Lycopodium clavatum

Weak from digestive disturbances. Repeating or alternating symptoms; flexion, then extension; automatic acts; flushing, then paling, chill after chill, etc. Progressive affections. Relapses. Sudden symptoms. Throbbing. Pains cause anger, jerking, etc. ACIDITY; sour taste, eructations, vomitus, etc. Calculi; gall-stones, gravel, tophi. Gout. Thin, withered and FULL OF GAS. Poor circulation; it seems to stand still; limbs feel dead; numb spots. Descending symptoms; emaciation, etc. Early senility. Dropsy. .................... Confused over daily affairs. Mentally active, but grows weaker. Can't think. Miscalls or omits words, etc. Paralysis of brain. AWAKES ANGRY, sad or anxious. Sensitive and fearsome. Averse to being alone. Hateful, cranky, domineering, exacting, reserved or despairing. Headache; pain goes to other side, where it is worse; pulsating in occiput at night; < if hot. Hair falls; comes in gray. Dandruff. Eyes half open. Hemiopia. Sees sparks. FANNING OF WINGS OF NOSE. Nose stuffy; dry posteriorly. Acrid ozœna. Face yellowish; pale, gray; wrinkled forehead; frowning; twitching. Hydrocephalus. Meningitis; tubercular. Mouth hangs open (Merc-c. Mur-ac.). Sore lips. Yellow teeth. Tongue; puts it in and out rapidly; trembling; swelled; heavy; lolling; stiff; cracked; painful vesicle on tip. A ball rises and sticks in throat. Sorethroat (r); < cold drinks. Diphtheria. Hunger, but quick satiety; A LITTLE FOOD OVERFILLS. Averse to soups. Incomplete eructations. Epigastric anxiety, pressure, etc. Gnawing in stomach. As of a band about waist. Sensitive, congested liver. MUCH, NOISY FLATULENCE, < lower bowels. Meteorism. Flatulence, pressing out. Abdomen; sore, < lower; alternating sides; brown spots on and on chest. Colicky babies, < in evening. Stool, most seems to remain, after; contains sand. Alternate diarrhœa and constipation. Piles, > hot bathing. Frequent urging to urinate, > riding in cars, etc. Acrid urine. Urine scanty; cries before urinating; red sand in; suppressed. Sexual exhaustion. Pollutions. Violent dysmenorrhœa, with fainting. Menses of clots and serum; < stool. Acrid or periodical leucorrhœa. Painful coitus. Gas from vagina. Craves air, but is chilled by it. Short, rattling breathing. Salty, green-yellow, lumpy or foul expectoration. Unresolved pneumonia. Dry, teasing cough, with emaciation. Mammæ, achy; sore; nodes in (l). Axillary abscess (r). Bubbling at scapulæ. Stiff back. Hands numb; cramps in, and in feet. Fingers twitch during sleep; sticky sweat on. Pains jerk legs upward. As of a stone under heel. Feet asleep, < heels; acrid sweat on. DRYNESS; palms, vagina, skin, etc. Rawness in folds, nipples, anus, etc. Suppurating eruptions. Receding boils, erysipelas, etc. Vascular swellings. Erectile tumors; < before menses. Aneurism. Rapid pulse, < eating; evening. Coldness; icy; head, throat, stomach; of one foot; < coughing. Chill, then vomits; after first sleep. Burning, between scapulæ. Foul viscid axillary or foot sweat; like onions.

PRESSURE OF CLOTHES. WARMTH. Awaking. Wind. Eating; to satiety; oysters. Indigestion. 4-8 P.M.

WARM DRINKS, food, etc. Cold applications. Motion. Eructations. Urinating.

NUTRITION: DIGESTIVE TRACT. Portal system. Skin. URINARY ORGANS. RIGHT SIDE to left: THROAT. Chest. Ovary. Brain. Lungs.

Complementary: Calc-c. Iod. Kali-c. Lach. Related: Carb-v. Sil. Follows: Chel. or Graph.

Lycopodium clavatum

Wolfs Foot; Club Moss. Lycopodiacccc.

For persons intellectually keen,' but physically weak; upper part of body emaciated, lower part semi-dropsical; predisposed to lung and hepatic affections (Cal., Phos., Sulph.) ; especially the extremes of life, children and old people.

Deep-seated, progressive, chronic diseases.

Pains : aching-pressure, drawing ; chiefly rightsided, < four to eight P. M.

Affects right side, or pain goes from right to left; throat, chest, abdomen, liver, ovaries.

Children, weak, emaciated; with well-developed head but puny, sickly bodies.

Baby cries all day, sleeps all night (rev. of. Jab, Psor. ) .

Ailments from fright, anger, mortification, or vexation with reserved displeasure (Staph.).

Avaricious, greedy, miserly, malicious, pusilanimous.

Irritable; peevish and cross on walking; ugly, kick and scream; easily angered; cannot endure opposition or contradiction ; seeks disputes ; is beside himself.

Weeps all day, cannot calm herself ; very sensitive, even cries when thanked.

Dread of men; of solitude, irritable and melancholy; fear of being alone (Bis., Kali c.. Lib).

Complexion pale, dirty ; unhealthy ; sallow, with deep furrows, looks older than he is; fan-like motion of alee nasi (Ant. t.).

Catarrh : dry, nose stopped at nighty must breathe through the mouth (Am. c., Nux, Samb.) ; snuffles, child starts from sleep rubbing its nose; of root of nose and frontal sinuses; crusts and elastic plugs (Kali bi., Marum).

Diphtheria ; fauces brownish-red, deposit spreads from right tonsil to left, or descends from nose to right tonsil; < after sleep and from cold drinks (from warm drinks, Lach.).

Everything tastes sour ; eructations, heartburn, waterbrash, sour vomiting (between chill and heat).

Canine hunger ; the more he eats, the more he ^'raves ; head aches if he does not eat.

Gastric affections ; excessive accumulation of flatulence ; constant sensation of satiety ; good appetite, but a few mouthfuls fill up to the throat, and he feels bloated; fermentation in abdomen, with loud grumbling, croaking, especially lower abdomen (upper abdomen, Carbo v. — entire abdomen. Cinch.) ; fulness, not relieved by belching (Cinch.).

Constipation : since puberty ; since last confinement; when away from home; of infants; with ineffectual urging, rectum contracts and protrudes during stool, developing piles.

Red sand in urine, on child’s diaper (Phos.) ; child cries before urinating (Bor.) ; pain in back, relieved by urinating; renal colic, right side (left side, Berb.).

Impotence : of young men, from onanism or sexual excess; penis small, cold, relaxed; old men, with strong desire but imperfect erections; falls asleep during an embrace; premature emissions.

Dryness of vagina; burning in, during and after coition (Lys.) ; physometra.

Discharge of blood from genitals during every stool.

Foetus appears to be turning somersaults.

Hernia : right sided, has cured many cases especially in children.

Pneumonia; neglected or maltreated, base of r. lung involved especially; to hasten absorption or expectoration.

Cough deep, hollow, even raising mucus in large quantities affords little relief.

One foot hot and the other cold (Cinch., Dig., Ipec.).

Waking at night feeling hungry (Cina, Psor.).

Bad effects : of onions, bread ; wine, spirituous liquors; tobacco smoking and chewing (Ars.).

Follows well: after. Calc., Carbo v., Lach., Sulph.

