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NUX VOMICA

Matéria Médica

Understanding Nux vomica

Symptoms from Hahnemann, Hering, Allen & Kent

Dr. Claudio C. Araujo M.D., F.F. Hom. (Lon.) et al.

What is Nux-v. first impression of reality?

Nux vomica was born oversensitive. As if he had no defense against any of the reality stimulus that are coming towards him. Touch, light, sound or even the sensation of the air touching his skin, everything is painfully sensitive. She will cry at her mother’s caresses; she will start to weep at any new painful sensation arriving through her senses. A patient, describing his little son, said: “it seems that any noise is painful to him!”

Everything makes too strong an impression upon him, [1]. 

Oversensitive to impressions upon the senses; he cannot tolerate strong odors or bright light,  

He cannot tolerate a noise or talking; music and singing affect him, [1].

She cannot endure the slightest ailment, [1].

Increased sensibility, [21].

Pains not endured without loud cries and complaints, mingled with reproaches, and quarrelling, [1]. 

Over sensitiveness: to external impressions, odors, light, noise or music, a slight current of air; to trifling ailments; every harmless word offends, even suitable medicine aggravates.

Extremely tender, gentle mood; music affects him to tears, [1]. 

Nux-v. will grow up into a life of over sensitiveness and its most common follower, a strong irritability. Everything affects him; and he will become a very peevish and irritable person: quarrelsome, fault finding and violent.

Suits very particular, careful, zealous persons, inclined to get angry or excited, or of a spiteful, malicious disposition. 

Very easily bewildered; everything goes wrong. 

Irritable, morose, sullen; quarrelsome if disturbed. 

Cannot bear reading of conversation; irritable and wishes to be alone. 

Fiery, excited temperament; violent; sensational. 

Scornful, peevish, inclined to be angry (after one hour), [1]. 

She is very much inclined to quarrelsome vexation, [1].

Everything miscarries with him; it seems to go contrary (after six hours), [1].

We can assume that - someone so sensitive to every stimulus that is going through in this planet - will very soon become a very irritated and deeply reactive person to any sort of trouble. He will become painfully intolerant to social injustices – what we may name nowadays someone with a strong social conscience: injustices committed by the dictatorial governments, tortures, genocides, killing, famine, and so on. We are all aware, through all the daily news brought to us by the media vehicles, of all the injustices and sufferings people are subject around the world. These facts, and the news relating to these facts, will all affect us in a very deep form. We can imagine, as a Nux-v. patient, the affliction and sufferings those information maay bring.

Clear consciousness of his existence; fine, strong, correct feeling of right and wrong, 

Very much inclined to violently reproach others for their faults, [1]. 

Kent: They are never contented, never satisfied; disturbed by their surroundings, and they become irritable, so that they want to tear things, to scold. 

Anxiety: an anxious solicitude, as though something serious were dreaded, in the morning and afternoon (during the fifth hour), [1].

Nux-v. must find out a way to survive. Life is giving him a hard time. Even the heat of the summer is painful to him. The environment is painful, his work is painful, to get together to his friends and relatives is painful, exertion (sports?) is also painful.

We can imagine our expectations for the summer time: our holidays, our good times, to have fun, to have some rest from our work, our school. To be with our friends, to relax and to rest.

But not for Nux-v.

Heat of Summer insupportable; slightest exercise produces fatigue, with sleepiness and gastric ailments. 

He has no patience for work, [2]. 

No desire for work, [1].

Indolent at every undertaking in business; she soon becomes weary, [1]. 

He is hasty; looked angrily at any one who asked him a question without answering, as though he was obliged to restrain himself to avoid being insulting; he was in such an irritable and unrestrained mood that it seemed as though he would like to strike any one in the face who spoke a work to him, [1]. 

Inclined to find fault and scold; morose; stubborn; an insane desire when alone with her husband, whom she adores, to kill him. 

Where he will find some rest for his over sensitiveness?

Kent: Patient is broken down sexually because he is unusually endowed with sexual desires and he indulges until broken down; sexually exhausted, impotent.

On slight irritation, or only the slight touch of a woman, sexual orgasm, especially in the morning in bed (after eight hours), [1]. 

Sexual desire on slightest provocation. 

Great excitement of sexual organs, with sexual dreams and orgasm, in irritable and headstrong women. 

Burning in vulva, with desire for an embrace. θ Nymphomania.

Nux-v. find out that apart from his painfully relationship with most aspects of reality, his sexual sensitivity is capable of give him delightful pleasures. If most of the outside inputs will cause him pain, he soon discovered early in his/her life that he could get some compensation of his sufferings through sexual pleasure.

Irritation and inflammation of ovaries occasioned by rich living, highly seasoned food, stimulating drinks, or by a too sedentary life.

