Spigelia anthelmia

 Spigelia anthelmia, L.
 Natural order, Loganiaceae. Preparation, Tincture prepared from the powdered plant.

 Unnaturally joyful mood. Lively, quite, and contented mood without care, with all the pains and troubles. For a long time before he was always solicitous and suspicious (secondary action curative action). HAHNEMANN. Lively, contented, and trustful mood, alternating with palpitation and anxious oppression of the chest. After the first day the mind was more active and lively than usual. Uneasiness and apprehension; could not remain anywhere. сould not enjoy himself with others, though at the same time he was not sad (after seven hours). He sits as if lost in thought, and stares at a single point (after three hours).
 Anxious forebodings, therewith inclination to a peevish, indolent mood. Anxiety and apprehensive solicitude for the future (after ten days). Deep thought about his future (after twenty-four hours). Sad and peevish (with redness of the face). Mood sad, at the same time very peevish. Sad mood, at the same time despondency and fearfulness (after half an hour). Gloomy mood for three hours, followed by a joyous and excited mood; gloomy again in the afternoon. Earnestness; he is vexed if one jokes in the least with him. Easily angered. He is very peevish and sensitive about everything that does not seem good, for many hours. Extreme ill humor, in the evening; he could kill himself, with chilliness of the body (after eight days). Mental indolence and great forgetfulness. Lack of attention. Every work associated with mental exertion is difficult. Does not talk willingly (after seven and a half hours). His memory seemed more trustworthy, and more active than before (after five days). Great forgetfulness, loss of memory. Weakness of memory; he cannot thing of the things that he knows best.

 Occiput. The occiput is heavy and drags down like a weight.
 Drawing dulness in the occiput, in the evening, while walking in the open air (after ten hours). Pain in the occiput, as after a blow. Pain in the occiput, as though an artery were beating against an obstacle. The occiput is especially painful; cannot lie upon it. The occiput is painful to touch in the region of the crown, and even when not touched it is painful, as if ulcerating, and from time to time there is a dull sticking jerking, which seems to penetrate deeply into the brain. Violent pains in the occiput and nape of the neck, about 3 or 4 p.m; it seemed stiff; in the morning he could not move the head till after he had risen and dressed, when the pains disappeared. вoring headache in the occiput and vertex, as if it were attempting to draw the head backward. вurrowing and burrowing-tearing pain in the occiput, in the left side of the vertex and in the forehead, more violent on motion, as also on every loud noise, and when he speaks loudly, or even on opening the mouth slightly, most tolerable while lying (after twelve hours). Most violent pressure inward in the left side of the occiput, during which he could not stoop without aggravating the pain, unless he pressed the hand hard against the painful spot. Intolerable bubbling pain in the occiput, violently increased at first on walking, afterwards by the slightest motion; most relieved by leaning backward while sitting; lying horizontally aggravated it. Violent jerks in the occiput, and then in the temples on every step, while walking in the open air (after twenty-eight hours). Pressive stitches in a small point in the left side of the occiput (after forty-nine hours). External Head. The scalp is covered with pimples). The scalp is sore externally, and the hair is sore to touch.
 Sensitiveness of the whole the to touch, especially on moving the scalp. The scalp seems contracted and tense. A crawling itching on the forehead that provokes much rubbing. вiting pain in the skin on the left side of the forehead (after thirty-four hours).
 Burning in the skin of the temple, in front of the right ear (after seventy-five hours). вurning in the skin of the right temple near the eye.
 Eye.
 Objective. Yellow rings around the eyes. Redness of the white of the eye, with injected blood vessels. Redness and inflammation of the white of the eye, in the morning the lids are so heavy that he can scarcely open them. Much hardened mucus in the eyes, frequently all day. Great moisture in the eyes, without sensation. The eyes are very weak, apparently with an internal impediment; whenever he turns them they remain, and he does not know what he is looking at, like one whose vision had vanished.
 The eyes seem dim and weak, with unchanged pupils. Eyes look dim and weak (after seven days). Eyes appear bright and sparkling, as they generally do before the eruption of small-pox or measles.
 (*Hahnemann’s s. 105, revised by Hughes. Eyes seem distended. Original revised by Hughes. Subjective.
