Phosphorus

Active metabolism. Rapid growth. Insidious onset, gradually increasing debility, ending in severe or rapid disease (Tarn.). Recurring effects, colds, croup, bleedings, etc. HÆMORRHAGE; vicarious; blood-streaked discharges of ulcers, etc. Decomposition. Polypi. Symptoms due to heart and lung affections. Tall, gracile, nervous and delicate. Phthisical habit. Acidosis. Weak spells; in joints; < exertion. Emptiness; in chest, stomach, etc. Acute senses. Erethistic exhaustion. TIGHTNESS; chest (l), cough, etc. Spots; pains or soreness in. Internal paralysis; throat, rectum, etc. Internal itching, tickling. Throbbings, here and there. Numbness. Jerkings, localised; subsultus. Joints stiff, with little pain. Human barometer. .................... Amative, but excitable and easily irritated. Anxious; fears being alone, twilight, ghosts, thunder-storms, etc. Quickly prostrated by unpleasant impressions. Timid and irresolute. VERTIGO; accompanies many symptoms; floating; on waking; whirling; > stool. Head, heavy, aches over one eye; with hunger; < children; < lying on r. side; > cold. Burning in temple. Cold occiput. Vertex throbs. Dandruff. Bald spots. Lachrymation, in wind. Vision; flashes; halos; red; green; black; > shade; narrow fields of; colored, then migraine. Choroiditis. Retinitis albuminurica. Glaucoma. Ears; echoes or reverberations in; deaf to human voice. Otitis; media. Mastoiditis. Nose; nervous motion of alæ; coryza, flows and stops; on alternate sides; swelled; caries; ulcer, etc. Epistaxis; of youths; then pneumonia; with cough, etc. Sneezing; < odors, smoke, etc. with dyspnœa. Descending nose colds. Sensitive smell. Pale about nose and mouth. Changing, sickly face; hollow eyes, with blue rings. Numb teeth. Gum sore behind central incisors. Palate itches. Abscess of hard palate. Sour taste and eructations. As of cotton or something hanging in throat. CRAVES COLD DRINKS WHICH >, but are VOMITED IN A LITTLE WHILE; after chloroform. Regurgitates ingesta. Waterbrash. Ravenous hunger; nightly; precedes attacks. Craves salt; what is refused when offered. Burning in gullet and stomach, < eating. Pressure above epigastrium. Stomach; EMPTY, HOLLOW FEELING IN; as if hanging down; < emotions; tremor, flutter or rolling over in. Sore spot in epigastrium. Rubs abdomen for >. Stool, like cooked sago; granular; slender; tough; diarrhœic, gray, bluish, watery, pouring out, painless, nervous, involuntary, exhausting. Anus open; prolapsed. Dysentery. Urinates, then weak. Pellicle on urine. Periodical albuminuria. Sexually erethistic, but impotent. Prolonged menses; replaced by smarting leucorrhœa. Oppressed for breath; < least motion. Tight, suffocating breathing, < cough. Larynx, raw, sore, furry; pains on speaking. Voice, low, hoarse, < evening; croupy, then bronchitis. Cough; hard, wheezing; dry; violent; painful; tickling; hacking; exhausting; with retching, burning in air-passages or trembling; < change of temperature, before strangers, laughing, exertion or singing. Expectoration; easy, bluish, rusty, salty, foamy or cold. Pneumonia; l. lower lung; secondary, with sopor. Chest full, heavy; stitches (l. upper); pains into throat or r. arm or alternating sides; rattling, < cold drinks. Dry, burnt feeling in chest with cough, at first dry then loose. Heart, pains into r. arm; violent palpitation from least thing; during goitre, etc.; weak; fatty; orgasms to. Left infra-mammary pain. Mammary abscess. Between scapulæ; cramp; burning. Spinal irritation, < heat. Pain forward from l. scapula. Tearing in l. shoulder at night. Burning spot in lumbar region. Numb fingers and toes. Palms burn. Paralyzing stitches in hips; then up back. Pain in tibiæ; periostitis. Ankles, as if to break. Suppressed foot-sweat. Tottery; stumbles easily. Icy cold feet. Toes cramp. Blood red spots. Thin, foul, bloody pus. Pyæmia. Yellow spots on abdomen. Jaundice; as a concomitant. Skin burns on shaving. Fatty cysts. Sleepless; eyes won't stay shut; from internal heat. Sleepy by day, sleepless before midnight. Sleeps in cat naps. Dreams, of fire; lewd. Somnambulism. Congestion to head, lungs, etc. Soft pulse. Coldness in cerebellum; of knees, in bed. Chilly in a warm room; down back. Craves ices, during the chill. Burning heat; local; up back. Hectic. Sweaty; early morning; sticky; without relief. Painless fevers.

