Abdomen: Dysentery. After stool, tenesmus and thirst, and drinking causes shuddering. Smarting and burning in anus and rectum. Violent tenesmus in rectum, and bladder at the same time. Haemorrhoids; protruding, smarting, burning; smarting like pepper; they sting and burn as if pepper had been sprinkled on them.

Tenesmus of the bladder; strangury. Burning, biting pain after urination, in old cases of gonorrhoea, in which there no reaction.

The discharge is creamy. You take a picture, of his face, you notice the plethora, but also that he has no endurance, plump, flabby, sensitive to cold, red face. He does not react after cold. He has the, last drop or a creamy discharge with burning on urination.

Capsicum will sometimes stop it suddenly. Coldness of scrotum. Prepuce swollen, oedematous. Pain in the prostate gland after gonorrhoea.

Coldness of the affected part. Coldness in patches. Coldness of the whole body.

It is useful in perplexing and troublesome chronic hoarseness. He had had a cold and remedies for the acute condition have been given, perhaps two or three remedies, Aconite, Bryonia, Hepar, Phosphorus, but all at once you wake up to the fact of his chronic constitutional state of hoarseness. He is rotund, chilly, red faced, and the hoarseness disappears under Capsicum.

It is the same with the cough. After making several blunders you wake up and see it is a Capsicum case and that you have never yet gotten at the root of the trouble. This shows the importance of getting at the things general first. If there is much acute suffering of course you must give an acute remedy, but if the patient has delayed recovery and convalescence is slow the next remedy should be the remedy for the patient.

Sometimes it is Sulph., Phosphorus, Lyc., and sometimes it is Caps. If the patient has a good constitutional state he will get over the told on -the acute remedy, but the old gouty, rheumatic, flabby patients need a constitutional remedy.

Cough in sudden paroxysms convulsing the whole body. Cries, after the cough from the headache. Stitches in the suffering part with the cough. Every cough jars the affected joint. The constitutional state comes first and the particulars must agree i. e., prescribe according to the totality.

James Tyler Kent
James Tyler Kent (1849–1916) was an American physician. Prior to his involvement with homeopathy, Kent had practiced conventional medicine in St. Louis, Missouri. He discovered and "converted" to homeopathy as a result of his wife's recovery from a serious ailment using homeopathic methods.
In 1881, Kent accepted a position as professor of anatomy at the Homeopathic College of Missouri, an institution with which he remained affiliated until 1888. In 1890, Kent moved to Pennsylvania to take a position as Dean of Professors at the Post-Graduate Homeopathic Medical School of Philadelphia. In 1897 Kent published his magnum opus, Repertory of the Homœopathic Materia Medica. Kent moved to Chicago in 1903, where he taught at Hahnemann Medical College.