Intoxication or drunkenness of previous day, with vanishing of sight and hearing, < after dinner and in sun; heaviness of head in morning.

Syncope: in morning, at night, or soon after dinner; in open air; congestion to head and chest; in pregnancy; in persons worn out by mental labor or addicted to excessive use of spirits; nausea, pale face, scintillations before eyes, or obscurations of sight, pains in stomach, anguish, trembling.

Stupefaction, confusion as from nightly reveling; dullness of head.

Vertigo: < from tea or coffee, after stooping or when looking up, she must clutch something to keep from falling ; from abdominal complaints, with digestive disturbances, flatulency, constipation, portal stasis; in haemorrhoidal subjects ; after suppressed hemorrhoidal flow; with inability to think; with obscuration of vision and staggering ; while eating and immediately after eating ; from sedentary habits, alcoholic drinks, smoking, coffee, opium, smell of flowers, gas, etheric oils, etc.; with nausea ; after typhoid; from night watching and mental overexertion. 

Associated with his strong sexual appeal, Nux-v. will also find out that his sensitiveness is also directed towards good food and good drinking. Those pleasures related to the table for him are all strongly enhanced due to his over sensitiveness. If living is painful from one side, is extremely pleasured from this other side.

Now we can have a general idea of Nux-v.: His original over sensitiveness is leading him towards a strong irritability against everyone and everything that could bring him pain. Combined to an increased general sensual over sensitiveness, this time giving him a special drive towards sex, eating and drinking.

We can imagine someone carrying these features: quarrelsome, impatient, going fat, brought to tears at every sentimental experience, inflamed, loquacious and out of sorts when the subject is politics, worried about the suffering of the poor, about famine, about injustice.

But we must not leave aside his symptoms of lack of confidence. Altogether with his strong sensitiveness, Nux-v. don’t trust his intellectual capabilities.

Great anxiety of mind without particular cause; thinks she will not be able to get along in life; caducity; chilliness; sleeplessness; stool infrequent, hard, although appetite is good; frequent and quick urination, at times involuntary. 

Anxious solicitude and irresolution, [1].

Irresolution; constant fickleness in his plans, [1]. 

Dawdles and is irresolute, [1]. 

She wishes to accomplish much, but thinks it will not succeed, [1]. 

Despondent and fretful, [1]. 

When he became insecure? Why he didn’t fight for a greater cause, for what he believes, for his work, but instead he fills himself with food, alcohol and sex?

Melancholia after extraction of carious tooth; speaks of nothing but his tooth; retires to his room and unlocks door only after much entreaty; on entrance of physician withdraws timidly to farthest corner of room, with his eyes cast down; of many questions answers but few and speaks of nothing but his tooth; intolerance to slightest noise and great aversion to labor; sits idly about whole day, crying, and complaining of his anxiety. 

 Dream that all the teeth fell from the mouth, [1]. 

Dreams that teeth are falling out, [41].

Gets frightened easily and is almost beside herself from least thing that may happen; shuns the fresh air. θ Menorrhagia.

She was in great alarm, kept fast hold on her husband and refused to let him go, [43]. 

Easily startled, [21]. 

Apprehension, oppression, and a feeling of intoxication, in the evening, while walking, [1].

Three months ago mental shock, since then fears to be alone, (…)

Hypochondriasis: with studious men sitting too much at home, with abdominal complaints and costiveness (constipation)

Very hypochondriac, and affected by the slightest thing, after eating, [1]. 

Dreads death, [1]. 

She believes that she is near death, [1]. 

Lies awake in bed in a stupid state, sometimes with a friendly expression, sometimes staring right before him; cannot speak a word, yawns, groans and sighs occasionally; often puts hand to forehead and frowns. θ Effects of wounded honor.

Melancholic in consequence of losing his position, morose, capricious, irritable, hasty; the least contradiction puts him out entirely; remains for hours without wishing to take part in conversation. 

From disappointed ambition, bewildered, talks incoherently; does everything he attempts to do wrong; heaviness of head, pain in stomach and small of back; feels weak, cannot sit up; face now pale, with sharp, pointed nose, then red, with irritated pulse. Is sullen and obstinate; would not eat nor speak; eyes large, congested; urine high colored, with mealy sediment. θ Mania. 

Simbologia do dente:

“Os dentes simbolizam a força da mastigação. 

A agressividade devida a apetência dos desejos sexuais.

Os dentes do Dragão  representam a agressividade da perversão dominadora. Da semente dos dentes do Dragão nascem os homens de ferro. Os homens de alma endurecida que, acreditando-se predestinados ao poder, não páram de enfrentar-se com o objetivo de satisfazer as suas ambições.

Os ambiciosos de dentes grandes.”

Chevalier/Gheerbrant, Dicionário dos Símbolos,1986.