It is rarely advisable to begin the treatment of a chronic disease with Lyc. unless clearly indicated; it is better to give first another antipsoric.

Lyc. is a deep-seated, long-acting remedy, and should rarely be repeated after improvement begins.

Aggravation. — Nearly all diseases from 4 to 8 P. M. (Hell. — from 4 to 9 p. m., Col., Mag. p.).

Amelioration. — Warm food and drinks; from uncovering the head ; loosening the garments.

Lecture XLII — Lycopodium clavatum

Lycopodium clavatum. < I. Constitution.

2. Blood.

a. Fevers.

b. Ebullitions; pulse c. Varices.

d. Typhoid.

e. Scarlatina.

f. Diphtheria.

3- Liver.

4- Dropsy.

5- Catarrhs.

6. Kidneys.

Lycopodium or club moss is a member of the Lycopodiaceae, so called from their resemblance to a wolf's foot. It has long been used in pyrotechnic displays, for the production of artificial lightning and in legerdemain.

In legerdemain it is used as a coating to the hand, after which that member may be dipped into water and removed from thence perfectly dry. As a medicine, it was considered wholly inert by members of the allopathic school of practice, and was used only as a drying powder by nurses. Nevertheless in the experience of some it was found quite severe symptoms followed the use of this powder. Others, on the contran', used it for months, and years, and declared it to be positively inert. Now why was this? The Cryptogamia, unlike other plants, instead of seeds, have spores, which are sometimes arranged under the leaves, as in the case of Lycopodium. Now these spores have a hard, shell-like covering, within which we find a small quantity of oily substance, which is the active part of the spore. As long as the Lycopodium used consisted of unbroken spores it was inert; when, however, these were ruptured, it became active and symptoms followed its local application.

In the preparation of Lycopodium, great care should be taken to see that all the spores are broken. When thus prepared, we have in it a truly valuable medicine which Hahnemann proved for us, and one, too, which we need in practice almost every day. I love to extol the virtues of this remarkable drug, for Hahnemann, with his infallable Law, rescued it from its ignominious use as an infant powder, and elevated it to the highest rank among the antipsorics.

In order that you may understand the symptomatology of the drug, I have arranged the schema which you see before you on the board. First of all, we will study the general character of the drug. Lycopodium affects profoundly the vital forces, causing a series of symptoms that indicate it as invaluable in brain fag, typhus, scarlatina, etc., when the brain symptoms point to an alarming paralytic state. We find it indicated most frequently in emaciated persons who are muscularly weak; the mind, however, is well developed. Particularly is this noticeable in children. They are precocious and unusually obstinate. The emaciation is noticed particularly about the upper part of the body and neck. There is a predisposition to liver troubles, and also to affections of the lungs; the face is often pale and sallow; the eyes being sunken and surrounded with dark bluish circles. Often, too, the face is furrowed with creases and wrinkles, indicating deepseated disease. The face readily flushes, the cheeks become red. This is often so in the evening and after eating. As to temperament, the Lycopodium patient is rather impatient and irritable, and easily made angry. At other times, sadness or tearfulness is marked. When sick, such patients are apt to become domineering and rather imperious in manner; or to consider themselves of great importance and those about them of no importance, so they order others about with an angry vehement manner. As to the intellectual part of the mind, we find the memory always weak. Thus we find the drug often indicated when there are frequent mistakes in speech. The patient forgets words or syllables. He cannot read, for the meaning of certain words is confused; he cannot find the right word while speaking, but if the subject is very important, so as to call forth his utmost energy, words flow with ease. Compare Sulphur, Lachesis, Fluoric acid, Silicea. All the symptoms are aggravated from 4 to 8 p. m. Lycopodium is not the only remedy that has this. It is also found under Sabadilla, Nux moschata and Helleborus. Helleborus bears some relation to Lycot>odium, not only because of its aggravation from 4 to 8 p. m., but also because of the arousing effect of directing the will to the work. The changes made in the blood by Lycopodium are not numerous. In febrile states we sometimes find it indicated by chill coming at three or four o'clock every or every other afternoon; this chill being followed by sweat without intervening heat; or the case may be characterized by chill coining at this hour and sour vomiting, with or without heat.

The pulse in Lycopodium is not very characteristic. In the provings the pulse is changed very little, except that it is slightly increased in frequency towards evening. The arms feel numb, heavy and weak, relieved by using them.

Next, I have to notice varicose veins. Lycopodium, by reason of its action on the liver, tends to produce swelling or enlargement of the veins, particularly those which are more or less imperfectly supplied with valves; so we have varices characteristic of Lycopodium; varices in the legs, particularly the right; varices of the genital organs; the labia are swollen by varicose veins; this latter condition occurring during pregnancy, being a symptom which calls for Lycopodhim; also Carbo vegetabilis.

So, too, we often find naevi modified by Lycopodium. Now, do not suppose that every nsevus is curable by medicine, for such is not the case. It is, however, your duty to cure them by medicine when you can. For this purpose, Lycopodium is one of the remedies. Still another remedy, and one, too, which is better than any other, and has also produced naevi, is Fluoric acid.

So, too, carrying out a similar line of symptoms, you will find Lycopodium indicated in bleeding piles, piles which contain a far greater quantity of blood than the size of the vein involved would warrant; also in piles which do not mature, but which, from partial absorption of their contents, remain as hard bluish lumps.

Then, again, in erectile tumors which have now an increase and then a decrease of the amount of blood in them, Lycopodiu?n may be useful.

Lycopodium must have some effect on the blood and on the nervous system because of its general use in typhoid states. It is not the remedy in the beginning of typhoid fever, but when the disease has gone on, despite your treatment, to a state which is very alarming. The patient becomes stupid, lies with dropped jaw, half open eyes, the conjunctivae being coated with a glazing of mucus and directed into vacancy. Passes urine involuntarily. Again, about the fourteenth day of the fully-developed fever, when the rash belonging to the disease does not appear and the patient sinks into an unconscious state, with muttering delirium, picking at the bed-clothes or grasping at flocks, distended abdomen, great rumbling of flatus, constipation, sudden jerking of the limbs here and there, breathing, snoring and rattling, pulse rapid, intermitting; involuntary urination or retention of urine; if the urine is passed in bed it leaves a reddish sandy deposit in the clothing. Here is a condition of non-reaction which must end fatally unless quickly remedied; Lycopodium often does it.

These indications are very similar to those calling for Calcarea ostrearum. Calcarea ostrearum has been found to be the remedy in this stage of typhoid fever when the rash does not appear. But Calcarea may have either constipation or diarrhoea. Lycopodium always requires constipation. Calcarea has more hallucinations. The patient sees visions when he closes his eyes; he cannot sleep; although he may be fully conscious, yet he is continually frightened by some imaginary object. In such cases Calcarea develops the rash and brings the patient out of this precarious state.

In Hyoscyamus the urine leaves streaks of red sand on the sheet. The distinction between this remedy and Lycopodium in impending cerebral paralysis is chiefly one of degree—the Lycopodium being the. deeper acting of the two. Further it has this more pronounced afternoon aggravation and less nervous irritability, etc.

In these typhoid conditions we have an indication for Lycopodium in the tongue. The tongue seems swollen and the patient cannot protrude it, or when the patient does put it out it rolls from side to side like a pendulum. Almost always, too, the tongue is dry and has blisters on it. These are symptoms enough to warrant you in the choice of Lycopodium.