LYING ON: LEFT or painful side. BACK. SLIGHT CAUSES: EMOTIONS. Talking. Touch. Odors. Light. COLD: HANDS (in water). Open air. WARM INGESTA. Salt. Puberty. Sexual excesses. Weather: Sudden changes. Windy. Cold. Thunder-storms. Morning and evening. Mental fatigue.

Eating. Sleep. Cold: Food. Water; to face. Rubbing (Magnetic). Sitting up.

CAVITIES: Head. LUNGS. Heart. CIRCULATION: Blood. BLOOD-VESSELS. Arteries. MUCOUS MEMBRANES: STOMACH. BOWELS. Lungs (lower). NERVES: Brain. Cord. Bones: Jaw; upper. Shin. Spine. Liver.

Complementary: Lyc. Sang. Sep. Antidotes: Coff. Nux-v. Related: Caus. Con. Sil.

Phosphorus

Phosphorus. The Element.

Adapted to tall slender persons of sanguine temperament, fair skin, delicate eyelashes, fine, blond, or red hair, quick perceptions, and very sensitive nature.

PHOSPHORUS — i^Cojitinued') .

Young people, who grow too rapidly, are inclined to stoop (to walk stooped, Sulph. ) ; who are chlorotic or anaemic; old people, with morning diarrhoea.

Nervous, weak; desires to be magnetized (Sil.).

Oversensitiveness of all the senses to external impressions, light, noise, odors, touch.

Restless, fidgety; moves continually, cannot sit or stand still a moment (restless, fidgety feet. Zinc.).

Burning: in spots along the spine; between the scapulce (as of a piece of ice, Lachn.) ; or intense heat running up the back; of palms of hands (Lach.) ; in chest and lungs; of every organ or tissue of the body (Ars., Sulph.) ; generally in diseases of nervous system.

Haemorrhagic diathesis ; small wounds bleed profusely (Kreos., Lach.) ; from every mucous outlet.

Great weakness and prostration : with nervous debility and trembling; of whole body; weakness and weariness from loss of vital fluids (Cinch., Phos. ac.).

Pain : acute, especially in the chest, < from pressure, even slight, in intercostal spaces, and lying on left side; excited by slightest chill ; open air intolerable.

A weak, empty, all-gone sensation in head, chest, stomach and entire abdomen.

Apathetic ; unwilling to talk ; answers slowly ; moves sluggishly (Phos. ac.).

Weary of life, full of gloomy forebodings.

Dandruff, falls out in clouds (Lyc.) ; hair falls out in bunches, baldness of single spots.

Eyes : hollow, surrounded by bine rings; lids, puffy, swollen, oedematous (upper lids. Kali c. ; lower. Apis).

PHOSPHORUS— .

Longs for: cold food and drink; juicy, refreshing things; ice cream > gastric pains.

As soon as water becomes warm in stomach it is thrown up.

Regurgitation of ingesta, in mouthfuls (Alum.).

Nausea from placing hands in warm water; sneezing and coryza from putting hands in water (Lac d. ).

Constipation : faeces slender, long, dry, tough, and hard ( Staph. ) ; voided with great straining and difficulty (Caust. ).

Diarrhoea: as soon as anything enters the rectum; profuse, pouring away as from a hydrant; watery, with sago-like particles ; sensation, as if the anus remained open (Apis); involuntary; during cholera time (which precedes cholera, Phos. ac.) ; morning, of old people.

Hemorrhage: frequent and profuse, pouring out freely and then ceasing for a time; metrorrhagia, in cancer; hemoptysis, vicarious, from nose, stomach, anus, urethra, in amenorrhoea.

Heaviness of chest, as if a weight were lying on it.

During pregnancy; unable to drink water; sight of it causes vomiting; must close her eyes while bathing (Lys.).

Cannot talk, the larynx is so painful; is dry, raw, rough, sore.

Cough : going from warm to cold air (rev. of Bry.) ; < from laughing, talking, reading, drinking, eating, lying on the left side (Dros., Stan.).

Perspiration has the odor of sulphur.

Necrosis of the (left) lower jaw.

it is isomorphic; Cepa, its vegetable analogue.

Incompatible : with Causticum, must not be used before or after.

Phos. removes the bad effects of Iodine and excessive 'use of table salt.

Follows well : after, Calc, or Cinch.

Hahnemann says : “Acts most beneficial when patient suffers from chronic loose stool or diarrhoea.”

Aggravation. — Evening, before midnight (Puls., Rhus) ; lying on left or painful side; during a thunderstorm; weather changes, either hot or cold.

Cold air relieves the head and face symptoms but aggravates those of chest, throat and neck.

Amelioration. — In the dark; lying on r. side; from being rubbed or mesmerized; from cold food, cold water, until it gets warm.