We continue: His teeth were taken away from him and he is now helpless, impotent, with no power to fight back, to survive.

He is afraid of dying, afraid of being alone. If he loses his job he will be sad, depressed, as he has no courage to fight back for his life. His teeth were taken.

Anxiety with irritability and inclination to commit suicide, but is afraid to die. 

Even in his worst moment he is afraid of choosing, afraid of take a decision. Afraid of death.

Everything was taken away from him. He has no power to survive. This clinical case from Hering’s is a resume of Nux-v.:

For hours together sits still and absorbed (generally in forenoon), betraying great moral and physical languor, looking before him with disturbed mien (semblante), and dull, sunken eyes, as if he felt no interest in anything, and answering questions, if at all, incoherently; sometimes falling into a restless slumber for ten or fifteen minutes, out of which he returns to full consciousness with difficulty and gradually; in afternoon and especially in evening is much excited, becomes talkative and even chatty, but jumps from subject to subject; eyes then have a peculiar brilliancy, face wears an expression of deep earnest; launches into high-flying, fantastic plans, fancies himself rich and wants to make presents of thousands, and makes large useless purchases; does not consider himself ill; has not slept for nearly a fortnight, brooding all night long over a lawsuit, by which he may gain or lose a million; head hot, skin dry, complexion yellowish, pupils contracted, tongue coated, pulse hard and small, slightly accelerated; constipation; replies reluctantly and slowly to physician's questions, and takes it in bad part if not allowed to read indictment for said lawsuit, a confused, irrational piece of work, on which he has been working all night. θ Insanity. 

Nux-v. assumes that she can survive without her heart. A heart means courage, bravery, our power to fight for what is right, to love our dearest, to love humanity. She believes that a new heart is forming back again inside oneself, and we believe that that’s what we all should hope during the treatment of a Nux-v. case.

Mania puerperalis from excitement, sleeplessness and prostration; had menorrhagia, and for the subsequent weakness drank much whisky and strong coffee; cachectic appearance; large, dim, languid eyes; lies in bed half uncovered, sits up and then lies down again; constantly complaining, criticizing or explaining, at times words are well chosen, at others uses high-sounding phrases; as soon as she recognized physician she spoke of the imperfection of medical knowledge and declared it an error that one could not live without a heart, inasmuch as she felt very well without one, it having come away with the afterbirth to which it had grown fast, the nurse having separated the two before her eyes; complains of her husband, says he wishes to convince her she is sick, although she is able to dance and sing; makes grotesque motions and wild leaps, but soon sinks down breathless; nymphomania; often enraged; frequently sips at a bowl of warm sugar-water, declaring it will form her a new heart; (…)

We may resume the Nux-v. steps this sequence:

1. He is born oversensitive altogether with the sensation of being born without the capability for fight for what he wants and what he believes.

2. The external impressions will turn him into a very irritable, impatient and suffering human being. Light, noise, touch, these features are all unbearable to him. Irascible, full of notions of what is right and what is wrong.

3. He starts to find out his sensual pleasures upon his senses: sex, food and drinking. These features are coming altogether with his everyday stronger feelings of lack of confidence and indecision. His pleasures will become a safe place, compensating him from his sufferings.

4. His irritability and over sensitiveness grows together with his eating and drinking, bringing all physical troubles so well known in Nux-v.

5. At the same time frustration with his business, indecision and lack of attitude towards the everyday professional challenging will turn him into a very sad, impotent and an ever growing frustrated person.

6. He cannot use his sensual and sexual life anymore, as he is clinically sick and with no digestive or sexual powers to keep compensating him from his frustrations.

7. He is sick and thinks on suicide (but lacks enough courage to do it).

Groups in Nux vomica

MM from Hahnemann, Hering, Allen & Kent

Dr. Claudio C. Araujo M.D. F.F.Hom. (Lon.)

Kent: The mental state is varied, but they all show over sensitiveness: irritable, touchy, sensitive conditions.

They are never contented, never satisfied; disturbed by their surroundings, and they become irritable, so that they want to tear things, to scold. 

Impulses are strongly marked at times. The woman has impulses to destroy her husband or to throw her child into the fire; the impulse is intermingled with violent temper, cannot be contradicted or opposed; if a chair is in the way he kicks it over; if, while undressing, a part of his clothing should catch on a button he would pull it off because he is so mad at it. (Like Nit. ac.).

An uncontrollable state of irritability; it is a weakness and is accompanied by physical weakness; a lack of balance. For example, a business man has been at his desk until he is tired out, he receives many letters, he has a great many irons in the fire; he is troubled with a thousand little things; his mind is constantly hurried from one thing to another until he is tortured. It is not so much the heavy affairs but the little things. He is compelled to stimulate his memory to attend to all the details; he goes home and thinks about it; he lies awake, at night; his mind is confused with the whirl of business and the affairs of the day crowd upon him; finally brain fag comes on.

