Pneumonia -11

Scanty expectoration of glairy transparent mucus mixed with blood, which when loosened, must be swallowed; cough producing a feeling in ribs as if all of them were bruised, with stitches in side of chest. “Breath fetid short and panting from obstruction and infiltration of lungs followed by decomposition of blood and offensive, green, purulent blood-streaked sputa which must be swallowed.”


Pulse. Pulse accelerated, especially in evening.

Patient: Scrofulous and venous constitutions; old people; anaemic broken down constitutions. “Elderly persons with marked venous plethora, blue cheeks, blue lips and great debility” Cyanosis.

Conditions: Cold feeling in chest; cannot lie on right side; green purulent offensive expectoration in last stage of pneumonia; burning in chest; cough worse lying on right side; as soon as the patient closes his eyes he feels as if he were something; suffocating hoarse cough producing shaking of the brain as though the brain were loose in the head; debility, worse lying on side.

Accompaniments: Stitches in the small of the back when drawing a long breath; constipation, unsuccessful desire for stool, he passes only very offensive flatus; oozings from rectum and perineum; aversion to greasy food; dry mouth and tongue; lips cracked; heat of the face and head in the afternoon; red tip of nose; sensation as if eyes were lying loose in their sockets; vertigo followed by nose-bleed; offensiveness of discharges; stitches remaining after pleurisy Pleurisy of typhoid character; red spotted face; has to hold the head to keep it from falling to pieces especially in damp weather.


Type: Lober Pneumonia; broncho-pneumonia; asthenic pneumonia.

Stages: Third stage.

Location: Left side of chest.

Expectoration: Bloody mucus; spitting bright red blood. Thin foamy sputa; copious expectoration; expectoration of pure blood.

Cough: Constant cough with copious expectoration; cough with stitches in small of back; cough with spitting of blood with previous sweet taste and with great dyspnoea; cough at night, every morning at 3oclock, dry from tickling in the throat, as of dust; bloody taste followed by cough and spitting bright red blood with burning in chest; cough with bloody sputa; cough at night.

Respiration: Dyspnoea; much oppression of breathing; worse in warm room and motion; slow labored stertorous breathing, bubbling sound.

Pain: Stitches in the left side of the chest worse when lying on it; heaviness on the chest; burning and heat in the chest; chest feels tired; rattling in chest when standing, sensation as if lungs were drawn; many stitches in chest; angina pectoris.

Pulse: Hard, tense and frequent.

Patient: Aged persons, stout women who readily take cold in winter; children who dislike washing; fat patients with weak heart; right side more affected.

Conditions: Violent cough at night especially at three or four in the morning, with expectoration of bloody mucus; much rattling as of large bubbling in the chest; chest feels faint; bloody taste followed by cough; thin foamy sputa; adynamia.

Accompaniments: Ill humor during wet stormy weather; nose stops at night, can breathe through mouth (long continued coryza); pale bloated face; corners of mouth and lips sore, cracked and burn; mouth and throat dry; craving for sugar; hard, knotty difficult stool; the skin peels off from the palms of the hand; cramps in calf, soles; desquamation of skin; very sensitive to cold air; heaviness in all organs; nose bleeds when washing the hands or face in the morning; white spots on face scale off continually; white sandy, urine, bloody; skin desquamates easily, exanthema continually peels off leaving a skin which sticks to the clothes; tired and weary all day; great dislike to bathing in children; sensitiveness to open air.

Aggravation: Cold wet weather; wet poultices; from washing; in the evening; on bending down; wet stormy weather.

Amelioration: Lying on the stomach; lying on right side; lying on painful side; in dry weather; by external pressure; in the room; from warmth.


Type: Traumatic pneumonia; pleurisy; rheumatic pleurisy.

Stages: First stage, second stage.

Location: Right lung. “Middle of left chest (stitches)”.

Causes: Mechanical injury, amp cold weather; charcoal vapors.

Expectoration: Bloody expectoration”. Difficult; frothy, greenish, lumpy, mucous, bloody mucous. Fetid, offensive; purulent; rusty. Must swallow what has been loosened; bitter, flat; putrid (taste); transparent; white. “Tough bloody sputa.”

Cough: Cough provoked by weeping and lamenting; dry cough from tickling low down in trachea; violent spasmodic cough with facial herpes, child cries before coughing; cough at night, during sleep, exercise; dry short cough caused by titillation in larynx; cough at night during sleep; cough with blood-shot eyes or nose bleed; yawning causes cough; cough with expectoration of blood, the blood is clear. frothy, mixed with coagulated masses and mucous; even without cough there is expectoration of black coagulated blood; inability to eject mucous, must swallow what is detached; on coughing pain in head and chest; cough worse evening till midnight, from motion; in warm room and after drinking.

