This remedy suits cases which stand on the border line between neuraesthenia and organic spinal disease, and Hart considers it essential to cure in most cases. It is indicated by irritability and weakness, over-sensitiveness to all impressions; the head is weak and the patient cannot think; there is burning in small spots, better from rubbing; the legs are weak with numbness and coldness and the sphincters are weak. There is a feeling as if the back would break on any motion. It is a splendid deep-acting remedy and noises in the ears offer an additional indication.

**Coca is useful in mental depression, disinclination to work, and general debility, the least exertion is attended with fatigue.

**Phosphorus suits best those cases where the prostration is very sudden and the nervous system becomes exhausted, fearful of death, of the future, of being alone, anxious, restless, irritable, startled by slightest noise. Vertigo is prominent.

Avena sativa. [Aven]

      Weakness of nerves, tired brain, irritability, gets excited at least thing. Urine has excess of phosphates, history of sexual excesses and occipital headache. This remedy in appreciable doses of the tincture will calm and strengthen the nerves.—E. G. Jones.

Nux vomica. [Nux-v]

      Useful in irritable, excited, over-sensitive patients with defective memories, loss of energy, patients with whom everything goes wrong, trifling ailments are unbearable; there is intellectual incapacity and insomnia, nightmares, and if all these conditions are associated with dyspeptic troubles the remedy is all the better indicated.

**Anacardium has weakness of memory and general feebleness of brain power; the mental incapacity of this remedy is very pronounced. It suits “borderlanders ” between neuraesthenia and insanity. Despair of recovery, fear of paralysis and death, imagines he is surrounded by enemies, fearful of walking in open air, and if anyone approaches.

**Argentum nitricum. Fear of dying when left alone, afraid to walk in streets lest he fall down in a fit or that high buildings fall upon him. Neuraesthenia with nervous dyspepsia, eructations.

**Pulsatilla vies with Nux in the neuraesthenia of men and is often neglected. It has sensations in the back as if tightly bandaged, the weary feeling in the morning. There is a general fatigue, heavy tired aching, not relieved by repose. Its general symptoms of venous stagnation will be present. **Sepia, too, should not be overlooked; its general tired paralytic state corresponds to neuraesthenic conditions. Fear of being alone, of starvation.

Natrum muriaticum. [Nat-m]

      Suitable for spinal neuraesthenia; the small of the back feels paralyzed, especially in the morning on rising, the feet are heavy, there is a troublesome dribbling of urine, dryness of the mouth, sticky secretions and the skin is dry and mummified.

**Selenium has neuraesthenia from sexual excesses, dribbling of prostatic fluid.

**Helonias. Neuraesthenia with weak lumbo-sacral region; feels tired all over; better from motion or when the mind is occupied.

W.A. Dewey
Dewey, Willis A. (Willis Alonzo), 1858-1938.
Professor of Materia Medica in the University of Michigan Homeopathic Medical College. Member of American Institute of Homeopathy. In addition to his editoral work he authored or collaborated on: Boericke and Dewey's Twelve Tissue Remedies, Essentials of Homeopathic Materia Medica, Essentials of Homeopathic Therapeutics and Practical Homeopathic Therapeutics.