Every morning a long attack of dry cough, ending with slight expectoration.
Alumina is another remedy that is very useful in chlorotic women with pulmonary tuberculosis or phthisis, who are disposed to catarrhal discharges from mucous membranes. It is well adapted to the first stage of the disease and is best adapted to spare, dark complexioned women. It is especially useful in cases weakened by a profuse leucorrhoea, who are greatly exhausted at the menstrual period, or when they should occur. The appetite is subject to vagaries, like longings for starch, chalk, rags, cloves, tea – grounds, etc., etc., as is often found in chlorotic. The patient gets hoarse, or may suffer from follicular pharyngitis, with elongated uvula. The breathing becomes short and oppressed, and the cough is generally dry and worse in the morning, when she succeeds after long coughing in raising a little thin mucus. As a rule the remedy is chosen not so much by the local as by the general symptoms of the Alumina patient. Alumina and Bryonia complement each other well, as would be expected from their corresponding symptoms and constitution; but the Bryonia is oftener adapted to the cases coming on after acute affection of the respiratory organs.