Respiration: Short, panting, difficult and anxious; rattling in chest, oppression of chest with difficulty of breathing; respiration frequently slow and deep; breathing fetid, short and panting, excessive difficulty of breathing.

Pain: Burning or rawness in the chest, soreness of the ribs; stitches in the chest, left side, worse from a dry cough with oppression of breathing, worse from motion, better from external pressure; bruised sore feeling of the chest.

Pulse: Very variable, mostly hard, full and quick. Full hard or weak and slow.

Patient: Hydrogenoid constitutions; persons with dark hair, rigid muscles; plethoric, red face; nervous.

Fever: Slightest lifting of bed clothes or even moving in bed makes him chilly; cold hands and feet; uncovers but uncovering makes him chilly. Upper part of body warm lower part cold; soreness and bruised feeling; bruised, sore weary; great weakness and must lie down in consequence, bed feels too hard, frequent change of position. During fever head and upper parts are hot and body is cool; coldness of parts lain on; aversion to uncover.

Conditions: “Pneumonia of the right lung with bruised sore feeling and bloody expectoration”. Guernsey.

“Traumatic pneumonia”. Raw.

“Where the disease is caused by mechanical injury and where in plethoric persons pneumonic inflammation shows a tendency to haemorrhage; dry cough, shaking the whole body, with tough bloody sputa”. -Lilienthal.

“Pneumonia; approaching paralysis”. – Boericke.

Scanty expectoration of glairy transparent mucus mixed with blood, which when loosened, must be swallowed; cough producing a feeling in ribs as if all of them were bruised, with stitches in side of chest. “Breath fetid short and panting from obstruction and infiltration of lungs followed by decomposition of blood and offensive, green, purulent blood-streaked sputa which must be swallowed.”

Head hot with body cool; head is hot when he awakens at night; hot spots on top of head; black and blue spots on body; putrid phenomena; bed feels too hard; ecchymosis; sore lame bruised feeling; says there is nothing the matter with him; wants to be left alone; dizzy on closing eyes; sunken red face; fetid vomiting; distaste for milk and meat; must lie down after every stool; great fear of being touched or approached.

Accompaniments: Absence of mind; depressed spirit. Anxiety and restlessness; great sensitiveness of mind; quarrelsome; hopeless, peevish; sensitive; great desire to scratch, wall, bed, head etc. Heat of the face, the body being cool; sunken, pale face; redness of one cheek; burning hot cracked lips; mouth dry with thirst; white tongue; bitter taste in morning; colic with strangury; bloody urine. Oversensitiveness of the whole body; drowsiness with delirium.

Aggravation: In the night, from concussion; from physical exertion; after surgical operation; damp cold weather; charcoal vapours; falls; least touch; rest; wine; motion; lying on left side; coughing; external pressing.

Amelioration: Contact; motion, from noise; lying down or with head low.

Remedies following: Aco; Asr-A; Bry; Ipec; Rhus-T.


Type: Pneumonia; pleurisy.

Stages: First stage; second stage.

Location: Right side; left chest near middle of sternum.

Causes: Cold weather; acute exanthema imperfectly developed or suppressed.

Sequel of eruptive diseases.

Expectoration: Scanty or none at all; more rarely profuse, transparent albuminous in frothy bloody mucus; no expectoration or sweetish or tasteless.

Cough: Cough with ringing sound; irritating cough caused by pressure on larynx; cough which loosens with difficulty, rouses from sleep before midnight and ceases as soon as the least particle is loosened which is swallowed; cough after lying down or sleeping, cough with pain in head and chest; cough with inability to retain urine; cough from 9 P.M. to 4 A.M. Cough ceases as soon as least sputa is loosened; cough dry ringing, spasmodic; dry cough with gagging; short dry cough.

Respiration: Respiration hurried and difficult; dyspnoea, especially difficult inspiration; oppression of chest worse in a warm room, better in open air; worse lying down.

Pain: Sensation of coldness in chest or sensation of heat on chest; dull aching pain in left chest, near middle of sternum; fullness, constriction, or suffocation in chest; Sharp stitches in left chest; soreness in chest; stitches in left side of chest and through back; burning stinging pain through entire front of chest.

Pulse: Full and rapid; small and trembling; intermitting.

Fever: Dry heat towards the evening with sleepiness; no thirst with the fever; hoarse cough; heat with difficult breathing, as if every breath would be the last; heat with thirst, wishes to uncover; much burning; sweat goes and comes alternately; breaks out and dries up continually. Chilliness on uncovering; continuous deep sleep.