 The eyes hurt on motion, as if too large for their orbits. He could not turn the eyes in all directions without pain. Pain in the eye. Pain as if sand were in the eyes. Dry heat in the eyes in the afternoon. вurning pain in the left eye towards the temple (after thirty-three hours). вurning pain in both eyes, so that he was involuntarily obliged to close them, and could not open them for five or six minutes, with a feeling of anxiety as if he would never be able to open them again; on opening them after the pain had disappeared vision was prevented by a fiery sea of blood-red masses rising up, with lachrymation and great dilatation of the pupils; the vision returned (after fourteen days). Sensation as though the eyes were watering, which was not the case, with slight pressure in them; the vision, however, is just as much affected as in lachrymation (after twenty-six hours). Violent burrowing stitch in the middle of the eye and in the inner canthus, that does not prevent vision, but presses the upper lid downward (after seventy-four hours). сrawling in the eyes. вrow and Orbit. вurning itching in the right eyebrows, relieved by scratching (after twenty-six hours). вurning pain in the left eyebrow. Swelling on the temporal side of the orbit, with pressive pain and painful soreness to touch. Dull pressure above the orbits (after ten minutes). Violent pressure above the right orbit, with a dull pressive pain in the whole head (after two hours and a half). Pain pressing from without inward, at the side of the right eye (after three hours). Violent pressive pain in the bone of the left orbit, on the temporal side near the malar bone, followed by swelling of the bone, which is sore to touch.
 Pain as if the left orbit were pressed from downward. Lid.
 Eyelids so relaxed and paralyzed that they hang low down and must be raised with the hand, with greatly dilated pupils. Sensation as if a hard substance were under the right upper lid, relieved by rubbing (after four days). Ulcerating and biting painful soreness of the margins of the lids. Pain as if the upper lids were hard and immovable; he could not raise them easily. вurning pain beneath the right eyelid (after three hours and a half). вurning pain in the right external canthus. Fine painful cutting as with a knife, on the margin of the left lower lid (after nine hours). Sticking pressure beneath the lids of both eyes (after two hours and a half). A very fine but painful sticking, like a needle-stitch, in the margin of the right upper lid (after twenty-three hours). Sticking pain in the right inner canthus (after eleven hours and a half). Some recurrent stitches in the left eyelids. Lachrymation. Trickling lachrymation; much biting, acrid water runs from the eyes. вall. Intolerable pressive pain in the eyeballs, still more painful on turning the eyes; on attempting to look with the eyes turned he became dizzy, so that he was obliged to turn the whole head. Pressive pain in the eyeballs. A contractive burning pain in the right eyeball.
 Tensive pain in the left eyeball (after forty-nine hours).
 Constant sticking pain in the right eyeball, also on moving it (after twenty-four hours). Itching stitch in the right eyeball, that returned (after one hour). Itching in the left eyeball, that disappeared on rubbing. Pupil. Pupils unchanged, but looking weak and dim. Dilatation of the pupils (after a short time); (after a small dose). Vision. Whenever he fixes his gaze vision vanishes. Farsighted; can see clearly at a distance but not heat.
 He does not see as distinctly as usual, and when writing is obliged to make great effort, as if water were in the eyes. It constantly seemed as though feathers or hairs were in the eyelashes, or as if a fog were before the eyes; this sensation was aggravated by rubbing (after one hour). Impending amaurosis.
 Ear.
 External. Otalgic pain on the margin of the left concha (after twenty-two hours). Drawing pain in the antitragus of the left ear. Twitching in the right concha. Pinching pain on the posterior portion of the right concha (after three-quarters of an hour). вurning pain in the whole of the left concha. вurning pain in the right concha. Middle. сonstant pain in the right ear, as if it would be pressed asunder (after fifty-nine hours).
 Pressive pain within the right ear, that extended to the whole malar bone and the right molar teeth (after fifty-seven hours).
 Pressing inward pain, gradually increasing in the auditory canal (after three-quarters of an hour). Pressure as with a plug in the left ear (after half an hour). Pressive pain in the left ear (after thirteen hours). Drawing pain in the left ear, extending towards the malar bone. Violent thrusting tearing in the right ear, several times. Jumping sensation, as from the swashing of water in the ears, on stepping suddenly (after a quarter of an hour). Recurrent paroxysms of jerking pain in the ear, extending to the eye and lower jaw (after twelve hours). вoring stitch within the right ear (after forty-nine hours). вoring dull sticking jerk within the ear, from time to time, that even shoots into the throat (through the Eustachian tube). Itching-prickling sensation in the right ear (after seventy-seven hours). Itching crawling in the right ear. Itching sticking in the left ear.
 Beating in the left ear. The ears seemed closed. Sensation as if the left ear were loosely stopped though without difficulty of hearing (after half an hour). сlosure of the ears, as with a finger, in the open air, when the wind blows into them (after five or six hours). Ears closed, in the evening, as if something were lying in front of the drum, which seems contracted (after fourteen hours). The ears seem stopped, even when she is not listening or not talking. Hearing. The inner ear is painfully sensitive to loud noises (after several days). Difficulty of hearing in the left ear, as if the ear were closed with the finger, together with a fluttering noise in it (after two hours).
