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in the throat and burning, increased by hawking.

Dryness in the

throat the whole day. Dryness in the throat in the evening before going to sleep, not diminished by drinking. Feeling of heat in the throat.

(c.) Catarrh of the nose.

Sneezing every morning in bed. Frequent sneezing, with scarcely any cold, for several days. Very viscid nasal mucus. Dryness of the nose. Dryness in posterior nares, nevertheless much mucus in the mouth, with involuntary urgency to swallow. Feeling of dryness in the nose and fauces. Obstruction of the nose; hardened mucus is discharged. Stoppage of the nose and difficult breathing. Stopping of the head, and creeping pain in the forehead and eyes, constant inclination to cough, with a dry cough during sleep, without waking. Feeling as if he had a cold with fever attended with weakness of the legs, and drawing in the arms. Severe cold, sore throat, rawness of the chest, headache and toothache, especially after eating. Cold for several weeks. Cold with diarrhoeic stools. Severe fluent catarrh with great pains in the occiput, and painful drawing in the hips and thighs for a couple of weeks.

(d.) Catarrh of the larynx and bronchi.

Sudden hoarseness. Hoarseness with fluent catarrh. Hoarseness that a loud word cannot be articulated. Hoarseness with weariness and chilliness. Hoarseness with dry cough from tickling in the throat. Dryness of the larynx early in the morning. Feeling of dryness in the trachea. Frequent pressure in the larynx, early in the morning, though without pain. Accumulation of mucus in the larynx very difficult to be expectorated by coughing, but easy to be swallowed even when deeply inspiring. Cough from tickling in the larynx, without expectoration. Great inclination to cough from creeping in the chest. Coughing and sneezing every morning until nine o'clock, with sneezing very early in bed. Coughing when going to sleep. Cough, mostly in the evening in bed, with vomiting. Cough is worse in the evening after lying down. Severe cough when lying in bed, only in the evening, with little expectoration, but with bitter vomiting. When coughing she feels very ill, she is sometimes obliged to retch. Cough which affects the chest and stomach very much. The inclination to cough arises so suddenly and violently that the breath cannot be taken quickly enough, and the chest is spasmodically

contracted. Cough which causes to awake up in the night. Sensation of a painful rent in a small spot of the brain during a slight cough, as if something was rent away. Cough with stitches in both sides of the epigastrium. Cough with stitches in the back. of the sternum is painful while coughing. Scraping cough, as if he had fallen on the chest.

The upper portion Spasmodic cough. Cough often dry,

asthmatic, with pain in the epigastrium and scraping, rough soreness in the larynx, not perceptible when swallowing food; the cough does not awake out of sleep, but is severe and constant after waking; occasionally there is rattling in the trachea followed by mucous expectoration. Dry short cough in the evening, with intermitting stitches in the right hypochondrium, for several hours. A severe dry cough, with stitches in the right breast. Cough with slight expectoration, with whistling and rattling in the chest. Cough with expectoration and pain in the right breast, especially violent when stooping and lying on the right side. Very frequent expectoration of mucus from the throat. Much mucus in the throat, with hacking and hawking. Mucous expectoration from the chest, without much coughing and without dyspnoea. Mucous, white expectoration, like millet seed. Very salt-tasted mucous expectoration. Grey and yellow expectoration with cough. Yellowish expectoration with a taste of rotten eggs. Expectoration with streaks of blood, after dinner, Expectoration of blood, every morning, without pain in the chest. Abundant puriform expectoration with severe cough, oppression of breathing, and rattling; the least motion affects the breathing. When coughing nothing can be expectorated; he becomes quite out of breath.

(e.) Catarrh of the uterus and vagina.

Mucous discharge from the vagina, with blood. Discharge of a greenish-red fluid from the vagina during pregnancy. Leucorrhoea, with shootings in the uterus. Leucorrhoea with itching in the vagina. Leucorrhoea as clear as water. Leucorrhoea if there are frequent eructations and retching. Abundant leucorrhoea especially after passing urine. Leucorrhoea, like milk, only in day time, with burning pain, causing soreness between the legs. Abundant leucorrhoea, with lumps of mucus of a bad odour, and a drawing pain in hypogastrium. Leucorrhoea, with the appearance of pus. Yellowish leucorrhoea.