Conditions: Great dyspnoea; as every breath would be the last, wants to be fanned; cough relieved after loosening a small portion of mucus or a large quantity of transparent, frothy and bloody mucus is expectorated; cough at night preventing sleep; every shock from coughing gives pain in the head and some pain through the chest; sharp pains, stitches and stingings in chest, sensation of soreness, lame bruised feeling in chest.

Accompaniments: Indifference, fidgety, jealous, hard to please, whining, tearfulness, sensitiveness; dullness, stupor; delirium with or without muttering, cannot bear to be left alone; vertigo on closing the eyes; copious sweat on the head, scalp and forehead; brain feels very tired; pale and waxen face; puffiness about the eyelids. Tongue fiery red; tongue red, hot trembling; red fiery appearance of the buccal cavity; very tender dry tongue; cant protrude the tongue it trembles and catches on the teeth, tongue hangs from the mouth;

Dry brown streak down the middle of tongue, sides being moist; gums look watery; viscid, tough frothy saliva. Craving for milk; absence of thirst or insatiable or thirst for little and often; hard and costive stools with stinging pains; diarrhoea, stools involuntary and painless; scanty urine; bloody or milky urine or very dark and frothy or very fetid; albuminous urine; foot sweat checked by cold; dreams of long journies of flying through air of hot stones; surface of body very sensitive to touch; burning stinging pains; oedematous swellings; red rosy hue; afternoon aggravation; tight feeling; worse heat and better cold; cold legs; cold hands; abdomen sensitive to touch; soreness.

Aggravation: Heat, touch, pressure, afternoon, after sleep, closed heated room; right side; cold weather; lying down.

Amelioration: Cold application; open air; uncovering; during day when sitting erect.

Remedies following well: Ars-a, Pulse.


Type: Lobar-pneumonia; pleurisy; bronchitis; pneumonia senilis.

Stages: Second stage; third stage.

Location: Lower part of each lung; both sides.

Expectoration: “Profuse, loose, purulent or of a sweetish taste, sometimes with a little dark blood, scanty, yellow, jelly-like mucus, expectorated with difficulty; like boiled starch; tenacious mucous in throat detached by coughing; expectoration only in the evening of yellow jelly-like mucus, tasting sweet; sometimes small quantities of dark blood are expectorated (expectoration like boiled starch); bloody mucus; cough with expectoration of boiled starch; expectoration sweetish.”

Cough: Cough with raw sore feeling in chest; cough worse at midnight by talking walking, drinking anything cold, bending the body; spasmodic and hollow cough from roughness and scraping in throat; cough after eating; great prostration after coughing.

Respiration: Irregular, chiefly of frequent deep sighs; slow, difficult asthmatic; fear of suffocation at night with desire for open air; dyspnoea; constant desire to breathe deeply, lungs feel compressed, difficult respiration; can only breathe in gasps.

Pain: Soreness in the chest.

Pulse: “A very slow pulse is one of the chief characteristics of this remedy; never think of it where there is a rapid pulse say over 80”.- Guernsey.

Pulse full, irregular, slow, very slow.

Condition: Pneumonia of old people, weak pulse, cyanosis, cold extremities. “Pneumonia of old people, the hearts action failing.”

Accompaniments: The head is inclined to sink backward, blueness of eyelids, lachrymation in room; aversion to light, coryza with hoarseness. Blue face, lips and eye-lids; dry parched lips; blue tongue, stool gray, ash-colored, white; chilliness before stool; cold hands and feet. Pulse very slow especially when at rest, jaundice, cyanosis; dropsy, general paleness of the skin. Distended veins on lids; ears, lips and tongue. Great weakness of chest, cannot bear to talk. One hand hot the other cold.

Aggravation: Warm room; midnight; toward morning; getting heated; cold drinks; Talking; motion; lying down; sitting erect.

Amelioration: Open air.


Type: Lobar Pneumonia. Broncho-pneumonia. Bad cold ends in Bronchitis. Hurried invasion.

Stage: Second stage. Stage of irritation. (Ant-t, stage of irritation).

Cause: Warm moist atmosphere.

Expectoration: “Expectoration of blood with mucus in the morning.” Cough without expectoration; with bloody expectoration.” “Profuse expectoration with retching and vomiting” (Bronchitis). “Scanty albuminous, nauseous mucus.”