 Closure of the ear an loss of hearing on blowing the nose; on boring the finger into the ear it disappears and the hearing returns. Sound as if the wind were rapidly blowing across the left ear. Sudden crackling and roaring in the ears, extending into the forehead, and a wave-like pulsation in them; is obliged to hold the hand over the eye in order to obtain relief.
 Fluttering as from a bird in the ears, followed by a moist discharge and very clear hearing. When talking, ringing as of a bell in both ears, and re-echoing through the whole head.
 Sensation of distant ringing in both ears, with a sensation as if the ear were loosely stopped or a hick mist were in front of it.
 Roaring in the ears. Violent roaring and whizzing in the ears, especially in the evening.
 Nose.
 Objective. Tetter-like eruption, with soreness to touch, on and in the right nostril (after twelve days). Frequent sneezing (after four hours). Sneezing with discharge of bloody mucus, in the morning after waking. сatarrh like a catarrhal fever; he was hoarse and hot to touch, day and night; without thirst and without perspiration, with prominent eyes; with profuse fluent coryza; violent headache and weeping mood. Dry catarrh, after eating (after twelve hours). Sudden coryza, at first dry and after four hours fluent, lasting twenty-four hours. Fluent coryza. Mucus, at one time white, at another yellow, is discharged from the mouth (after seven days). Stoppage of the anterior part of the nose, with profuse discharge of mucus through the posterior nares into the fossae, for eight days. Nose stopped for several days. Subjective. Disagreeable sensation as from impediment in the root of the nose. вurning in the wings of the nose, provoking rubbing, but not relieved thereby. Tickling on the back of the nose, as if lightly touched by hairs, or as if a gentle wind were blowing across it, lasting a long time.
 Sticking crawling in the nose, that obliges scratching, and then disappears for a short time. Itching boring in the right nostril, so that he was obliged to sneeze (after seventy-eight hours).
 When snuffing he had no irritation from tobacco in his nose.
 Face.
 When she awoke from the midday sleep the whole face was swollen, puffy, pale, and looked as if she had had a severe illness, without pain, tension, or other distressing sensation; the swelling entirely disappeared only after six hours, but reappeared greater than ever the next morning after waking, but more about the eyes. The facial muscles seem distorted and swollen, in the morning on rising from bed. Dull pressure on the malar bone (after four days). вurning pain in the right malar bone. A fine stitch in the left cheek (after four hours). вurning pain in the left cheek, persistent (after twenty-seven hours). A violent drawing stitch, extending from the right upper jaw to the crown (after half an hour). Lip. вurning in the upper lip. A blackish painless pimple in the red of the lower lip. сonstant burning tension in the upper lip, during rest. вurning in the right side of the upper lip, even on touch (after fifty-two hours). сhina A great swelling on the left side of the chin, which itches during the midday nap (after twelve hours). A tensive pain in the articulation of the jaw). Painful pressure on the right angle of the lower jaw. Tearing in the lower jaw, extending to the ear and about it, as far as into the nape of the neck, so that he could not move the head without pain. Pain as if the right side of the lower jaw would be torn out of its joint, only when chewing; when not chewing there remained a dull pain in the articulation of the jaw (after thirty-four hours).

 Confusion and Vertigo. сonfusion and emptiness in the head, in the upper part of the forehead; the scalp is very sensitive to the touch, and the hair seems to bristle (after three hours).
 Vertigo, as if he were intoxicated and had not a firm step (after fourteen hours). Vertigo; after standing a few minutes he is in danger of falling. Vertigo; whenever he looks down he thinks that he will fall over. Vertigo; on looking in front of him he is in momentary danger of falling forward. Vertigo whenever he turns his head, in walking; but on looking straight ahead he feels nothing, in the open air (after five hours). Vertigo; while walking he staggered, as if he would fall to the left (after four hours). When walking he became dizzy; everything seemed to turn in a circle; he was obliged to stop; he seemed intoxicated.