It is not by any means surprising that when the entire venous

system is distended with blood, that the mucous membranes which are so abundantly supplied with vessels should likewise become affected. In consequence of the obstructed circulation the mucous membranes become congested, mucous cells are formed instead of epithelium, the proximate cause of catarrhs. As Sepia induces a high degree of venous congestion, it likewise occasions this morbid condition of the mucous membranes. The mucous membrane of the mouth becomes congested, distends and creates dryness of the tongue and palate. The angina faucium is well marked. There are all the symptoms of a cold with stopping in the head, so that we may venture to assume that the symptom, indicative of fluent coryza, is but an alternating action of Sepia. The laryngeal and bronchial catarrh are first manifested by hoarseness and dryness in the throat, soon followed by cough partly with and partly without expectoration; dyspnoea is rarely present. The Sepia-cough has this peculiarity, it occurs mostly in the evening, when lying in bed, or during the night, awaking one out of sleep. The seat of the irritation causing the cough appears to be more in the larynx than in the chest, although it is undeniable that through the hyperemic condition of heart and lungs it may also have its seat in the remote bronchi. The catarrh of the vagina and uterus occasions leucorrhoea. We have already shewn how readily these organs sympathize with the plethora of the venous system, therefore it is not surprising that the symptoms of fluor albus should be so well marked. This abnormal secretion has however nothing very characteristic, it is sometimes clear as water, sometimes like milk, puriform or yellow; but my own experience goes to prove that Sepia is a sovereign remedy for leucorrhoea, especially when originating in venous hyperæmia. The affections of the skin are next in order to those of the mucous membranes, as the latter are but continuations of the external envelope of the body.

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The skin of the whole
Itching in the face, of
The itching

Soreness of the skin of the whole body. body is very painful on the slightest touch. the anus, hands, back, hips, feet, abdomen and genitals.

is changed to burning. Pricking of needles all over the skin, in bed in the evening, when warm. Red spots on the neck and beneath the chin, without any sensation. Yellowish brown spots about a quarter of an inch, around the neck, which desquamate on being rubbed. Lenticular, red, and unsensitive papulæ, here and there in the hands, which yield a little moisture on being pricked. Itching pustules in the joints, especially in the bend of the elbow, and behind the knee, on the foot, in the evening and early in the morning more than in the day. Itching blisters on the face, hands and feet. Painless desquamation of the cuticle in large and small, mostly round spots, especially on the hands and fingers.

The skin, owing to its absorbing and excretory powers, is subject to many primary affections. It likewise often indicates the condition of the powers of nutrition, and of the vascular system, so that any affection of these is quickly shewn by the appearance of the skin. This is more evident in obstructions of the circulation. We have shewn above that a yellow colour of the skin is one of the physiological products of Sepia. The continued and constantly increased venous obstruction causes an unusual sensibility of the skin, as shewn by an itching over the whole surface of the body, soon changing into a burning and shooting. Subsequently red and brownish spots arise as well as pustules and blisters. Sepia is of essential service in such affections, especially when arising from obstructed circulation. Its use was attended with surprising success in a lady who was troubled with a herpetic eruption, the sequel of a hypertrophied liver. I have likewise succeeded several times in removing an annoying itching with Sepia.

We have already seen from the symptoms recorded under the head, catarrh of the throat, that the glandular system which is so closely connected with the skin, is also implicated, and we only proceed to mention here two symptoms:

Swelling of the axillary glands. The gland in the right axilla swells and suppurates.

We have at length arrived at that abnormal condition arising from a highly congested state of the venous system, with which Sepia will be found most amply to correspond.

6. RHEUMATIC AND GOUTY AFFECTIONS.

(a.) Of the Head.

Tearing in

The scalp is painful when touched, as if the roots of the hair were painful. Very painful twitching in the forehead. Some violent undulating jerks of pressive headache, entirely in the forehead. Pinching jerks in the head, early in the morning when rising. Tearing in head, over the forehead and in the eyes from 2 o'clock in the afternoon until going to sleep at night, tearing in upper part of the forehead on right side. Violent tearing in the forehead, extending downwards to the right ala nasi, for a short time. Tearing in the left frontal protuberance. Tearing over the eyes. the left temple to the upper part of the left side of the head. Tearing in the occiput, close to the neck. Tearing in the left cheek extending to the ear and occiput. Drawing pain, as if in the external surface of the forehead, extending to the occiput in single tugs. Drawing pain in the occiput, which pains when touched externally, as if ulcerated. Painful drawing in the lower part of the occiput, sometimes on the right, sometimes on the left side. Superficial drawing and boring in the head, more at night, preventing him from remaining in bed at midnight; the pain drew towards the temple, the ear and teeth. Rheumatic drawing in the left side of the head. Tearing, drawing and shooting from the forehead and occiput to the vertex. Tearing in the superior maxilla. Oscillatory contraction in the vertex, in the evening. A contractive pain in the forehead. Shooting headache, in both temples, in the evening. Shooting headache, to the eyes, outwards, the whole day. Shooting in the forehead, with nausea, (she could not eat anything) ameliorated by lying down. Pricking in the forehead, like needles, daily on walking quickly, with vomiting. Violent headache during the night, with vomiting. Violent shooting outwards above the left orbit, with entire closure of the eye, early in the morning, from the time of rising until noon, for three consecutive days; slightly ameliorated by the open air. Pain only in the fore part of the head, mostly towards the forehead, a pressure on the brain occurring eight to ten times an hour, again subsiding in half a minute, then entirely absent for an hour or an hour and a half; it returned slightly the second day. A dull pressive pain in a small spot of the occiput. Pressure in the vertex after mental application. Pressing, digging, jerking headache with stiffness of the neck, and sensitiveness of the head on being touched.

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