Aggravation from wet cold weather and cold baths and from all reflected heat, also from direct rays of sun; from overeating and acid food or drink in spite of craving them. Worse nights. Better in open air. Warm baths are tolerated.


Patients of blond type, light hair, blue eyes, pale (anemia, chlorosis), bloated, sickly looks; tender, fine, white skin; soft feminine or heavy teeth; large, thick pouting upper lip; crenated teeth; large, thick head; flabby, spongy tissue; muscles lax; bones weak, soft, delayed growth; fat body; bloated abdomen (scrofulosis, rachitis); patient is lax, slow, lazy, easily discouraged; sense of fear; good natured; tearful, peevish, dejected, phlegmatic, apathetic; memory poor; tires easily to body and mind; has no endurance.

Hands are usually cold and perspiring; feet moist and cold; feels usually chilly, but perspires nights, especially on head; disturbed sleep; takes cold frequently; suffers from obstinate, often recurring gland and skin-inflammation (eczema); catarrh of the respiratory system (lymphatismus), exudative diathesis; inclination to long tuberculosis and rheumatism.

Aversion to milk and meat, but craves egg. Frequent pyrosis with watery, sour diarrhoea, especially evenings.

Aggravation of troubles from cold and wet, after meals and exertion; amelioration in open, dry air and in early morning.


Patient of brunette type, hair and eyes dark; skin pale, waxy or gray, delicate, veins show through; anemic (chlorosis); poorly nourished, lean ; has grown up quickly, narrow, tall (asthenic); flabby, sunken abdomen; lively disposition, restless, fidgety (nervous), irritable, easily excited (erethism); can not concentrate, is absent-minded; flighty, has poor memory and comprehension; is easily fatigued physically and mentally; poor appetite; disturbed sleep; talks in sleep and grinds teeth; often vexed and and annoyed especially by problems.

Suffers usually from cold, wet hands and feet leading often to frost-bite. Dentition slow. The rapid growth of body causes pains. Fractures heal with difficulty. Aside from lack of appetite (neuropathic dyspepsia) with stomach troubles and (nervous) insomnia, there are often congestion; sudden turning pale with syncope. Patient tires easily (backache), and the quick exhaustion causes being tired in school, “school head-ache” with congestion to head while feet are cold; nervous (habitual) vomiting during or after studying. Stool green with much flatus. Inclination to colds (recurring), tonsillitis, enlarged tonsils and swollen lymph glands, exudative lymphatic diathesis, chronic catarrh of nasopharynx; scrofulosis, chronic catarrh of naso-pharynx; scrofulosis. Late rachitic manifestations. Patient desires fatty, salty, smoked food.

Aggravation from changing weather, motion, mental work; amelioration from rest and in the morning. GRAPHITES.

Patients are corpulent, clumsy of action; slow metabolism; skin dry, rough, cracked, without inclination to perspiration; phlegmatic; always tired and sleepy; timid, depressed, doleful, melancholy, indifferent, hypersensitive to changing weather; women of this type are thought of as blond, fat, frosty, lazy, sexually frigid, and sad.

Slow metabolism is manifested by chronic skin diseases and stomach trouble.

The skin inclines to cracked eczema with viscous, honey- colored secretions forming crusts, especially on auricle, eye lid margins (stays) and between toes and fingers. Sore and cracked nipples surrounded by eczema and rhagades on fingers, corners of mouth, anus, etc.; skin lesions heal slowly; scars get hard or proliferate (keloids) instead of disappearing; the nails are very brittle; hair dry, brittle, falls out.

Digestion suffers from lack of acids, leading to gastritis with full feeling and foul eructations; obstipation with knotty stool mixed with mucus (intestinal atony).

Aggravation of all symptoms from cold and light; amelioration from motion in open air. NUX VOMICA.

Thin, slender, generally dark haired men of yellowish, sallow face, or red cheeks on yellow background; of sedentary habits; mentally overworked, often addicted to stimulants (alcohol, tobacco, coffee): women of masculine, energetic, fiery temper. These people have an irritable, choleric, impetuous, and especially cross mornings; touchy to all external influences, get into bad temper or are depressed easily (hypochondriacs), tolerate no contradiction are often selfish. (Whew ! S.W.S.)

Most of their troubles are due to wrong mode of living and disturbed circulation, overheating or drinking, insufficient physical exertion, abuse of stimulants, especially alcohol. They incline to headaches (confused, stupefied), often periodical headaches or migraine and especially mornings in occiput, in forehead and over eyes; better in warm room, often accompanied by nausea. Palpitation of heart, congestion to head; epistaxis. Storming ideas and fears prevent sleeping.