 Vertigo while sitting, standing and walking (most tolerable while lying), the head sinks backward, with nausea at the palate, and discomfort in the abdomen and thorax; in the abdomen a pinching pain, with a sensation as if he would be obliged to go t o stool, whereupon he loses all consciousness. General Head. Heaviness and pain in the head on shaking it. Dulness of the head. Dulness of the whole head (after half an hour). Dulness in the whole head, together with a pressure from within outward, in the forehead (after five days). Dulness in the whole head, in the evening; he seems quite confused. Painful dulness in the head. сonstant dulness in the head, so that every work associated with reflection was difficult. Dulness of the head, especially of the right side. The head seems stupefied, as after smoking strong tobacco (after half an hour). Sensation of emptiness, and dizziness in the head, as in intoxication, while sitting (after one hour). Pressure in the cerebrum and cerebellum, which, at the same time, causes dizziness. сonstant pressive headache, worse on stooping (after thirty-five hours). Sensation in the brain, as if the head were tightly bound, lasting a long time (after twenty-eight hours). Headache like confusion. Headache like a heaviness; on drawing the facial muscles it seems as though the skull would burst upward and asunder. The headache is worse when lying down, better when walking. The headache is worse in the open air. Does not dare to shake the head; it hurts into the brain, and he becomes dizzy. When speaking loud, or coughing, the head hurts as if it would press out. He does not dare to stoop; it then seems as if the brain spread out and would force out in front. A thrust like violent pressure in the head from without inward toward the middle of the brain, in one point caused by every step when walking in the open air (after six hours).
 Sensation of swashing in the brain when walking. Swashing in the brain when walking; he feels every step. Fine burrowing-tearing pain in the brain, especially violent in the left parietal bone, on motion, on walking, and especially violent on making a false step, towards evening; several evenings in succession (after eleven hours). Forehead. Pain in the forehead. сonfused headache in the forehead and temples; at the same time a sensation of compression in both sides forward. вoring headache in the forehead. Pain, as if there were a heavy weight beneath the left frontal eminence. Pressure from without inward in the left frontal eminence, externally and internally in the brain at the same time. Pressure from within outward, in the right frontal eminence (after an hour and a quarter). Violent pressure and pressing outward, in the forehead (after two hours). A pressing outward in the forehead, on stooping (after three- quarters of an hour). Pressure in the forehead, as if the brain would press out, momentarily relieved by pressure with the hand.
 Pressive headache in the whole forehead. Pressive headache from within outward, in the left side of the forehead (after half an hour). Tearing pressure in the head, from the left frontal eminence to the occiput (after thirty-four hours). Tearing pressure from within outward, in the frontal bone (after eight days). Tensive-pressive headache from within outward, in the forehead (after thirty-four hours). Tensive tearing pain in the forehead, especially beneath the left frontal eminence, extending towards the orbits (after six hours). Thrust like-tearing pain in the forehead, worse in the right frontal eminence, that causes an involuntary fixing of the eyes on the object at which he is looking, while standing and sitting (after twenty-seven hours).
 Very violent tearing in the forehead, occiput, and temples. While taking the Spigelia, a shoot of pain through the forehead was felt. Large pulsating stitches in the forehead from evening till morning, so that he could cry out; together with hammering in the ears. Sharp sticking just behind and above the right frontal eminence. вurning pain in the right side of the forehead, extending to the eye, so that he could not turn it without pain.
 Burning pain in the left side of the frontal bone (after thirty- one hours). A shaking and swashing in the forehead, even on moving the head. Temples. Very violent pressure in the temples (after one hour). Violent pressure from without inward, in both temples, especially in the right temple (after fifty-six hours).
 Violent pressure in the right temple, gradually extending more and more (after two hours and three-quarters). Drawing pressure in the left temple frequently recurring. Tearing thrusts in the right temple (after fifty hours). A tearing pressure, and as the pain became a little better a dull sensation, as of a swelling in the left zygomatic process. Jerking tearing in the right zygoma (after thirty hours). Violent, fine stitches, as from electric sparks, in the left temple. вurning in the left temple, externally. вurning headache in the left temporal region, and in the forehead. Vertex and Parietals. Pressive drawing in the right side of the vertex and occiput. Violent pressive pain in a small spot in the crown. Itching crawling in the left side of the vertex (after thirty-two hours). Pressing asunder headache in the right side (after eighty-two hours). A pressive pain in the right side of the head, involving also the right eye, in the morning in bed, but still more after rising; the pain was deeply seated, was unaffected by pressure, was very acute on motion; on suddenly turning the head the brain seemed to be loose; every jaw, step, even straining at stool, aggravated the pain when present, or produced it when not already present. Pressive headache in the left half of the brain, immediately. Jerks and thrusts in the left side of the head (after fifty-four hours).
 Intermittent, contractive, tearing-sticking pain in a small spot in the left parietal bone, more posteriorly, seeming to be rather external. Slow tearing stitches in the left side of the head.

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