In scarlatina, Lycopodium is not indicated by its power to produce an eruption and fever similar to those of scarlatina ; it is called for, rather, in those cases which do not take a normal course, but which go on to a fatal issue by reason of the constitution. You are guided here by the typhoid symptoms just mentioned, and also by another symptom which anticipates these and leads you to Lycopodium long before such serious symptoms appear. I refer to the condition of the child after sleep. The child wakens cross and irritable, kicking the clothes off and striking every one about it, or it raises up terrified and clings to its mother as if for protection against some object of alarm. Although this symptom may seem insignificant, it is not so by any means. It is the beginning of mischief, and if not checked, stupor and impending cerebral paralysis will follow. Here it resembles Cuprum, Belladonna, Stramonium and Zincum, all of which remedies have arousing from sleep as if frightened. The element of irritability and the absence of symptoms characteristic of the other drugs lead you to Lycopodium.

Related remedies having more of the element of irritability are Chamomilla, Arsenicum, Kali carbonicum.

Lycopodium is often needed when the child becomes suddenly obstinate; breathes rapidly in sleep; worries, cries; muscles become flabby; it is unable to walk any more.

We may make another use of this symptom. Sometimes children have a disease called " gravel," in which lithic acid is passed in sufficiently large quantity in the urine as to cause pain on passing water. They awake from sleep screaming out with pain and kicking at all around them. Here Lycopodium is indicated by both the subjective and the objective symptoms; it is related to Sarsaparilla. Zingiber, Pulsatilla, Arnica, Prunus spinosa, etc., should be compared in ischuria. Often, too, when Lycopodium is indicated in scarlatina, you will find that one or the other parotid gland is inflamed and discharging purulent matter.

Probably the very best remedy in the materia medica for parotitis accompanying scarlatina is Rhus tox. The next best is Calcarea ostrearum, and next to that Lycopodium. Lachesis is only indicated when the swelling is purplish and the pus is not laudable but thin, excoriating and ichorous.

Lycopodium is often overlooked in diseases of the e3 T e, when, nevertheless, it is here a very useful remedy, although indicated principally in cases that have become chronic. You may use it in granular lids, which are dry and smarting, in retinitis pigmentosa and even in cataract. It will also cure styes, especially occurring near the inner canthus.

In diphtheria, Lycopodium is to be thought of when the diphtheritic deposit is most copious on the right side of the throat, with a tendency to spread toward the left. There is a constant desire to swallow, amounting almost to spasm of the throat, with violent stinging pains. The patient is worse from swallowing drinks, especially cold drinks. You often find the symptoms aggravated from four to eight p. m. The cervical glands are swollen. Generally, when Lycopodium is the remedy in either scarlatina or diphtheria, the nose is invaded by the disease. The patient cannot breathe through his nose. The tonsils are very much swollen, as is also the tongue, so that he is obliged to open the mouth and protrude the tongue in order to get breath. Sometimes, after you have given Lachesis, the membrane goes to the right side. Then Lycopodium comes in as a substitute.

Arum triphyllum and Nitric acid are very similar in diphtheria of the nose. Phytolacca, dark red throat, worse on the right side, but there is inability to swallow hot drinks.

Next we come to the action of Lycopodium on the liver. Lycopodium acts very strongly on this organ, producing quite a number of symptoms. First, beginning with the mouth, we find the tongue coated, sour or, exceptionally, putrid taste in the mouth on arising; violent hunger, almost amounting to canine hunger; yet a few mouthfuls of food seem to produce fulsomeness, as though the patient were " full up to the throat," quickly followed by hunger again; distress in the stomach immediately after eating, not some little time after, like Nux vomica; cannot bear the pressure of the clothing about the waist, here being somewhat like Lachesis; but it is distinguished from Lachesis in that the latter has the sensitiveness all the time, but Lycopodium only after a meal. The region of the liver is very sensitive to touch. Sometimes there is a feeling of tension there, and this feeling of tension is a subjective symptom which leads you to the choice of Lycopodium in chronic hepatitis when abscesses have formed. The diaphragm is very apt to be affected in this state. There is a feeling as though a cord were tied around the waist. There is marked collection of flatus. Possibly that is the reason why a small quantity of food fills the patient up. This flatulence tends upwards rather than downwards; rumbling of wind in the splenic flexure of the colon, with distention of that portion of the intestinal tract. There is great fermentation in the intestines, this being followed by discharge of flatus, and even by diarrhoea. The bowels are usually constipated, however, with ineffectual urging to stool. After stool there is a feeling as of a great quantity remaining unpassed.

Now these symptoms, especially if associated with ascites, will lead you to the choice of Lycopodium in that disease known as cirrhosis of the liver.

Lycopodium, in these gastric and hepatic symptoms, has many analogues, one of which is Nux vo??iica. Nux may be distinguished from it by the following: Although Nux vomica has sour taste in the mouth, aggravation in the morning and fulness after eating, yet the immediate distress is more prominent under Lycopodium. In the accumulation of flatus, of the two remedies Nux has more pressure downwards, giving frequent urging to stool and pressure on the bladder. Both remedies have prominently constipation, with ineffectual urging to stool. The difference between the two remedies is this: Nux vomica has this ineffectual urging from its fitful action; under Lycopodium it arises from contraction o*f the sphincter ani.

Sulphur is also similar in the accumulation of flatus and in the sour and bitter taste; but the characteristic place for the accumulation of flatus in Sulphur is in the sigmoid flexure, and is referred by the patient to the left groin.

Momordica balsamica is another remedy that has incarcerated flatus in the splenic flexure. Cepa has pain in the region probably due to the same cause.

Raphauus is also to be thought of in cases with accumulation and retention of flatus. Dr. James B. Bell, of Mass., one of our most eminent surgeons, performed an operation on the abdomen. The patient was decidedly tympanitic, and yet he passed no flatus whatever, although the bowels moved. That symptom is under Raphauus. Dr. Bell gave that remedy, and the patient recovered.

Next we come to the dropsies curable by Lycopodium. We find the remedy indicated in dropsies, particularly in the lower half of the body. The upper part of the body is emaciated, the muscles of the arms and chest are shrunken, the abdomen is distended, and the legs swollen and covered with ulcers, from which serum continually oozes. Now, there are three remedies which may be given when ulcers form on the legs in dropsy. They are Rhus lox., Lycopodiuin and Arsenic. The cause of the dropsy indicating Lycopodium is liver disease. It has also been used successfully for hydropericardium in heart disease after the failure of Arsenic.

We next come to the catarrhs of Lycopodium. Lycopodium may be thought of in catarrh affecting the nasal mucous surface, particularly when the nose is "stuffed up" and the child cannot breathe. The child starts up from sleep rubbing its nose.

Yeu may also think of it in bronchial catarrh, whether the larger or smaller tubes are involved, when there is accumulation of mucus, as indicated by rales, rattling breathing, cough and dyspnoea and waving of the alse nasi.

It may also be given in hectic fever with suppuration of the lungs, particularly when the right lung is worse than the left. It is also useful in pneumonia when the hepatization is so extensive that the patient has great difficulty in breathing, and there is alternate contraction and dilatation of the alse nasi. It may also be employed in typhoid pneumonia, the symptoms agreeing, and also for the bad effects of maltreated pneumonia, particularly if suppuration of the lungs impends.