Patient awakens before daylight, drops off again to catnap doze, awakens with headache, and feels more tired than went to bed. The muscles are cramped, the joints stiff and painful; the small of back feels as if broken, especially while sitting. Disturbed digestion; taste sour or bitter, metallic, tart; acid eructations, pyrosis, feels full after eating with desire to vomit; stomach sensitive to pressure; spastic constipation with ineffectual urging to stool, and after evacuation sensation of some remaining stool. Hemorrhoids. Skin sensitive to touch and cold air, burning evenings; formication, numbness, as if “asleep”; aversion to open air and uncovering in bed.

Aggravation mornings, cold, touch, motion, after meals, from excitement, from stimulants and long siting. Amelioration evenings, in rest, warm room, when in good humor.


Especially in anemic, nervous children, young girls and women of blond air, blue eyes and pale face; changeable moods, generally of mild disposition, gentle and yielding (phlegmatics), often depressed, melancholy and despondent, lamenting, weeping, easily aggrieved, misanthropic, inclination to hysteria.

Practically all symptoms based on the anemia and venous engorgement. Patients incline to heart palpitation, congestions and restlessness, anxiety and pulsations all through the body; bursting and wandering headaches (migraine) amelioration in open air. Vertigo and nausea especially while sitting and lying or stooping.

Tired, sleepy and exhausted during the day, chilly, cold hands and feet, but craving motion in open air and light clothing; evenings they are wide awake, hard to go to sleep; restless sleep, uncovering, awakening unrefreshed, exhausted. Inclination to rheumatic pains and catarrh (lymphatism); all secretions are like the expectoration: mild, bitter, thick, though, yellow, purulent. In recurring, vicarious bleeding the color is dark. The pains are usually tearing to stitching, wandering jumping. Taster bitter, flat. Tongue coated thick, yellow or white coat; mouth dry, but no thirst. Pyrosis after fatty or sour food; frequent dyspepsia. Diarrhoea slimy or watery and usually after midnight or in early morning. Enuresis often in girls.

Aggravation evenings and nights, while resting, from warmth of bed and after eating. Amelioration from motion, in open air, cold. SEPIA.

Long, narrow, thin, dark haired women who have contracted pelvis, of yellowish (jaundiced) complexion and (liver) spots on skin with yellow saddle over nose; this remedy acts best in the climacteric, in hysterical persons; but it is also valuable in nervous men of these prominent traits : moody, irritable, one time angry and stormy, the next melancholic, sad, full of fear; generally indifference to duties, family and friends.

Disturbed circulation and blood engorgements are the cause of most complaints, among which the flushes and pulsating all through the body alternate with chilliness cold hands and feet. These people are always tired and exhausted, lifeness and unable to work; sleepy all day, but sleepless nights. Much backache and chronic headache (migraine); dullness beginning mornings and increasing during the day; poor memory, vertigo; spells of exhaustion and perspiration. Inclination to skin affections, especially itching vesicles on lips and chin and joints. Uric acid diathesis, rheumatism with sour perspiration.

Habitual constipation, often accompanied by hemorrhoids. Taste: sour, bitter or foul. Tongue coasted white. Expectoration purulent, bloody, fetid, often salty. Vomiting sour, bile. Empty feeling in stomach not ameliorated by eating. Desires sour things. Aversion to meat. Nauseated by sight or smell or food. Milk, alcohol and tobacco aggravate all symptoms. There is either lack of desire or urging to stool, or there is ineffectual urging on account of weakness of peristalsis. Stool is hard, dry in lumps, feeling of ball in rectum. Urine acid with red, bloody, clay-like sediment; stinking.

Aggravation early, evenings and nights, while resting and sitting still, after meals. Amelioration at noon, in open air, and gradually upon brisk motion.


Emaciated patients of pale, yellowish face, sunken countenance and dark rings around eyes; chlorosis (anemia, leukemia); chilly with cold hands and feet; intense nervous irritability; hypersensitive to cold drafts, to being touched, even the hairs hurt”; extreme weakness, feeble, inclination to profuse perspiration also night; periodic recurring throbbing headache (as if head would burst) due to anemia of brain and weak eyes. Ear noises, vertigo, syncope, congestions with throbbing vessels and anxiety; palpitation of heart (flutter); pulse usually weak, but accelerated by least excitement with suddenly red face.

The characteristic weakness is often due to loss of body fluids (blood. pus, perspiration, mucus, semen, milk, diarrhoea) and often during convalescence. All hemorrhages are dark, lumpy and accompanied by air hunger.