Lecture LIV — Phosphorus

Nux vom., Coffea, Ambra.

Rhus tox., Muriatic acid, Lachesis.

Carbo veg., Arsenicum, Nitric ac, Kali carb.

China, Veratr. alb.

. Sulphur, Calcarea ostr., Silicea, Lycopod., Calcarea phosphorus, i phos Cepa, Bryonia.

Zinc.

Terebinthina.

Osmium.

>Nux vomica, Terebinthina.

<Causticum.

This hour I wish to say a few words about Phosphorus. It has two complements, Arsenicum and Allium cepa. I have placed Nux vomica and Terebinthina as the antidotes. The use of Terebinthina comes to us from the old school. It seems to antidote Phosphorus by chemical action in rendering it inert. It also has antidotal effects when used in potency. Nux vomica is good when Phosphorus, as a remedy, has produced over-effects, or when it has been incorrectly given. In the study of Phosphorus we have to remember, first of all, as most important and as a quality that permeates every part of the Phosphorus proving, its action on the nervous system. Its symptoms in no instance point to increase of power or vitality, or to any genuine stimulation of function, but rather to that condition which we found under Arsenic, irritable weakness. The patient is exceedingly susceptible to external impressions. He can bear neither light, sounds nor odors; he is very sensitive to touch. Electric changes such as occur in sudden changes of the weather, but particularly in a thunderstorm, make him anxious and fearful, and aggravate all existing symptoms. His mind, too, is excitable and impressionable. He is easily angered and becomes vehement. This is not a simple peevishness. He actually gets beside himself with anger, and, just like the Nux and the Chamomilla patient, he suffers physically in consequence. At other times he is anxious and restless, especially in the dark or about twilight. He has all sorts of fanciful or imaginary notions. He sees faces grinning at him from every corner of the room. His thoughts may be so stimulated that they fairly rush through his mind; but this effect is only transient, and followed either by inability to think and remember, or by aggravation of all his symptoms on mental exertion. He cannot stand mental tax. Here again ft impinges on Nux vomica. As further evidence of the irritable weakness of Phosphorus, we have the delirium of that remedy. Now this delirium may be associated with typhoid fever, with jaundice, or with sexual erethism. It may be quite violent. It is characterized by a condition of ecstacy. The patient has a notion that his body is all in fragments, and he wonders how he is going to get the pieces together. He imagines that he is a great person surrounded by grand accoutrements, the mania of grandeur it is sometimes termed. At other times the mania takes the form of sexual excitement. He uncovers his person without any shame and seeks to gratify his sexual appetite, no matter who may be the victim. These delirious attacks pass into a state of coma, or into stupid condition of mind or state of apathy, during which he answers questions not at all or very reluctantly. Phosphorus is here very similar to Hyoscyamus, and often follows that remedy to erotic mania. It also bears points of resemblance to Stravionium, Bapfisia, Rhus fox. and Muriatic acid.

The same quality of the drug is shown in the symptoms throughout the body. Headache, for instance, is attended with increased sensitiveness to odors; the sense of smell is very acute, so that the patient faints away from the smell of flowers. There may be pulsating, throbbing headache, worse from music. The hearing for the sound of the human voice is imparled; associated with this is roaring in the ears, as from rush of blood. Sounds reverberate unpleasantly in the ears. There is also sexual excitement with frequent erections, lascivious thoughts entirely beyond the control of the patient, and frequent seminal emissions during sleep.

Symptoms of the spinal irritation are very characteristic of Phosphortts. These are associated with palpitation of the heart, worse from any emotion, whether it be grief, anger or pleasure. The spine, as in all these cases of spinal irritation, is exceedingly sensitive to touch. With all this there is a weakness of the spine. The back feels weak, as if it would soon give out. There is weakness of the limbs, with trembling, on beginning to walk. The patient stumbles a great deal, catching his toes in every little projection of the floor or pavement. He totters, and there seems to be imperfect coordination. He is sleepless from excessive heat. When asleep, his dreams are of a horribly exciting character. These are illustrations of the erethism of Phosphorus and also of diminished resistence to external stimulants. Such persons may degenerate into various diseased conditions. The loss of animal fluids, as blood, semen, or milk, or too frequent child-bearing, or too rapid growth in the young, is sufficient to precipitate nervous diseases such as paralysis, chorea and spinal disease, or tuberculosis. You will find Phosphorus indicated in locomotor ataxia, when there is a great deal of burning along the spine. There is also great tingling and formication along the spine and in the affected extremities. In the beginning the patients have extreme sexual excitement. That is a sort of sine qua non, either that they are excessively excitable, or else have been so.