When the details come to him he gets angry and wants to get away, tears things up, scolds, goes home and takes it out of his family and children. Sleeps by fits and starts; wakens at 3 A.M., and his business affairs crowd on him so that he cannot sleep again until late in the morning when he falls into a fatiguing sleep and wakens up tired and exhausted. 

He wants to sleep late in the morning.

Melancholy, sadness, but all the time he feels as if he could fly to pieces, jerks things about, tears things up; wants to force things his own way.

Driven by impulses to commit acts that verge upon insanity - the destruction of others. Natr. sul. has a strong impulse to destroy himself. Arg. nitr., also, particularly by jumping from a height, but he avoids placing himself in such a position.

Oversensitive to stimulants. It is a routine remedy in men trying to sober up; even in delirium tremens. 

Old debauchees, broken down with stimulants, sexual excesses and the worry and fret of business; they work half an hour and then go out and get a drink, and this goes on until finally they must give up, go home and go to bed. 

He is on the verge of insanity, irritable, fatigued, sweats much, is aggravated. from the air, sensitive to noise and light; broken down. 

He must have Nux, rest and no stimulants.

In those drinking too much tea, coffee and stimulants, they stay awake day and night until the end must come; there is tension in all the nerves; he feels as if he must fly, as if he could no longer hold together; his muscles and hands tremble; there is jerking of the limbs on going to sleep and in sleep.

Full of anxiety, despair, and hypochondriasis; "oversensitive to impressions; "all the senses are in this condition; cannot bear reading or conversation; irritable, and wishes to be alone."

Everybody that attempts to soothe only angers him. 

He dreads the business affairs of the day. 

Finally this state comes on: "he quarrels, reproaches, scolds, insults from jealousy, mingled with unchaste expressions; soon afterwards howls and weeps aloud."

Humor

Suits very particular, careful, zealous persons, inclined to get angry or excited, or of a spiteful, malicious disposition. 


Very easily bewildered; everything goes wrong. 


Irritable, morose, sullen; quarrelsome if disturbed. 


Cannot bear reading of conversation; irritable and wishes to be alone. 


Irritable, angry disposition, anxious concern about little things. θ Chlorosis. 


Fiery, excited temperament; violent; sensational. 


Ill-humored, resists obstinately the wishes of others. 


He quarrels, reproaches, scolds, insults, from jealousy, mingled with unchaste expressions; soon afterwards howls and weeps aloud. 


Is put out of patience when spoken to; gets angry and violent without any provocation; headstrong and self-willed. θ Menorrhagia. 



Despondent and buoyant alternately. 


He knits his brows and folds his arms, [1].

Taciturn, as if averse to everything, [1].

She cannot tolerate the slightest contradiction or the most gentle persuasions to do differently, which make her beside herself, [1]. 

She is peevish and lachrymose, [1]. 

She is peevish, thoughtful, takes everything ill-naturedly, and easily quarrels and scolds (after two, and three hours), [1]. 

Scornful, peevish, inclined to be angry (after one hour), [1].

She is very much inclined to quarrelsome vexation, [1].

 Everything miscarries with him; it seems to go contrary (after six hours), [1].

She moans and groans piteously without any assignable cause, [1]. 

She weeps aloud and sobs (after three hours), [1]. 

Extremely solicitous and inconsolable; breaks out into loud weeping, with complaints and reproaches that at times change to constant groaning, with very red, hot cheeks, without thirst, [1]. 

He weeps if the least thing is done contrary to his wishes, [1]. 

She wept occasionally, [44]. 

Extremely tender, gentle mood; music affects him to tears, [1].

(While sad she is unable to weep), [1].

Silent grief and sadness, [1]. 

Sadness, [1]. 

She seeks rest and quiet, [1]. 

Laughing and weeping alternately in quick succession, [20]. 

Ill-humored, and very sad after eating, [1]. 

Ennui; the time seems intolerably long, during the first hours, [1]. 

Oversensitivess

Oversensitiveness: to external impressions, odors, light, noise or music, a slight current of air; to trifling ailments; every harmless word offends, even suitable medicine aggravates. 


Great reflex excitability. 


Over sensitiveness to impressions upon the senses; noise, smell, light and music, and the most trifling symptoms are unbearable; every harmless word offends, every little noise frightens, anxious and beside themselves, cannot bear even the least suitable medicine. 


Oversensitive to impressions upon the senses; he cannot tolerate strong odors or bright light, [1]. 

He cannot tolerate a noise or talking; music and singing affect him, [1]. [20.]

 She cannot endure the slightest ailment, [1]. 

She is painfully sensitive and intolerant of the lightest step or jar of the floor, [1]. 