Taste bitter; tongue coated white. Patient often bulimia, but is full after a few bites. Intermittent fever-like spells with disturbed digestion, nausea and vomiting of undigested foods, which a had lain in stomach too long. Painless diarrhoea after eating and night, stinking and weakening.

Characteristic is the periodic occurrence of all complaints, the intense weakness and evening and nocturnal aggravations, and from Amelioration from warmth. FERRUM

Lean, delicate, weakly, irritable patients, especially, women with pale, sallow complexion, which suddenly becomes red upon the slightest excitement. Mucous membranes pale; body cold, especially feet and legs, which swell easily; chilliness even with red face and external warmth; much thirst; transparent skin shows dilated veins; pulse fast and hard with constant, slightly elevated temperature. All complaints are due to disturbed circulation: anemia, chlorosis, ischemia, hyperemia; often they are connected with fast growth.

Inclination to congestion to head, vertigo (especially when walking downward, or looking at water); pain in forehead and temples : congestive, pressing, hammering, throbbing, pulsating (as if bursting); worse from noise, not better from cool applications. Palpitation of heat, congestion, epistaxis and hemoptysis. Respiration is superficial; sleep disturbed, frequently much night sweats. Extreme weakness to exhaustion demanding lying down often and long. Patient very sensitive to noise. All complaints are periodic.

Appetite changeable; aversion to meat, which causes stomach pains. Food remains long in stomach and is often vomited undigested, usually during, or soon after eating, as also nights. Characteristic for this remedy is the exhaustion as well as as the : periodicity of all complaints. Aggravation from noise, excitement, warmth, nights, while sitting or lying down, during or after meals. Amelioration from walking slowly in open air.


Patients (especially women) of sunken eyes surrounded by dark rings, of pale, gray or yellow complexion and dry wrinkly, unelastic, unhealthy skin. In spite of being chilly, inclined to perspirations, tolerate heat poorly, especially of the sun. Dryness of mucus membranes with sore lips. Characteristic is the mapped tongue and the sensation of a hair on it. Disturbed nutrition is the basis of all troubles: emaciation in spite of good appetite, scrophulosis, malaria, herpes, falling of hair, constipation.

These patients are sensitive to cold drafts, exceptionally weak, easily exhausted both physically and mentally; power of concentration is diminished, as well as memory; melancholy, hypochondriacal moods, or irritable depression; they do not want to be sympathized with, that angers them; easily offended; disappointment and grief act deeply and lastingly; often they dislike company.

Upon exertion of eyes and mind anemic “school headache” appears. The throbbing migraine in forehead and temples, especially mornings, accompanying constipation, is due to eye strain, and better from rest. There also is palpitation of the heart, or heat flutter (Basedow) causing syncope when lying on left side; backache better from lying on hard surface, and pain in the small of the back better from pressure.

Aversion to rye bread (the customary bread of the working class in Germany. SWS.) and fat great desire for salt; very thirsty; pyrosis with empty feeling in stomach. Constipation with dry, crumbly, hard stool. passed with difficulty; eruptions especially on edge of hairy scalp; watery coryza with loss of taste and smell. All complaints appear periodically, even at certain hours. Aggravation from moist, cold weather; at the seaside, music in room, in spring, from 10 to 11 A.M. Better in open air and from cold baths.

Oxygenoid, hyperthyroid types with pale face and dry, dirty, scaly, burning, waxy skin; mouth and throat dry, burning; tongue dry and shows imprint of teeth; constant thirst, takes frequent the patients look emaciated, are weakly, exhausted from least exertion; hypersensitive to pain; much physical and mental restlessness with fear; pedantic, irritable, melancholy and despondency; fear of health, yet sometimes contemplate suicide.

These patients are very chilly and desire warmth, except during headache; tendency to fever, weak heart; nerve irritation followed by paralytic weakness; hemorrhages; anemia, chlorosis, leukemia, sepsis, ulcerations, edema and dropsical condition. Moist eczema. Periodical headache, usually left sided (migraine). Bone disease. Dry cough worse nights and in cold air. Loss of appetite with pyrosis, vomiting; stinking diarrhoea with colicky pain.

Characteristics are burning pains of mucous membranes and skin. All diseased conditions usually appear periodically and change quickly to severer forms. All secretions are thin, watery, acrid, of foul door, even cadaverous.

The patients desire to lie with head high. The symptoms are aggravation from cold, rest, especially around midnight (till about 2 A.M.); with the exception of the headache warmth relieves.