I come now to the action of Lycopodium in the muscular and fibrous tissues. It weakens the muscles and so becomes of use in delicate persons whose muscles are poorly developed. The arms feel weak and heavy, but that this weakness is mainly functional is shown by the fact that the patient when he tries to use them, finds that he can work quite well with them. The limbs easily go to sleep, with numbness and formications. These sensations accompany rheumatism, neuralgia, etc. Lycopodium is found effective in chronic rheumatism and gout w Then the pains are worse from damp weather and relieved by slow motion and warmth, and the characteristic gastric and urinary symptoms are present. The right side is principally the seat of trouble.

In diseases of the kidneys we find Lycopodium indicated for a trouble to which I have already referred, the presence of lithic acid in the urine, and also in renal colic affecting the right side. There is one symptom for Lycopodium that I would yet like to add, a symptom not uncommon in typhoid fever, pneumonia, and scarlatina, and that is coldness of one foot while the other is warm or even hot. This symptom may appear insignificant on paper, but I can assure you that it is of inestimable value in practice. Sulphur has coldness of one foot, but it is usually the left foot that is affected.

Lycopodium is complementary to Lachesis.

Melancholy; afraid to be alone. Little things annoy, Extremely sensitive. Averse to undertaking new things. Head strong and haughty when sick. Loss of self-confidence. Hurried when eating. Constant fear of breaking down under stress. Apprehensive. Weak memory, confused thoughts; spells or writes wrong words and syllables. Failing brain-power (Anac; Phos; Baryt). Cannot bear to see anything new. Cannot read what he writes. Sadness in morning on awaking.

Club Moss This drug is inert until the spores are crushed. Its wonderful medicinal properties are only disclosed by trituration and succussion. In nearly all cases where Lycopodium is the remedy, some evidence of urinary or digestive disturbance will be found. Corresponds to Grauvogle's carbo- nitrogenoid constitution, the non-eliminative lithæmic. Lycopodium is adapted more especially to ailments gradually developing, functional power weakening, with failures of the digestive powers, where the function of the liver is seriously disturbed. Atony. Malnutrition. Mild temperaments of lymphatic constitution, with catarrhal tendencies; older persons, where the skin shows yellowish spots, earthy complexion, uric acid diathesis, etc; also precocious, weakly children. Symptoms characteristically run from right to left, acts especially on right side of body, and are worse from about 4 to 8 pm. In kidney affections, red sand in urine, backache, in renal region; worse before urination. Intolerant of cold drinks; craves everything warm. Best adapted to persons intellectually keen, but of weak, muscular power. Deep-seated, progressive, chronic diseases. Carcinoma. Emaciation. Debility in morning. Marked regulating influence upon the glandular (sebaceous) secretions. Pre-senility. Ascites, in liver disease. Lycop patient is thin, withered, full of gas and dry. Lacks vital heat; has poor circulation, cold extremities. Pains come and go suddenly. Sensitive to noise and odors.

Worse, right side, from right to left, from above downward, 4 to 8 pm; from heat or warm room, hot air, bed. Warm applications, except throat and stomach which are better from warm drinks. Better, by motion, after midnight, from warm food and drink, on getting cold, from being uncovered.

Shakes head without apparent cause. Twists face and mouth. Pressing headache on vertex; worse from 4 to 8 pm, and from lying down or stooping, if not eating regularly (Cact). Throbbing headache after every paroxysm of coughing. Headaches over eyes in severe colds; better, uncovering (Sulph). Vertigo in morning on rising. Pain in temples, as if they were screwed toward

each other. Tearing pain in occiput; better, fresh air. Great falling out of hair. Eczema; moist oozing behind ears. Deep furrows on forehead. Premature baldness and gray hair.

Grayish-yellow color of face, with blue circles around eyes. Withered, shriveled, and emaciated; copper-colored eruption. Dropping of lower jaw, in typhoid fever (Lach; Opium). Itching; scaly herpes in face and corner of mouth.

Styes on lids near internal canthus. Day-blindness (Bothrops). Night- blindness more characteristic. Sees only one-half of an object. Ulceration and redness of lids. Eyes half open during sleep.

Thick, yellow, offensive discharge. Eczema about and behind ears. Otorrhœa and deafness with or without tinnitus; after scarlatina. Humming and roaring with hardness of hearing; every noise causes peculiar echo in ear.

Sense of smell very acute. Feeling of dryness posteriorly. Scanty excoriating, discharge anteriorly. Ulcerated nostrils. Crusts and elastic plugs (Kal b; Teuc). Fluent coryza. Nose stopped up. Snuffles; child starts from sleep rubbing nose. Fan-like motion of aloe nasi (Kali brom; Phos).

Teeth excessively painful to touch. Toothache, with swelling of cheeks; relieved by warm application. Dryness of mouth and tongue, without thirst. Tongue dry, black, cracked, swollen; oscillates to and fro. Mouth waters. Blisters on tongue. Bad odor from mouth.

Dryness of throat, without thirst. Food and drink regurgitates through nose. Inflammation of throat, with stitches on swallowing; better, warm drinks. Swelling and suppuration of tonsils. Ulceration of tonsils, beginning on right side. Diphtheria; deposits spread from right to left; worse, cold drinks. Ulceration of vocal bands. Tubercular laryngitis, especially when ulceration commences.

Dyspepsia due to farinaceous and fermentable food, cabbage, beans, etc. Excessive hunger. Aversion to bread, etc. Desire for sweet things. Food tastes sour. Sour eructations. Great weakness of digestion. Bulimia, with much bloating. After eating, pressure in stomach, with bitter taste in mouth. Eating ever so little creates fullness. Cannot eat oysters. Rolling of flatulence (Chin; Carb). Wakes at night feeling hungry. Hiccough. Incomplete burning eructations rise only to pharynx there burn for hours. Likes to take food and drink hot. Sinking sensation; worse night.

Immediately after a light meal, abdomen is bloated, full. Constant sense of fermentation in abdomen, like yeast working; upper left side. Hernia, right side. Liver sensitive. Brown spots on abdomen. Dropsy, due to hepatic disease. Hepatitis, atrophic from of nutmeg liver. Pain shooting across lower abdomen from right to left.

Diarrhœa. Inactive intestinal canal. Ineffectual urging. Stool hard,

difficult, small, incomplete. Hæmorrhoids; very painful to touch, aching (Mur ac).

Pain in back before urinating; ceases after flow; slow in coming, must strain. Retention. Polyuria during the night. Heavy red sediment. Child cries before urinating (Bor).

No erectile power; impotence. Premature emission (Calad; Sel; Agn). Enlarge prostate. Condylomata.

Menses too late; last too long, too profuse. Vagina dry. Coition painful. Right ovarian pain. Varicose veins of pudenda. Leucorrhœa, acrid, with burning in vagina. Discharge of blood from genitals during stool.

Tickling cough. Dyspnœa. Tensive, constrictive, burning pain in chest. Cough worse going down hill. Cough deep, hollow. Expectorations gray, thick, bloody, purulent, salty (Ars; Phos; Puls). Night cough, tickling as from Sulphur fumes. Catarrh of the chest in infants, seems full of mucus rattling. Neglected pneumonia, with great dyspnœa, flaying of alæ nasæ and presence of mucous rales.

Aneurism (Baryta carb). Aortic disease. Palpitation at night. Cannot lie on left side.

Burning between scapulæ as of hot coals. Pain in small of back.