Everything makes too strong an impression upon him, [1]. 

Increased sensibility, [21]. 

Pains not endured without loud cries and complaints, mingled with reproaches and quarrelling, [1]. 

Great aversion to fluids, which were swallowed with great difficulty and often not at all, [49]. 

The slightest touch of the hand immediately brought on spasms, [45]. 

The slightest touch renewed the convulsions, [47]. 

Feelings so morbidly acute that the slightest touch appeared to aggravate his sufferings, [59]. 

Slightest touch of hand immediately brought on spasms. 

Violent contractive painful sensation through the whole body, [1]. 

Takes cold in the slightest draft (a disagreeable sensation in the skin, colic, etc.), (after a few hours), [1]. 

He dreads to go into the open air (after half an hour), [1]. 

Falling asleep and insensibility (numbness) of almost all parts of the body, [14]. [The phrase in the original is "stupor." -Hughes.] 

Heat of Summer insupportable; slightest exercise produces fatigue, with sleepiness and gastric ailments. 


Great nervous debility: with over sensitiveness of all senses; from night watching, cannot walk on account of giving out of lower extremities, knees knock together; from use of coffee, wine, etc., with heaviness and trembling of limbs, especially early, or after a walk in open air. 


Tremulous sensation over whole body in morning. 


Trembling all over, mostly of hands ; in drunkards. 


Great excitement, with trembling of bowels and nerves generally. 


Tendency to faint: from odors; in morning; after eating; after attacks feels very sick or weak; after a walk in open air; after every labor pain; after vomiting spells or diarrheic stools. 


Depression following overstimulation.

Anxiety

Intolerable anxiety for an hour, [7]. 

Extraordinary anxiety, [1]. 

Extreme anxiety, [9]. [An immediate precursor of death. -Hughes.] 

Great anxiety, [15]. 

Anxiety; an anxious solicitude, as though something serious were dreaded, in the morning and afternoon (during the fifth hour), [1]. 

Anxiety; he could not remain quietly in any place, [3]. 

Anxiety, caused by a suspicious and apprehensive condition of mind, especially during the afternoon hours, [1]. 

Anxiety, with orgasm of blood and ill-humor, in the morning on waking; all of these disappearing on rising, [1]. 

Anxiety, that causes perspiration, at least on the forehead, [1]. 

Anxiety, causing only internal heat, followed by perspiration on the forehead (after a few hours), [1]. 

Anxiety; in sleep he threw off the covering, [2]. 

Anxiety, in the evening, after lying down, followed by sweat after midnight, [3].

With himself

Loss of energy. 


Desire to talk about one's condition, with anxious reflections about it. 

Suicide

Anxiety with irritability and inclination to commit suicide, but is afraid to die. 

(Suicide; she throws herself down from a height), [1]. 

Great anxiety; he had to rise from any place and wished rather to die, [1]. [40.]

The usual pain seems intolerable; she would rather take her life, [1]. 

Anxiety, with desire to commit suicide, [1].

Extreme anxiety, with violent palpitation, that impels him to suicide, after midnight (after five hours), [1]. 

Lack ofSelf Confidence

Great anxiety of mind without particular cause; thinks she will not be able to get along in life; caducity; chilliness; sleeplessness; stool infrequent, hard, although appetite is good ; frequent and quick urination, at times involuntary. 


Anxious solicitude and irresolution, [1]. [50.]

Irresolution; constant fickleness in his plans, [1]. 

Dawdles and is irresolute, [1]. 

She wishes to accomplish much, but thinks it will not succeed, [1]. 

Despondent and fretful, [1]. 

Wounded honor and ambition

Lies awake in bed in a stupid state, sometimes with a friendly expression, sometimes staring right before him; cannot speak a word, yawns, groans and sighs occasionally; often puts hand to forehead and frowns. θ Effects of wounded honor. 


Melancholic in consequence of losing his position, morose, capricious, irritable, hasty; the least contradiction puts him out entirely; remains for hours without wishing to take part in conversation. 


From disappointed ambition, bewildered, talks incoherently; does everything he attempts to do wrong; heaviness of head, pain in stomach and small of back ; feels weak, cannot sit up ; face now pale, with sharp, pointed nose, then red, with irritated pulse. 
Is sullen and obstinate; would not eat nor speak; eyes large, congested; urine high colored, with mealy sediment. θ Mania. 