The lymphatic-psoric-scrofulous type of this remedy corresponds essentially to the carbonitrogenous hypersensitive constitution; pale, full of fear, nervous, easily discouraged, frightened, melancholy, ennui, sad; children who have large heads and open fontanelles, of large abdomen; remain small and thin; delayed walking and talking; lack of life force keep them cold; pale, yellow, cold skin; glands enlarged and hard; tendency to bone curvatures.

Generally : brittle nails and hair falling out; skin poorly nourished (atrophic) and hypersensitive, hence dry, easily wounded, healing slowly; itching and formication not relieved by scratching; sensitive to touch; tendency to stays, suppuration and fistulae; perspiration of unpleasant odor, especially of head, axillae and feet (with rawness between toes); emaciation in spite of good eating; trembly; very weak physically and mentally. Can not concentrate, every little noise disturbs; restless sleep; nervous excitement with vertigo, congestions to hemorrhages.

SCROFULOSIS (glands are itching more than paining) is the chief sickness of the patients; many of them have skin troubles and tuberculosis of bones. Always disturbed nutrition of connective tissue bones and mucous membranes, leading to atrophy and necrosis. The periodic Silicea headaches are from cervical spine to head, over right eye, with heat and congestion; at the height of attack nausea and vomiting, followed by copious urination and disturbed vision; better from warmth; worse from mental work. light, noise and motion.

Characteristic is the sensation of a hair on the tongue and in throat. In constipation it is typical that stool slips back again. All excretions, also of ulcers and perspiration, are thin, acrid and of foul odor.

While rest and warmth relieve wind, cold, wet, change of weather, motion, exertion and even light touch aggravate. The patients feel worse at night.


Main remedy for the carbo-nitrogen constitutions and treating lax functions (“physical, physical stagnation,” lacking reaction). Peculiarities are: care-worn, old looks; eyes have black rings; lips and eyelids are red; mouth dry, tongue coated; swollen nose; skin taut, wrinkly (as in old people), dry, dirty looking, full of pimples. Hair coarse, dull, falling, usually blond; stooped posture due to weak back (asthenic habitus); general weakness and emaciation; sleep light with exciting dreams; awakens often (cat naps) and finds it difficult to doze off again.

Head heavy with heat in vertex; burning of palms and soles of feet. Much thirst, little appetite. Here is the type of the neurasthenic “stay indoors”; easily tired, of slow comprehension and poor memory; but again easily excited by noise, often irritable and grouchy; sleep during the day, but unrefreshing night-rest. Careless and slouchy about his appearance, is of little use in practical life, timid, brooding, often melancholic, introspect, selfish.

Chronic circulatory disturbances are basic factors in the sickness of such patients: arterial hyperemia of certain organs with redness and heat, burning; venous stasis in the abdominal organs: portal stasis, liver engorgement, hemorrhoids. During the day the feet are cold, but nights they burn; feet sore from sweats. Patients take cold easily, convalesce slowly and are prone to relapses. Renewing of tissues and body fluids is defective. There is inclination to scrofulosis and tuberculosis, rachitis, rheumatism and especially diseases of the skin. Eruptions and ulcers itch and burn, especially nights in warmth of bed; aggravation from scratching and cold water.

The sulphur headache is congestive: in forehead, with cold feet, vertigo, ear noises, heat, better in warm room, worse from stooping motion, cough in open air.

Characteristic are burning pains in the diseased parts, intense redness of all orifices (lids, lips, anus), frequent nocturnal urination; morning diarrhoea driving out of bed early, weakness in stomach at 11 A.M. Body odors offensive, all excretions increased, acrid, of foul odor. All complaints are worse nights, in rest warmth of bed, from standing and stopping; especially from washing and bathing, hence patients shun water. Better from dry, warm weather and motion.


Patients of dark hair, skin and eyes of broad bodies, but short, thickset, sturdy (this type Europeans have called “pyknic” lately while the asthenic type is often referred to as “leptosom”), corpulency; gait and bearing are heavy. They are plethoric with red faces, especially, elderly patients with inclination to apoplexy (plethoric type, apoplectic habitus), of sanguine temperament.

The mental make-up is here characteristic: depressive, melancholy. Disposition to look upon the dark side of everything, which leads to despondency, low spirit, melancholy and suicidal tendencies. Such patients love solitude, are anxious and restless. disagreeable or irritable; failing memory.

Tendency to disturbed circulation; palpitation and stitches in heart; congestion to head and chest; insomnia; headache; fear and oppression; chest feels as if squeezed together; hyperemia and congestion in some organs.