Numbness, also drawing and tearing in limbs, especially while at rest or at night. Heaviness of arms. Tearing in shoulder and elbow joints. One foot hot, the other cold. Chronic gout, with chalky deposits in joints. Profuse sweat of the feet. Pain in heel on treading as from a pebble. Painful callosities on soles; toes and fingers contracted. Sciatica, worse right side. Cannot lie on painful side. Hands and feet numb. Right foot hot, left cold. Cramps in calves and toes at night in bed. Limbs go to sleep. Twitching and jerking.

Ulcerates. Abscesses beneath skin; worse warm applications. Hives; worse, warmth. Violent itching; fissured eruptions. Acne. Chronic eczema associated with urinary, gastric and hepatic disorders; bleeds easily. Skin becomes thick and indurated. Varicose veins, nævi, erectile tumors. Brown spots, freckles worse on left side of face and nose. Dry, shrunken, especially palms; hair becomes prematurely gray. Dropsies. Offensive secretions; viscid and offensive perspiration, especially of feet and axilla. Psoriasis.

Drowsy during day. Starting in sleep. Dreams of accidents.

Chill between 3 and 4 pm, followed by sweat. Icy coldness. Feels as if lying on ice. One chill is followed by another (Calc; Sil; Hep).

Complementary: Lycop acts with special benefit after Calcar and Sulphur. Iod; Graphites, Lach; Chelidon. Antidotes: Camph; Puls; Caust. Compare: Carbo-Nitrogenoid Constitution: Sulphur; Rhus; Urtica; Mercur; Hepar. Alumina (Lycop is the only vegetable that takes up aluminum. T. F. Allen) Ant c; Nat m; Ery; Nux; Bothrops (day-blindness; can scarcely see after sunrise; pain in right great toe). Plumbago littoralis-A Brazilian plant––(Costive with red urine, pain in kidneys and joints and body generally; milky saliva, ulcerated mouth). Hydrast follows Lycop in indigestion.

Both the lower and the highest potencies are credited with excellent result. For purposes of aiding elimination the second and third attenuation of the Tincture, a few drops, 3 times a day, have proved efficacious, otherwise the 6th to 200th potency, and higher, in not too frequent doses.

Lycopodium

Lycopodium is an antipsoric, anti-syphilitic and anti-sycotic, and its sphere is broad and deep. Though classed among the inert substances, and thought to be useful only for rolling up allopathic pills, Hahnemann brought it into use and developed its power by attenuation.

It is a monument to Hahnemann. It enters deep into the life, and ultimate changes in the soft tissues, blood-vessels, bones, liver, heart, joints. The tissue changes are striking; there is tendency to, necrosis, abscesses, spreading ulcers and great emaciation.

Generalities: There is a predominance of symptoms on the right side of the body, and they are likely to travel from right to left or from above downward, e. g., from head to chest. The patient emaciates above, especially about the neck, while the lower extremities are fairly well nourished. Externally there is sensitiveness to a warm atmosphere when there are head and spine symptoms. The head symptoms also are worse from the warmth of the bed and from heat, and worse from getting heated by exertion. The patient is sensitive to cold and there is a marked lack of vital heat, and worse in general from cold and cold air and from cold food and drinks. The pains are ameliorated from warmth except of the head and spine.

Exertion aggravates the Lycopodium patient in general. He becomes puffed and distressed, and dyspnoea is increased by exertion. He cannot climb, he cannot walk fast. The cardiac symptoms are increased as well as the dyspnoea by becoming heated from exertion. The inflamed parts are sometimes relieved from the application of heat. The throat symptoms are generally relieved from the application of heat, from drinking hot tea or warm soup. The stomach pains are often relieved by warm drinks and taking warm things into the stomach. Nervous excitement and prostration are marked. In the rheumatic pains and other sufferings the Lyc. patient is ameliorated by motion. He is extremely restless, must keep turning, and if there is inflammation with the aches and pains the patient is better from the warmth of the bed and relieved from motion, and he will keep tossing all night.

He turns and gets into a new place and thinks he can sleep, but the restlessness continues all night. He wants cool air, wants to be in a cool place with head symptoms. It is true that the headache is worse from motion enough to warm the patient up, but not from the motion itself. The headache is worse from lying down and from the warmth of the room, and better in cold air and from motion until he has moved and exercised sufficiently to become heated, when the headache becomes worse. That is quite an important thing to remember concerning Lycopodium, because it may constitute a distinguishing feature.

The head symptoms are worse from warm wraps and warm bed, The complaints of Lyc. are likely to be worse at a fixed time, viz., from four till eight o'clock in the evening. An exacerbation comes on in the acute complaints and often in the chronic complaints at this time.

The Lyc. chill and fever is worse at this time, and in typhoid and scarlet fever the patient is especially worse from 4-8 P.M. In gouty attacks, in rheumatic fevers, in inflammatory conditions, in pneumonia, in acute catarrhs, which are complaints especially calling for Lycopodium, it is always well to think of this remedy when there is a decisive aggravation from 4-8 P.M.

Stomach: The Lycopodium patient is flatulent, distended like a drum, so that he can hardly breathe. The diaphragm is pushed upwards, infringing upon the lung and heart space, so that he has palpitation, faintness and dyspnoea. It is not uncommon to hear a Lycop. patient say, "Everything I eat turns into wind."

After a mere mouthful he becomes flatulent and distended, so that he cannot eat any more. He says a mouthful fills him up to the throat. While the abdomen is distended he is so nervous that he cannot endure any noise. The noise of the crackling of paper, ringing of bells or slamming of doors goes through him and causes fainting, like Ant. crud., Borax and Natr. mur.

These general conditions go through all complaints, acute and chronic. There is an excitable stage of the whole sensorium in which everything disturbs. Little things annoy and distress.

The Lyc. patient cannot eat oysters; they make him sick. Oysters seem to poison the Lyc. patient, just as onions are a poison to the Thuya patient.

The Oxalic acid patient cannot eat strawberries. If you ever have a patient get sick from eating strawberries, tomatoes or oysters, and you have no homoeopathic remedies at hand, it is a good thing to remember that cheese will digest strawberries or tomatoes or oysters in a few minutes.

Skin: The skin ulcerates. There are painful ulcer, sloughing ulcers beneath the skin, abscesses beneath the skin, cellular troubles. The chronic ulcerations are indolent with false granulations, painful, burning, stinging and smarting, often relieved by applying cooling things and aggravated by warm poultices. It is somewhat a general in Lycopodium that warm poultices and warmth ameliorates; warm applications ameliorate the pain in the knee, the suppurating condition and the gouty troubles. in an unusually warm bed, and in a warm room hives come out. The hives come out either in nodules or in long and irregular stripes, especially in the heat, and itch violently. Lyc. has eruptions upon the skin, with violent itching. Vesicles and scaly eruptions, moist eruptions and dry eruptions, furfuraceous eruptions, eruptions about the lips, behind the ears, under the wings of the nose and upon the genitals; fissured eruptions, bleeding fissures like salt rheum upon the hands.

The skin becomes thick and indurated. The sites of old boils and pustules become indurated and form nodules that remain a long time. The skin looks unhealthy, and it will slough easily; wounds refuse to heal. Surface wounds suppurate as if they had contained splinters, and this suppuration burrows along under the skin. Ulcers bleed and form great quantities of thick, yellow, offensive, green pus. Chancres and cancroids often find their similimum in Lyc.

