sleep, with aggravation by hot applications, and amelioration by applying cold water in the painful parts. The patient suffering from pains in the lower limbs, cannot place himself on a low seat nor squat, because of tearing pains in his knees and thighs, pains which are always worse at night.

(Translated by Mr. M. S. Beesoon for Home and Homoeopathy, October, 1935).

(From L’Homoeopathie Moderne).

Syphilinum is prepared from the scraping of a syphilitic chancre. Skinner and Swann, two American homoeopaths, did the first experimentations. Its pathogenesis is to be found in Allens Materia Medica of the Nosodes.

In France we still use Hepato-Syphilinum, extracted from the liver of a still-born hepato-syphilitic. This nosode is generally used in high potencies from 200 to 10,000.

In primary syphilis Syphilinum has little or no effect at all, and then Mercury should be given in high potencies. Syphilinum will be useful as a remedy to bring about a reaction in the system. This remedy will be of great value in old syphilitics whose convalescence is particularly long after an acute diseases. It is in this way that when a patient is slowly re-establishing himself after typhoid, a single dose of Syphilinum will bring him back his appetite, strength, sleep and a rapid gain of his former weight (Kent).

It acts in old syphilitics, who had the symptoms of this remedy and were aggravated by Sulphur: Syphilinum is the antidote of Sulphur.

When a patient is aggravated by Sulphur, one must always think of the existence of a latent state of syphilis, if Pulsatilla, another antidote of Sulphur, does not produce any result. Syphilinum is to be employed as any other remedy of the Materia Medica according to the law of similitudes, even if syphilis is not the cause and it is in this case that it often gives the best results.

On the contrary, in certain cases, etiological notion will make us prescribe syphilinum. For example:.

1. In old syphilitics of slow convalescence.

2. In patients aggravated by Sulphur.

3. In old syphilitic patients who do not respond to well indicated remedies Syphilinum will root out the barrier and the remedies will act more promptly.

4. In old syphilitic patients presenting affections without precise symptoms, Syphilinum will bring out the symptoms.

5. In old syphilitics or non-syphilitics suffering for years and years from affections of the throat and skin.

Syphilinum has some important characteristics, good to remember, which we are going to mention in brief.

The pains of Syphilinum last from twilight till down. The pains start with the sunset and end with the rising of the sun (as in Mercurius, Phytolacca).

Consequently patient is aggravated during the whole or part of the night, particularly insomnia. The nocturnal pains increase and decrease gradually, as in Stannum and Strontium carbonicum. They are erratic in nature. The patient is obliged to change position frequently. He looks with terror at the approaching night. He wakes up tired both physically and mentally.

In consequence, all nightly aggravations should lead us to think of Syphilinum. This aggravation is seen in ophthalmic troubles (the eyelids stick together at night), in neuralgia, headache, asthma and cough, whether it is a question of syphilis or not. Syphilinum vies with Sulphur as a sleep restorer. It is an excellent remedy for insomnia.

It is a big remedy for ulcerations of the mouth, nose, genital organs and skin. These ulcerations in general lie on a grayish base. In nose they produce offensive ozaena; Syphilinum also acts on eruptions of sombre red or copperlike color, turning blue as soon as the patient gets cold. It is indicated in all ulcerations particularly of a foetid nature. It is a big remedy in abscesses that repeat themselves.

Immoderate desire for alcohol is one of the most characteristic symptoms of Syphilinum. It is good in all its forms. Here also see alcoholic heredity, as in Asarum, Tuberculinum, Sulphur and Acid sulph.

For years the patient suffers from obstinate constipation, as if the rectum is closed due to strangulation. Moreover, Syphilinum is a remedy for fissures in the anus, rectum and prolapsus recti in patients who have got syphilitic antecedents.

Leucorrhoea is so abundant and profuse that the patient has to dress up carefully; even then it pierces the sheet and runs down the heel as in Alumina.

Falling of hair is often connected with violent headache of neuralgic type, causing insomnia, and delirium at night. Generally this kind of headache starts at about 4 p.m., reaches its height at 10 or 11 p.m. and ceases at dawn with rising of the sun. In neuralgia of Lycopodium, the pain ceases between 11 p.m. and midnight. In Syphilinum the tibia and the bones of the head are very painful.

Let us also note a curious symptom, but very real, the patient constantly washes his hands. I treated a young man who had a specific history and who always used to wash his hands; Syphilinum has slightly improved him.

Leon Renard