Music pacifies the patient, while noise increases the irritability. The symptoms are usually worse during the night or toward morning, while resting, from cold and mental work; better from motion, especially in the open.


Dark haired individuals of dark eyes; pale, yellowish skin, especially face: perspire easily. especially mornings; gums spongy, soft, bleed readily; restless eyes with dilated pupils; tremor of lids, muscles of face, hands; often glands are enlarged and hardened (scrofulosis, goiter, Basedow). Patients are very restless always busy with something; anxiety when resting; impatient, cranky irritable, sad, despondent.

Palpitation of heart from least exertion with anxiety. perspiration. dyspnoea and exhaustion. These patients often have hemorrhages and ulcers and facial acnes. Congestion and pulsation all over body; throbbing headache worse from warmth and motion, better in open; vertigo and insomnia due to internal restlessness with fear of death and suicidal tendencies; fearful dreams.

Prominent is emaciation in spite of good appetite; these patients can hardly wait for their meals, are always hungry, eat greedily, feel better from it, but continue losing weight (marasmus); obesity is found very seldom among Iodum patients.

All secretions are acrid, salty and corroding, as in inflammation processes of eyes, coryza and cough.

Characteristic for Iodum are: irritation, inflammation and tissue destruction. Inclination to skin troubles (acne, furunculosis, pemphigus, roseola), to inflammatory process of mucous membranes, connective tissue, joints; pneumonia, asthma and tuberculosis. Aggravation from warmth, especially being in warm room, rest and moist-cold weather; better from walking around, motion, in the open, cool air and from eating to satiety. PHOSPHORUS.

Its patients have fine, light, translucent skin; blue eyes, often sparkling; soft, silky, blond or reddish hair; they grow tall too quickly, are slim, thin (asthenic); bones and joints are very weak; posture stooping. Tendency to tuberculosis.

These people are of intelligent countenance, are mentally bright and lively, but they tire easily and then become careless, forgetful and lazy, timid, are tired of life, are irritable and nervous; this change usually takes place suddenly. Precipitous changes of mood of is an characteristic as is aversion to being alone and in dust, especially before and during a thunderstorm. It is also characteristic that these patients are of refined tact, sensitive, hyperesthetic and inclined to depend on others, but also hypersensitive to light, nose, scent and touch.

This type is inclined to palpitation of heart, congestion, hemorrhages and fever; sometimes sensorium is clouded, and patient may have delusions, or reduces physical and spiritual reactions, Congestion to head causes throbbing, burning headaches with vertigo, and heat up the back, relieved by cold, but worse from warmth. Blood coagulates slowly, hence wounds bleed long and severely.

Outstanding are also: bulimia nights, or soon after eating; intense thirst; insufficient anabolism. but increased catabolism (consumption, hectic fevers.

Aggravations morning and evenings, after eating, in cool air and from change of weather. Better after midnight and from cold food, of drink.


Women and children especially belong to this type which is characterized by marasmus with tendency to scrofulosis, neurasthenia and hysteria.

Such patients are pale, poorly developed, generally lean, run down, feel miserable, weakly, feeble, easily exhausted, have weak muscles, are nervous, irritable, discontented, uneasy, hypochondriacal, melancholy. They are always chilly, cold and sensitive to cold, have dry skin and dry, burning membranes, suffer from fetid fatty night and morning sweats; photophobia and rim vision; sometimes sudden deafness. Inclination to cramps and hysterical attacks.

These patients have all kinds of pains, usually neuralgic, lightning-like along course of nerves, tearing, boring, forcing patient to walk around nights. Sleep unrefreshing around two to three A.M. they can not find rest, wake up early more tired than when they went to bed; are tired all day.

Characteristic are sour taste and belching, sour vomiting; sour green, foamy and mucous stools; children smell sour.

Symptoms are worse while resting, nights in bed, cold of any form, and touch. Amelioration is had from motion, warmth in any form, and from hard pressure.


This remedy is suitable for children and old people; infant and senile marasmus with hypersensitivity to cold wet weather; chilliness (lymphatism).

Children of this appear sometimes (as under Calcarea carbonica) bloated and heavy (torpid scrophulosis), but usually they look-sickly, emaciated and old. they are backward in physical and mental development, do not care to play, late in walking and speaking, grow and learn slowly, appear dwarfish, are unattentive, dull, clumsy, cross, timid, take cold easily and then have enlarged tonsils. These enlarged glands and tonsils frequently become inflamed and suppurate (adenoid habitus).

R Bahmann