The Lyc. state when deciphered shows feebleness throughout. A very low state of the arteries and veins, poor tone and poor circulation. Numbness in spots. Emaciation of single members. Deadness of the fingers and toes. Staggering and inability to make use of the limbs. Clumsiness and awkwardness of the limbs. Trembling of the limbs.

Mind: The mental symptoms of Lyc. are numerous.

He is tired. He has a tired state of the mind, a chronic fatigue, forgetfulness, aversion to undertaking anything new, aversion to appearing in any new role, aversion to his own work. Dreads lest something will happen, lest he will forget something. A continually increasing dread of appearing in public comes on, yet a horror, at times, of solitude.

Often in professional men, like lawyers and ministers, who have to appear in public, there is a feeling of incompetence, a feeling of inability to undertake his task, although he has been accustomed to it for many years.

A lawyer cannot think of appearing in court; he procrastinates, he delays until he is obliged to appear, because he has a fear that he will stumble that he will make mistakes, that he will forget, and yet when he undertakes it he goes through with ease and comfort. This is a striking feature also of Silicea. No medicines have this fear so marked as these two.

Lyc. also has a religious insanity, which has a mild and simple beginning, a matter of melancholy. This religious melancholy grows greater and greater until he sits and broods. He has very often aversion to company, and yet he dreads solitude.

"Dread of men and dread of solitude; irritability and melancholy."

This dread of men is not always a state of dread in women. It is a dread of people, and when that is fully carried out in the Lyc. patient you see that she dreads the presence of new persons, or the coming in of friends or visitors she wants to be only with those that are constantly surrounding her does not want to be entirely alone; wants to feel that there is somebody else in the house, but does not want company; does not want to be talked to, or forced to do anything; does not want to make any exertion, yet at times when forced to do so she is relieved. "Taciturnity, desires to be alone."

Now, let us follow that out a little further. The taciturnity is because the patient does not want to talk, wants to keep silent, yet, as I have said already, very glad to feel there is somebody else in the house and that she is not alone. She is perfectly willing to remain in a little room by herself, so that she is practically alone, yet not in solitude. If there were two adjacent rooms in the house you would commonly find the Lyc. patient go into one and stay there, but very glad to have somebody in the other.

The Lycopodium patient often weeps in the act of receiving a friend or meeting an acquaintance. An unusual sadness with weeping comes over this patient on receiving a gift. At the slightest joy she weeps, hence we see that the Lyc. patient is a very nervous, sensitive, emotional patient. Here it is:

"Sensitive, even cries when thanked."

When lying in bed suffering from the lower forms of fevers, there is delirium and even un consciousness. He picks at imaginary things in the air, sees flies and all sorts of little things flying in the air.

"Excessively merry and laughs at simplest things."

A condition of insanity.

"Despondent."

The Lyc. patient wakes up in the morning with sadness. There is sadness and gloom. The world may come to an end, or the whole family may die, or the house may burn up. There seems to be nothing cheering, the future looks black. After moving about a while, this passes off. This state precedes conditions of insanity, and finally a suicidal state comes, an aversion to life. See how this remedy takes hold of the will and actually destroys man's will to live. That which is first in man is his desire to be, to exist, and to be something, if ever so small. When that is destroyed, we see what a wonderful thing has been destroyed. The very man himself wills then not to be. It is a perversion of everything that makes the man, the destruction of his will. "Apprehensiveness, difficult breathing and fearfulness."

"Anxious thoughts as if about to die." "Want of self-confidence, indecision, timidity, resignation."

"Loss of confidence in himself and in everything." "Misanthropic, flies even from his own children." "Distrustful, suspicious and fault finding." "Oversensitive to pain; patient is beside himself."

Head: Lyc. is subject to periodical headaches, and headaches connected with gastric troubles. If he goes beyond his dinner hour a sick headache will come on. He must eat with regularity or he will have the headache which he is subject to. This is somewhat like a Cactus headache.

Cactus has a congestive headache which becomes extremely violent with flushed face if he does not eat at the regular time. One distinguishing feature is that with the Lycopodium headache, if he eats something, the headache is better while the Cactus headache is worse from eating. Lyc. and especially Phos. and Psorinum have headaches with great hunger. At or about the beginning of the attack there is a faint all-gone hungry feeling which eating does not satisfy. Such is the nature of Phosphorus and Psorinum when the appetite and headache are associated.

The Lycopodium headache is < from heat, from the warmth of the bed, and from lying down, > from cold, from the cold air, and from having the windows open. Lean, emaciated boys are subject to prolonged pains in the head. Every time this little fellow takes cold he has a prolonged, throbbing, congestive headache, and from day to day and from month to month he becomes more emaciated, especially about the face and neck. This same trouble is present when a narrow chested boy has a dry, teasing cough, without expectoration, and emaciates about the neck and face.

This remedy is especially suitable in these withered lads, with a dry cough or prolonged headache. In children who wither after pneumonia or bronchitis, emaciate about the face and neck, take cold on the slightest provocation, suffer with headache from being heated, have nightly headaches, and a state of congestion that affects the mind more or less, in which they rouse out of sleep in confusion. The little one screams out in sleep, awakes frightened, looks wild, does not know the father and mother, or nurse or family until after a few moments, when he seems to be able to collect his senses and then realizes where he is and lies down to sleep again. In a little while he wakes up again in a fright, looks strange and confused. That repeats itself.

The headaches are throbbing and pressing, as if the head would burst; but this is not so important as the manner in which they come on, the circumstance of their cause, the things that the child does and the fact that they are better from cold, worse from noise and talking, worse from 4 to 8 P.M., and he emaciates from above downward.

These are more important than the quality of the pain that the patient feels, but if he describes the quality of the pain it is spoken of as a throbbing, pressing, bursting or as a fullness.

Upon the scalp we find eruptions in patches, smooth patches with the hair off. Patches on the face and eczematous eruptions behind the ears, bleeding and oozing a watery fluid, sometimes yellowish watery.

The eczema spreads from behind the ears up over the ears and to the scalp. Lyc is a very important remedy to study in eczema of the infant.

Eczema in a lean, hungry, withering child with more or, less head trouble, such as has been described, with a moist oozing behind the cars, red sand in the urine, face looking wrinkled, a dry teasing cough, in a child that kicks the covers of a child whose left foot is cold and the other warm, with capricious appetite, eating much, with unusual hunger at times and great thirst, and yet losing steadily, will often be cured by Lyc.

It will throw out a greater amount of eruption at first, but this will subside finally and the child will return to health. The head in general is closely related to one symptom, viz., red sand in the urine. A long as the red sand is plentiful, the patient is free from these congestive headaches, but when the urine becomes pale and free from the red pepper deposit; then comes the bursting, pressing headache, lasting for days.

It might be said that this is a uraemic headache; but it does not matter what you call it, if the symptoms are present the remedy will be justified. In old gouty constitutions, when the headache is most marked, the gout in the extremities will be > and vice versa.

The headaches is present only in the absence of pain in the extremities. Again, when there is a copious quantity of red sand in the urine the gouty state, either in the head or extremities, will be absent, but whenever he takes cold the secretion seems to slacken up with an < of the pain.

There is another feature of the Lyc. headache related to catarrhal states. The headache is < when the catarrh is slacked up by an acute cold. The Lyc subject often suffers from thick, yellow discharge from the nose.