For hours together sits still and absorbed (generally in forenoon), betraying great moral and physical languor, looking before him with disturbed mien (semblante), and dull, sunken eyes, as if he felt no interest in anything, and answering questions, if at all, incoherently; sometimes falling into a restless slumber for ten or fifteen minutes, out of which he returns to full consciousness with difficulty and gradually; in afternoon and especially in evening is much excited, becomes talkative and even chatty, but jumps from subject to subject; eyes then have a peculiar brilliancy, face wears an expression of deep earnest; launches into high-flying, fantastic plans, fancies himself rich and wants to make presents of thousands, and makes large useless purchases; does not consider himself ill; has not slept for nearly a fortnight, brooding all night long over a lawsuit, by which he may gain or lose a million; head hot, skin dry, complexion yellowish, pupils contracted, tongue coated, pulse hard and small, slightly accelerated ; constipation ; replies reluctantly and slowly to physician's questions, and takes it in bad part if not allowed to read indictment for said lawsuit, a confused, irrational piece of work, on which he has been working all night. θ Insanity. 

Fear

Gets frightened easily and is almost beside herself from least thing that may happen; shuns the fresh air. θ Menorrhagia. 


Dreads death, [1]. 

She believes that she is near death, [1].

She was in great alarm, kept fast hold on her husband and refused to let him go, [43]. 

Easily startled, [21]. 

Apprehension, oppression, and a feeling of intoxication, in the evening, while walking, [1].

 Uneasiness, with very easily dilated pupils (after fifty-six hours), [1]. 


Three months ago mental shock, since then fears to be alone, and menses, formerly regular, have not appeared; in morning as if stupefied; starting in sleep, nocturnal sweats; pain in pit of stomach when touched or pressed; frequent risings in throat and feeling as if she would choke; roaring in ears; shooting headache from crown to poll, with rigor; inclination to sleep; fear of knives and the like, lest she should kill herself or others; attacks commence with palpitation, the fever rises to brain and she is a prey to anxiety; thoughts distracted; heat breaks out and yawning closes attack. 


Hypochondriasis: with studious men sitting too much at home, with abdominal complaints and costiveness (constipação); after all kinds of quack medicines, for dyspepsia; irritable temper; arising from liver or gastric troubles, especially in drunkards; < after eating, with sensitiveness. 


Hypochondriac mood after dinner, and still more after supper, [1]. 

Hypochondriac, sullen mood, [1]. 

Very hypochondriac, and affected by the slightest thing, after eating, [1]. 

Head and Teeth

Melancholia after extraction of carious tooth; speaks of nothing but his tooth; retires to his room and unlocks door only after much entreaty; on entrance of physician withdraws timidly to farthest corner of room, with his eyes cast down; of many questions answers but few and speaks of nothing but his tooth; intolerance to slightest noise and great aversion to labor; sits idly about whole day, crying, and complaining of his anxiety. 

Dream that all the teeth fell from the mouth, [1]. 

Dreams that teeth are falling out, [41].

Dreams that the filling of the teeth is falling out, [41]. 

Sensation as if his head were immensely larger than his body, as large as a church. 

A stupid feeling in head if he holds it erect; if he bends it down a sensation in forehead as if something heavy fell into it. 


Clear consciousness of his existence; fine, strong, correct feeling of right and wrong, [1].

Anxiety and apprehension, as if he had committed a crime, [1]. 

With the others

Inclined to find fault and scold; morose; stubborn; an insane desire when alone with her husband, whom she adores, to kill him. 


Very much inclined to violently reproach others for their faults. 


He is hasty; looked angrily at any one who asked him a question without answering, as though he was obliged to restrain himself to avoid being insulting; he was in such an irritable and unrestrained mood that it seemed as though he would like to strike any one in the face who spoke a work to him, [1]. 

Very much inclined to violently reproach others for their faults, [1]. 

He quarrels, reproaches, scolds, insults from jealousy, mingled with unchaste expressions, soon afterwards howls and weeps aloud, [ 

Quarrelsome, even to violence, [1]. [10.]

He obstinately resists what is desired by others (after one hour), [1]. 

Delirium tremens: with over sensitiveness, nervous excitability and malicious vehemence; indescribable anxiety; finds no rest in any place; sees different images; trembling of limbs; cannot bring glass to lips without spilling contents; terrifying illusions while awake; terrible dreams causing him to start from sleep in fright; sleeplessness; imagines himself surrounded by persons who carry on all sorts of pranks (brincadeiras), or ply him with questions which he thinks he is compelled to answer; violent, seeks to escape; answers questions rationally and is conscious of his condition ; on third day of attack fell to floor, stiff, cold and unconscious; shaking of knees, can hardly keep erect without support; stuttering, thick speech; cannot keep any of his limbs quiet; frequently answers questions incorrectly; appears to be haunted by a great fear. 


(Anxious, delirious fantasies, in the evening in bed, in the ninth hour, as if some one would get into his bed, and there was no room in it; or as if some one had sold his bed, etc.), [1]. 

Rushed into the room, exclaiming that her mother had been murdered (after one hour and a half), [57]. 

Mutilated people

Dreams of sick or mutilated people, [1].