Cough: Cough causes nausea and vomiting. Dry hacking, teasing suffocating cough accompanied by nausea and vomiting. Coughs until face grows red. Face livid during cough. Short respiration and frontal sweat after every cough. Cough rough, shaking. Dry cough from titillation in upper part of larynx. Severe suffocative cough with sweat on forehead. Convulsive evening cough. The chest is full of phlegm, but does not yield to coughing with rigidity and blueness of the face; cough without waking the patient.

Respiration: Quick anxious breathing; suffocative attack in the room, from the least motion, better in open air. Rapid cough with no chance to breathe; the face gets blue; spasmodic and wheezing breathing; Respiration rapid, difficult severe dyspnoea. Rattling noises in chest; face blue or pale; sighing breathing; breath smells fetid. Rattling when drawing.

Patient: Infants.

Pulse: Very frequent; but at times scarcely perceptible.

Conditions: Cough sounds loose and rattling; occurs in paroxysms, nausea, expectoration with vomiting; broncho-pneumonia with loud mucus rales, paroxysmal cough, vomiting and sense of suffocation. Bronchitis with great accumulation of mucus especially in the larger tube, profuse expectoration, retching and vomiting; complaints with nausea and vomiting; continuous nausea and gagging; thirstlessness; bronchitis of infancy; bronchitis with coarse rattling. “The child coughs, gags, and suffocates and there is coarse rattling which can be heard throughout the room and the trouble has come pretty rapidly.” The child is pale and anxious; nose drawn; stage of irritation (Ant.t. stage of relaxation, complaints come on slowly) and complaints come on hurriedly.

“Infantile Pneumonia, with chest loaded with mucus, rapid wheezing respiration, surface blue, face pale, finds a very effectual remedy in Ipecac.” -Nash.

Accompaniments: Irritable, restless patient; ill humor cannot endure the least noise; red skin around the mouth. White or yellowish tongue; craving for sweat; thirstlessness; persistent nausea and vomiting, pale face, twitching of face, clean tongue, moist mouth, much saliva. Cough with every breath, sleep with eyes half open; skin pale; blue around eyes.

Coldness of one hand while the other is hot (Dig); external coldness of body also of single parts; cold sweat; no relief obtained by vomiting, the desire still remaining.

Aggravation: From vomiting; from coughing; from suppression of cutaneous eruptions.


Type: Lobar Pneumonia; Typhoid Pneumonia.

Stages: Third stage; second stage.

Location: Both lungs; right lower lobe; right apex; left apex; right middle lobe.

Expectoration: Expectoration is streaked with blood; muco- purulent expectoration; bloody mucous.

Cough: Cough dry as if it came from larynx; cough worse in bed and after sleep; cough worse in bed preventing sleep, dry cough; constant dry cough.

Respiration: Feels hot and oppressed in the chest with mild perspiration all over.

Pain: Dry cough with severe pain in the chest (blood streaked expectoration), sensation of fullness in the chest, is compelled to inhale deeply; stitches in the left side of chest, stitches like knives in the right side of the chest; bubbling and boiling in the chest and the region of the heart; it rises, to the head and he becomes giddy; he breaks out in perspiration; sensation of heat in the region of the heart; stitches in the heart with anxiety; stitches follow one another in quick succession.

Pulse: Pulse very rapid, small, thin, sometimes hard.

Fever: Worse 1 to 2 P.M. with loquacious delirium, brightness of eyes, red flushed face, typhoid symptoms; neck stiff; rumbling in abdomen; red face worse right side (Chel Sang); red cheeks and red face; somnolency; boiling and bubbling in chest; forehead icy cold with sweat.

Conditions: Boiling and bubbling in chest and region of heart; brilliant eyes; circumscribed red cheeks; fevers worse from 1 to 2 A.M. or P.M. Dry cough with severe pain in chest and blood- streaked expectoration; Typhoid Pneumonia; feels hot and oppressed in the lungs and heart, unnatural brightness of eyes with red face and restlessness with sweat deafness and flatulency; pain and stiffness in back, bruised all over, throat rough; skin dry during day, chilliness between the shoulder blades.

Accompaniments: During perspiration restlessness and tossing about; great loquacity, afterwards stupid and irritable; delirium, 1 to 2 A.M., with redness of cheeks; vertigo and icy coldness of forehead; head feels enlarged and body is icy cold, wrinkles on the forehead; twitching of upper eyelids on closing them; violent lachrymation with sensation of dryness in the eyes in the morning; eyes dry, eyes feel cold;

Complete deafness during fever; profuse bleeding from nose, blood pale; circumscribed redness of face with violent delirium and brilliant eyes; face red or yellow; crawling sensation over face; saliva of tough mucus; redness of lips; great dryness in the throat especially awaking during the night, with much coughing; sore throat with short cough; itching to a small spot in throat (left) during swallowing; fermentation, rumbling in abdomen and discharge of flatulency; rolling of wind in (left) abdomen; sensation of heat through abdomen; frequent ineffectual desire to stool (Nux-v); continuous stitching pain in rectum; hoarseness in forenoon; bridge of nose as if pinched; sensation of ice lying between shoulders; stiff neck; sensation between the shoulder- blades as if wet with cold perspiration, the skin being dry and cool; burning of palms and soles; continued chilliness; icy cold perspiration chiefly on the forehead; great weakness.