The nose is filled with yellow, green crusts, blown out of the nose in the morning and hawked out of the throat. Now, when the patient takes cold the thick discharge to a great extent ceases, and he commences to sneeze and has a watery discharge. Then comes on a Lyc. headache, with great suffering, with pressing pains, with hunger, and finally the coryza passes away, and the thick yellow discharge returns and the headache subsides.

We have many eye symptoms in Lycopodium, but most prominent are the catarrhal affections of the eyes. The symptoms are so numerous, they describe almost any catarrhal condition of the eyes, so that you cannot discriminate upon the eye symptoms alone. Inflammatory conditions with copious discharge, with red eyes, ulceration of the conjunctiva and lids, and granular lids.

Ears: For the ears Lyc. becomes an important remedy, because this selfsame emaciating child, with the wrinkled countenance and dry cough, has had, since an attack of scarlet fever, a discharge from the ears, thick, yellow and offensive, with loss of hearing.

If the suitable remedy be given in a case of scarlet fever, there will be no ear trouble left, because ear troubles do not necessarily belong to scarlet fever. They are not a part of scarlet fever, but are dependent on the constitutional state of the child. Lyc. has also most painful eruptions of the ears, otitis media, abscess in the ear, associated with eczema about the cars and behind the ears.

Nose: The nose symptoms I have only partly described in association with the head. The trouble often begins in infancy. The little infant will lie at first with a peculiar rattling breathing through the nose, and finally it will breathe only through the mouth, as the nose is obstructed. This goes on for days and months. The child breathes only through the mouth, and when it cries it has the shrill tone, such as is found when the nose is plugged up. If you look you will see the nose is filled up with a purulent matter and hanging down the throat is a mucopurulent discharge. Much stuffing up of the nose is a chronic state of Lyc.

The child will go on with this trouble until it forms into great cruse, yellow, sometimes blackish, sometimes greenish, and the nose bleeds. It is most useful in those troublesome catarrhs associated with headaches; in such patients as lose flesh about the neck. It may seem strange and unaccountable that Lyc. can cause emaciation about the neck and shriveling of the face when the lower limbs are in a very good state of preservation. In old chronic catarrhs of adults they must keep continually blowing the nose.

He cannot breathe through the nose at night, as crusts form in all portions of the mucous membranes. Crusty nostrils with eczema, with oozing eruptions about the face and nose. The mucous discharge is almost as thick and tenacious as in Kalium bichromicum.

Face: The face is sallow, sickly, pale, often withered, shriveled and emaciated.

In deep-seated chest troubles, bronchitis or pneumonia, where the chest is filled up with mucus, it will be seen that the face and forehead are wrinkled from pain, and that the wings of the nose flap with the effort to breathe.

This occurs with all forms of dyspnoea. We see something like it in Ant. tart., the sooty nostrils being wide open and flapping. In Ant. tart. the rattling of the mucus is heard across the room and the patient is seen to be in distress, but if you see the patient lying in bed with the nose flapping and the forehead wrinkled, with rattling in the chest, or a dry, hacking cough and no expectoration, you will often find the particulars of the examination confirm your mind that it is a case for Lyc.

In that exsudative stage of pneumonia, the stage of hepatization, Lyc. may save the life of that patient. It is closely related in the period of hepatization to Phos. and Sulph.

The Sulph. patient is cold; there is no tendency to reaction; he feels the load in the chest, and examination of the chest shows that hepatization is marked. He wants to lie still and is evidently about to die. Sulphur will help him.

It does not have the flapping of the nose, nor the wrinkles upon the forehead, like Lyc. In the brain complaints of Stramonium, the forehead wrinkles, and in the chest complaints of Lyc. the forehead wrinkles, and their wrinkles are somewhat alike. You go to a semi-conscious patient suffering from cerebral congestion and watch him; he is wild, the eyes are glassy, the forehead wrinkled and the tendency is to activity of the mind.

That is not Lyc. but Stram. By close observation these practical things will lead you to distinguish, almost instantaneously, between Stramonium in its head troubles, and Lyc. in the advanced stage of pneumonia.

The face is often covered with copper-colored eruptions, such as we find in syphilis, and hence it is that Lyc. is sometimes useful in old cases of syphilis, cases which have affected the nose, with necrosis or caries of the nasal bones, and the catarrhal symptoms already described. About the face also there is much twitching. You will see by the study of the face that his face conforms to his sensations. lie is an oversensitive patient and at every jar or noise, such as the slamming of a door, or the ringing of a bell, he wrinkles his face. He is disturbed, and you see it expressed upon his countenance. He has a sickly wrinkled countenance, with contracted eyebrows in complaints of the abdomen as well as in chest complaints.

We also see that the jaw drops as in Opium and Muriaticum acid. This occurs in a state marked by great exhaustion and indicates a fatal tendency, It is especially marked in typhoid when the patient picks at the bed clothes, slides down in bed, wants almost nothing, and can hardly be aroused.

It is the expression of the last stage of the disease, a low type of fever, typhoids, septic and zymotic diseases. Under the jaw there is often glandular swelling, swelling of the parotid and submaxillary glands. The swelling is sometimes cellular and the neck muscles are involved. The tendency is to suppuration of these glands, and swellings about the neck in scarlet fever and diphtheria.

Throat: The next important feature we notice are the throat symptoms.

It was mentioned when going over the general state that the striking feature of Lyc. in regard to direction is that its symptoms seem to spread from right to left; we notice that the right foot is cold and the left is warm; the right knee is affected; if the pains are movable they go from right to left.

Most complaints seem to travel from right to left, or to affect the right side more than the left. This is also true of sore throats; a quinsy affecting the right side will run its course, and when about finished the left tonsil will become inflamed and suppurate if the appropriate remedy be not administered.

The common sore throat mill commence on the right side, the next day both sides will be affected, the inflammation having extended to the left side. This remedy has all kinds of pains in the throat and fauces. It is useful in cases of diphtheria when the membrane commences on the right side of the throat and spreads over towards the left.

Patches, will be seen one day on the right side and the next day on the left side. We have noticed also that complaints in Lyc. spread from above down, so it is with these exudations. They often commence in the upper part of the pharynx and spread down into the throat. Lyc. has cured many such cases. It is the case sometimes that Lyc. is better lay holding cold water in the mouth, but the usual Lyc. sore throat is better from swallowing warm drinks. It is a feature whereby it is possible to distinguish Lachesis from Lycopodium. Lachesis is better from cold and has spasms of the throat from attempting to drink warm drinks, while Lyc. is better from warm drinks, though sometimes better from cold drinks. Lyc. does not sleep into the suffocation and constriction of the throat and dyspnoea as in Lach. The throat is extremely painful, it has all the violence of the worst cases of diphtheria. It has the zymosis.

Stomach and abdomen: The stomach and abdominal symptoms are intermingled.

There is a sense of satiety, an entire lack of appetite. He feels so full that he cannot eat. This sense of fullness may not come on until he has swallowed a mouthful of food; he goes to the table hungry, but the first mouthful fills him up. After eating he is distended with flatus, and gets momentary relief from belching, yet he remains distended. Nausea and vomiting; gnawing pains in stomach as in gastritis; catarrh burning in ulcers and cancer; pains immediately after eating; vomiting of bile, coffee ground vomit, black, inky vomit.