Indifference in a dream of horrible mutilations and lacerations (after six hours), [1]. 

Sad fantasies while half awake, at night, as, for example, of the heads of deceased acquaintances without bodies, [1].

With the environment

Becomes dizzy and faint in a crowd, or where many gaslights are burning. θ Agoraphobia. 


Ennui; the time seems intolerably long, passes slowly. 


He is fearful and frightened, and starts easily; therewith the head seems intoxicated and is dizzy, [1].

Dream of lice and vermin, [1]. 

Intellectual

The intellectual faculties apparently remained perfect to the last, [56]. 

Mental Exertion

 

Ailments after continued mental exertion; indisposition to it, particularly to that form which involves elaboration and connection of subjective ideas independently of external objects. 


Easily errs in speaking and writing; manual clumsiness. 


► The intellectual faculties appeared a little troubled, [44]. 

► *Unable to think correctly, [1]. 

► He thinks that everything miscarries with him, [1]. 

He is especially hindered in scientific experiments; he does not himself know why, [1]. 

Cannot read or calculate, for she loses the connection of ideas; thinks she will lose her reason. 


Mental disturbance, patient tortured with a fixed idea. 


Defective memory; manner shy and awkward. 


Slow train of ideas; chooses expressions which are not suitable. 


Dementia paralytica.

Stupefaction, confusion as from nightly reveling; dullness of head. 



Vertigo: on rising from seat, or bed, or on raising head; with vanishing of sight or loss of hearing preceded by tensive headache, with heat in forehead; comes suddenly like an electric shock; at night awaking him from sleep; < from tea or coffee, after stooping or when looking up, she must clutch something to keep from falling; objects seem to move around him; from abdominal complaints, with digestive disturbances, flatulency, constipation, portal stasis; in hemorrhoidal subjects; after suppressed hemorrhoidal flow; with inability to think; loss of consciousness; falls forward; as if he would fall to one side or backward; when stooping; as if brain were turning in a circle; as if room were whirling; reeling, in morning and after dinner; with pains in forehead, heat and redness of face; with obscuration of vision and staggering; while eating and immediately after eating; when walking and even when lying down in bed; from sedentary habits, alcoholic drinks, smoking, coffee, opium, smell of flowers, gas, etheric oils, etc.; with nausea; after typhoid; from night watching and mental overexertion.

Syncope: in morning, at night, or soon after dinner; in open air; congestion to head and chest; in pregnancy; in persons worn out by mental labor or addicted to excessive use of spirits; nausea, pale face, scintillations before eyes, or obscurations of sight, pains in stomach, anguish, trembling. 


Apoplexy: falls to floor unconscious; tendency to fall backward; face pale; head hot; pulse quick, hard; automatic motions of right hand towards mouth ; whole l. side completely paralyzed and motionless; mouth distorted ; loss of speech; stertorous breathing; dropping of jaw, paralysis; attack preceded by vertigo, buzzing in ears, nausea and urging to vomit; legs cold and without sensation; after a hearty dinner, or abuse of liquor or coffee; of high livers, leading an easy life; with ptyalism; paralysis, particularly of lower limbs; when spoken to opens eyes, stutters and sinks again into sleep; eyes muddy, lustreless, with purulent matter in canthi ; organs of deglutition and lower limbs completely paralyzed ; maxilla on right side relaxed ; pulse full, sluggish ; grasps at head with left hand. 


Slight delirium, a kind of coma vigil, [68].

An intoxication mounting to the head, [1]. 

Intoxication (after half an hour), [17].

Intoxication, [1].

Fainting sort of giddiness. 


Intoxicated confusion in head. 


Intoxication or drunkenness of previous day, with vanishing of sight and hearing, < after dinner and in sun; heaviness of head in morning.

He easily makes mistakes while talking and writing, omits syllables and even whole words (after six and twelve hours), [1]. 

Frequently makes mistakes while talking, has great trouble to find the words, and uses unsuitable expressions; he makes mistakes in weights and measures, [2]. 

Taciturn; slow flow of ideas, [1]. 

She remembers scarcely anything from the time of her fall to being brought home, [51]. 

He could with difficulty collect his ideas, [1]. 

Loss of consciousness, [48].

Stupefaction, [58].

He is scarcely knows himself on account of excessive flow of ideas, in the morning after rising (after ten hours), [1].

Work

Indolent at every undertaking in business; she soon becomes weary, [1].

He has no patience for work, [2]. 

No desire for work, [1]. 

He is completely averse to work, though not to moving about (after two hours), [1]. 

Dread of that kind of literary work at which one must think and employ the ideas, whether to be elaborated by writing or delivered orally, in the morning; but he is not averse to reading or committing to memory (after sixteen hours), [1]. 

Inability for mental work; the blood mounts to the head till towards evening, [1]. 