Aggravation: Afternoon; 1 to 2 A.M., lying.

Amelioration: Walking about.


Type: Lobar Pneumonia; Typhoid Pneumonia; Pleurisy.

Stage: Second stage.

Location: Left chest.

Expectoration: “Copious jelly-like expectoration mixed with bloody points; patient cough and spits a great amount of phlegm, which is sprinkled over and through with distinct dots of blood, these dots may be close together or considerably scattered; copious jelly-like or bloody expectoration which contains little specks of blood scattered through it.”

Cough: Dry teasing cough worse at night; bloody cough with sensation as if the mucous membranes were too dry; little short cough caused by tickling and scraping in throat; short hacking dry cough; cough dry and hard excited by tickling in pit of throat and in centre of chest; cough worse motion, stooping warmth.

Pain: Burning in the chest on taking an inspiration. Pain in every external part of thorax on moving it; stitches in region of heart; constriction of chest; burning and stitches in chest. Pressure on the chest as from a load; pressure on sternum.

Respiration: Panting breathing; slow feeble, almost imperceptible breathing; slow moaning and rattling breathing; dyspnoea, with sensation as if the lungs would not be sufficiently expanded; spasmodic oppression of the chest; slow weak and anxious respiration; rattling, stertorous breathing.

Suffocation, difficult breathing better lying down.

Pulse Pulse feeble, slow and irregular, often imperceptible, again more rapid, seldom full and hard.

Conditions: Typhoid Pneumonia; expectoration, copious jelly- like, mixed with bloody points; Paralysis of lungs. Hurried rattling breathing. Cold extremities. The patient puts his hands to the heart; gasping for breath. Coughs continuously when lying down.

Accompaniments: Pupils dilated immovable. Eyes open and staring. Objects appear larger. Hardness of hearing; itching and tingling in ears. Nose feels stopped up; sunken face, distorted face, bloated face. Twitching and convulsions of the facial muscles. Crawling over face; foam at mouth, dry mouth. Dry and rough tongue, tongue white, dry; feels cold; or burnt; drink rolls audibly through oesophagus and intestines.

Dry mouth with violent thirst. Clean tongue and no appetite. Coldness of abdomen. Stool hard and firm in constipation; ineffectual urging to stool, passes only wind. Distention of the veins of the hands. Rough scaly skin between the fingers with burning when touched by water. Deep snoring sleep. Painlessness with ailments (Op).

Aggravation: Evening. Before eating. Stooping. Sitting (grasping). Motion (cough). Night.

Amelioration: Sitting. Bending head forward.


Type: Lobar pneumonia. Typhoid pneumonia.

Stages: Second stage.

Location: Both lungs. Upper or middle lobes. Entire posterior region of right side of chest.

Expectoration: “Profuse expectoration.” “Great dryness of mucus membranes.” “Bloody expectoration.” “Thin expectoration, very difficult of detachment.” “Expectoration streaked with blood.

Cough: Dry hacking cough. Dry mucous membrane of air passages causes a short dry cough worse when lying down after eating. Winter cough.

Respiration: Breath short, hurried and anxious. Rales in both lungs. Difficult breathing.

Pain: Burning in chest along the sternum. Soreness of lower chest after cough. Pressing behind sternum. Burning and tightness.

Pulse: Pulse intermitting, irregular.

Condition: Typhoid pneumonia. Hepatization of lungs. Moist crepitating rales in upper or middle lobe. Great burning and tightness of chest. Mucous membranes dry. Expectoration profuse or difficult to detach, a thin expectoration.

Accompaniments: “Dull pains in the region of the kidney. Burning in kidneys. Pains extending from kidneys down through the ureters; burning during micturition; strangury and albuminous urine. Urine dark, cloudy, smoky-looking, as though it contained decomposed blood, urine has odor of violets (Canth)”. When the above urinary symptoms are present you may give terebinth with confidence no matter what the patients disease may be.” Farrington Feeble heart in pneumonia.” Face pale, sunken.

N C Das
N C Das