Under Lyc. apparently malignant cases have their life prolonged. The case is so modified that, instead of culminating in a few months, the patient may last for years. Right hypochondrium swollen as in liver troubles.

Pain in liver, recurrent bilious attacks with vomiting of bile. He is subject to gall stone colic. After Lyc. the attacks come less frequently, the bilious secretion become normal and the gall stones have a spongy appearance as though being dissolved.

Lyc. patients are always belching; they have eructations that are sour and acrid like strong acid burning the pharynx.

"Sour stomach," sour vomiting, flatus, distension and pain after eating, with a sense of fullness. Awful goneness," or weakness, in stomach, not relieved by eating (Digit.).

The stomach is worse by cold drinks, and often relieved by warm drinks. In the stomach and intestines there is a great commotion, noisy rumbling, rolling of flatus as though fermentation were going on.

Lyc., China and Carbo veg. are most flatulent remedies and should be compared.

The stomach symptoms are worse or brought on from cold drinks, beer, coffee or fruit, and a diarrhoea follows. Old chronic dyspeptics, emaciated, wrinkled, tired and angular patients, everything eaten turns to wind. Lycopodium is useful in old tired patients with feeble reaction and feebleness of all the functions, with a tendency to run down and not convalesce. This patient has most troublesome constipation. He goes for days without any desire, and although the rectum is full there is no urging. Inactivity of intestinal canal. Ineffectual urging to stool. Stool hard, difficult, small and incomplete. The first part of the stool is hard and difficult to start, but the last part in soft or thin and gushing following by faintness and weakness. Lyc. patients have diarrhoea and all kinds of stool. So you will see from reading the text that the characteristic of Lyc. is not in the stool. Any kind of diarrhoea, if the other Lyc. symptoms are present, will be cured by Lyc. It has troublesome hemorrhoids, but they are nondescript. Any kind of hemorrhoids may be cured by Lyc. if the flatulence, the stomach symptoms, the mental symptoms, and the general symptoms of Lyc. are present, because the hoemorrhoidal symptoms are numerous.

Kidneys: The kidneys furnish any symptoms and may be the key to Lycopodium in many instances.

There seems to be the same inactivity in the bladder as in the rectum. Though he strain ever so much, he must wait a long time for the urine to pass. It is slow to flow, and flows in a feeble stream. The urine is often muddy with brick dust, or red sand deposits, or on stirring it up it looks like the sediment of fermenting cider. We find this state in febrile conditions. In acute stages of disease; where the red sand appears copiously, Lyc. is often the remedy.

This is a very prominent symptom. In chronic symptoms when the patient feels best the red sand is found in the urine Lyc. has retention of urine and suppression of urine. It has "wetting of the bed" in little ones, involuntarily micturition in sleep, involuntary micturition in typhoids and low fevers.

A marked feature of Lyc. and one of the most prominent of all remedies, is polyuria during the night. He must arise many times at night and pass large quantities of urine, although in the daytime the urine is normal. Enormous quantities of urine, very clear and of light specific gravity.

Male sexual organs: One of the most prominent remedies in impotency.

Persons of feeble vitality, overwrought persons, overtired persons, with feeble genital organs, seldom need Phosphorus, but Lycopod. is a typical remedy where the young man has abused himself by secret vices and has become tired out in his spine, brain and genital organs. If this patient makes up his mind that he will live a somewhat decent life and marries, he finds that he is impotent sexually, that he is not able to obtain erections, or that the erections are too feeble, or too short, and that he is not a man. Lyc. has inflammation of the mucous membrane of the urethra, with a gonorrheal discharge. It is anti-sycotic and has troublesome fig warts upon the male and female genitals.

"Moist condylomata on the penis, enlargement of the prostate gland."

Female sexual organs: It is a great friend of the woman in inflammation and neuralgia of the ovaries, and in inflammation of the uterus. The neuralgia especially affects the right ovary, with a tendency to the left. Inflammation of the ovaries, when the right is more affected than the left. It has cured cystic tumors of the right ovary. Lycopodium produces and cures dryness in the vagina in which coition becomes very painful. Burning in the vagina during and after coition. It has disturbance of menstruation. Absence or suppression of menses for many months, the patient being withered, declining, pale and sallow, becoming feeble.

It seems that she has not the vitality to menstruate. It is also suitable in girls at puberty when the time for the first menstrual flow to appear has come, but it does not come. She goes on to 15, 16, 17 or 18 without development, the breasts do not enlarge, the ovaries do not perform their function.

When the symptoms agree Lyc. establishes a reaction, the breasts begin to grow, the womanly bearing begins to come, and the child becomes a woman. It has a wonderful power for developing, and in that respect it is very much like Calc. Phos.

"Discharge of flatus from the vagina." "Varices of the genitals."

Chest: In the respiratory organs Lyc. furnishes a wonderful remedy.

Dyspnoea and asthmatic breathing in catarrh of the chest. The colds settle in the nose, but nearly always go into the chest, with much whistling and wheezing, and great dyspnoea.

The dyspnoea is worse from walking fast, after exertion and from going up a hill. Throbbing, burning and tickling in the chest. Dry, teasing cough.

Dry cough in emaciated boys. After coming out of pneumonia, the dry, teasing cough remains a long time or there is much whistling and asthmatic breathing.

The extremities are cold while whistling and face are hot, with much coughing and troubles in the chest. He wants to go about with the head uncovered, because there is so much congestion in the head.

This patient has a feeble reaction. There is no tendency to repair and the history of the case is that The troubles have existed since an attack of bronchitis or pneumonia. Besides the dry, teasing cough, Lyc. goes into another state in which there is ulceration, with copious expectoration of thick yellow or green muco-pus, tough and stringy. Finally night sweats, with fever in the afternoon from 4 to 8 o'clock, come on. Its use in the advanced stage of pneumonia, in the period of hepatization, with the wrinkled face and brow, the flapping wings of the nose and scanty expectoration, we have already spoken of. Then it has marked catarrh of the chest with much rattling, especially in infants.

Rattling in the chest flapping of the wings of the nose and inability to expectorate.

The right lung is most affected, or more likely to be affected than the left, or it is affected first in double pneumonia and troubles that go from one side to the other. Think of Lyc. among the remedies for neglected pneumonia, in difficult breathing from an accumulation of serum in the pleura and pericardium.

I have mentioned sufficiently the gouty tendencies of the limbs and the nerve symptoms. But there is a restlessness of the lower limbs and which comes on when he thinks of going to sleep and this prevents sleep until midnight. Much like Arsenicum. It is often a very distressing feature. Numbness of the limbs. Drawing, tearing in the limbs at night; better by warmth of bed and motion. These pains are sometimes found in chronic intermittent fever and are cured by this remedy. Sciatica that comes on periodically, better by beat and walking. Varicose veins of the legs. One foot hot the other cold. Oedema of the feet.

It has all manner of fevers, continued intermittent and remittent. It is especially suitable in old age, and in premature old age, when a person at 60 years appears to be 80 years, broken down, feeble and tired.

It is eminently suited in complaints of weakly constitutions. It is suitable in various dropsies, associated with liver and heart affections. Scabs remain upon the skin, do not separate; they crust over and the crust does not fall, or may become laminated like rupia.

Sulphur, Graph. and Calc. are not longer acting or deeper acting than Lyc. These substances that seem to be so inert in their crude form come out strongest when potentized and form medicines of wonderful use.