Disinclination to work and great lassitude or weakness in morning. 


He has no patience for work. 


After anger: chilliness alternating with heat; vomiting of bile and thirst; great laziness and aversion to occupy oneself. 


MALE SEXUALITY

Sexual desire on slightest provocation. 


Painful erections, especially in morning; often excitable, but power is weak. 
Erections after the midday nap.

Kent: Patient is broken down sexually because he is unusually endowed with sexual desires and he indulges until broken down; sexually exhausted, impotent. Mental erethism but relaxation on intromission. Driven to suicide.

Involuntary irritation of the genitals and desire for an emission, in the morning, after rising, [1]. 

Erections several mornings in succession, [1]

Erections after the midday nap, [1]. 

Persistent erections, [1]. 

Erections of penis very frequent, but with no moral desire; it seemed quite physical (fourth day); in morning, a few hours after getting out of bed, his wife came into room; the erection was so sudden and intense for about half a moment, and appeared so ridiculous, that it made him laugh heartily (fifth day),

Sexual desire on slight provocation (after five hours), [1]. 

On slight irritation, or only the slight touch of a woman, sexual orgasm, especially in the morning in bed (after eight hours), [1]. 

During an embrace penis becomes relaxed. 


Sexual impotence with great spinal exhaustion; complete impotence.

Emissions: during sleep; after onanism or too high living; after sexual excesses; every second or third night, with erections and sensual dreams; cannot be in female society without having emissions, followed by great exhaustion; from plethora; followed by excessive irritability, despondency and prostration; in healthy, robust men, not due to onanism. 


Nightly emission without erection, followed by relaxation of the lower portions of the body (after thirty-six hours), [1]. 

Nightly emission, followed by a persistent coldness of the feet that does not disappear on moving about (after six hours), [1]. 

Nightly emission, with lascivious dreams (after forty-eight hours), [1]. 

Desire for coition, but during an emission he becomes impotent; the penis becomes relaxed, [1].

FEMALE SEXUALITY

Great excitement of sexual organs, with sexual dreams and orgasm, in irritable and headstrong women. 


Burning in vulva, with desire for an embrace. θ Nymphomania. 


Irritation and inflammation of ovaries occasioned by rich living, highly seasoned food, stimulating drinks, or by a too sedentary life.

Pregnancy

Mania puerperalis from excitement, sleeplessness and prostration; had menorrhagia, and for the subsequent weakness drank much whisky and strong coffee; cachectic appearance; large, dim, languid eyes; lies in bed half uncovered, sits up and then lies down again; constantly complaining, criticizing or explaining, at times words are well chosen, at others uses high-sounding phrases; as soon as she recognized physician she spoke of the imperfection of medical knowledge and declared it an error that one could not live without a heart, inasmuch as she felt very well without one, it having come away with the afterbirth to which it had grown fast, the nurse having separated the two before her eyes; complains of her husband, says he wishes to convince her she is sick, although she is able to dance and sing; makes grotesque motions and wild leaps, but soon sinks down breathless; nymphomania; often enraged; frequently sips at a bowl of warm sugar-water, declaring it will form her a new heart; bloating of abdomen; epigastric, hepatic and uterine regions sensitive to pressure; stool absent five to six days; very frequent and profuse discharge of pale, watery urine ; white mucous discharge from vagina. 


Dreams

Sad or frightful; of mutilations; confused; anxious; pursued by cats and dogs, etc.; about fatal accidents; of quarreling; about exerting the mind; amorous. 


Whimpering and moaning in sleep, waking from troubled, busy dreams, frightened, as if some one were in room. θ Mania a potu. θ Typhus.

Nightmare after a heavy supper or alcoholic beverages; during sleep blowing, snoring respiration; dreams full of bustle and hurry; springs up delirious, has frightful visions; awakens in fright from least noise.

Slept after taking, but not very soundly, for an hour and a half, his rest interrupted by dreams, some of which were of a delightful description, [58]. 

She was unable to sleep at night, or if she slumbered a little she had frightful dreams, from which she woke to remain awake for hours, and if she could fall asleep she had other frightful dreams, and after waking knew what she had dreamed, [1]. 

He woke frequently at night, and could not easily sleep again; when he slept he had very vivid dreams, [1]. 

Complained of its bitterness, slept about five minutes, and then awoke, crying "I am burning," [62].

Frightful images, causing fear, in a dream, [1]. 

Dreams that he is very much engaged in absorbing occupations, [1].

Dreams, causing terror (as, for example, of wild beasts), [1]. 

Disagreeable dreams of things that happened or were talked about the day before, [1]. 

Half-waking dream, at night, accompanied by fatiguing thought (after a few hours), [1]. 

Very anxious dreams and weeping, in sleep, [1].