You seldom find Phosphorus indicated in impotence, unless it has resulted or has been preceded by over-excitation of the sexual organs. This is a valuable hint. I find it especially indicated in young men who are trying to restrain their natural passion, and yet there is locally this erethism. This Phosphorus helps most wonderfully to control? If, by reason of celibacy or of over-indulgence in sexual pleasures, the sexual organs lose their power and the patient becomes impotent, Phosphorus is the remedy when this has been preceded by over-excitation. It is different from Conium, in which the patient may have been naturally excitable, but has gone on to this weakness.

Phosphorus is indicated in locomotor ataxia also, when it can be traced to excessive loss of animal fluids, as semen.'

Softening of the brain is another form of atrophy of the nervous tissue in which Phosphorus has won many laurels. The patient has a dull pain in the head, a wearied, tired feeling all the time, and slight difficulty in walking. It is particularly indicated after the use of Nux vomica. The question is sometimes asked, and quite properly, too, how can you put Nux vomica down as the antidote of Phosphorus, and then speak of it as a remedy that can precede or follow it? First, the antidote may follow the drug and may be needed, not to antidote it, but because symptoms which come up have an opposite polarity, and, consequently, require an opposite remedy; and, secondly, a remedy may be antidotal in some of its symptoms and concordant in others. Phosphorus may be used very successfully in chorea when it occurs in children who are growing too fast. The patient is very weak and walks as if paralyzed.

Continuing the nervous symptoms of Phosphorus still further, we find it indicated in low types of nervous fever and in typhoid types of fever. I am induced to use this expression, typhoid types of fever, in order to show that you can consider Phosphorus, not only in typhoid or typhus fever, but in any form of fever which assumes a typhoid form when these symptoms appear. It is indicated when there is great cerebro-spinal exhaustion. It is particularly the brain and spine which seem to have suffered from typhoid poison. The face is apt to be of an ashy or waxen hue or appearance. The tongue is covered with a viscid, thready sort of slime, which is expectorated with great difficulty. It seems to collect on the teeth and around the gums and on the tongue. It is tenacious and the patient is weak; and these two incompatibles make it difficult for him to cleanse the mouth. The body is hot.—and by the body I mean the trunk,—the head being rather cool and the limbs decidedly cold. There is congestion of both chest and abdomen. The breath is hot, and there is almost always either bronchial catarrh or pneumonia. I refer now more particularly to the pneumonic infiltration which belongs to typhoid fever, in which case Phosphorus is often indicated. The patient has burning thirst, which is relieved by drinking cold water. The thirst is worse from three to six o'clock in the afternoon. The patient is better from cold water until the water becomes warm in the stomach, when it is violently ejected. Phosphorus does not often do any good in vomiting, except in the chronic vomiting of dyspeptics, unless this condition is present.

This is quite different from Arsenic. It is also very different from Bismuth, this last-named remedy has vomiting immediately after taking food, with burning, cardialgic pains.

It is different from Kreosote, which has vomiting of undigested food hours after eating.

Let us return to Phosphorus in typhoid types of fever. The bowels are always affected. You will find that the liver is sore to the touch and usually enlarged. This is also true of the spleen. The patient has diarrhoea as soon as he eats. Here it is identical with Arsenic. Now, the stools in the Phosphorus case are flaky, dark, and often bloody, and there is extreme weakness after stool, that being a decided cerebro-spinal symptom. You find it in the cerebro-spinal remedies, in Conium, in Nux vomica, and especially in Phosphorus. When there is constipation you may have what has been called characteristically " dog stool," i. e., long, slender stool, which is evacuated with considerable effort. During this fever, which I say is mostly congestive and affects the chest and abdomen, the patient continually throws off the bed-clothes. He puts the arms out of bed to cool off. There is profuse sweat which does not relieve. Now I would like to caution you here that Mercury is not indicated in typhoid fever unless there be clearly defined icteroid symptoms, consequently you will not often have occasion to give it in this fever, and never should you give it for this symptom, "profuse sweat without relief, '

' unless it is so well defined by the icteroid and bowel symptoms that you are certain that you have the properly indicated remedy. Other remedies than Mercury have this symptom, notably Phosphorus, and also Rhus tox. and Chamomilla , the latter particularly in children. Phosphorus is indicated even in extreme cases of typhoid fever when there is threatening paralysis of the lungs. The patient lies in a sort of coma, with hot breath and rattling breathing. It seems as if there was a large quantity of phlegm rattling in the lungs. The limbs are cold and are covered with a cold sweat. The pulse is scarcely perceptible.

I would here remind you of Carbo veg. as also being suitable in collapse. It follows Phosphorus very well. It is distinguished, theoretically at least, from the latter remedy by this: Phosphorus acts more upon the cerebro-spinal nervous system and Carbo veg. more upon the sympathetic nerves, particularly on the solar plexus.

Next I wish to speak to you of a property of Phosphorus which does not depend upon the action of the drug on the nervous system, and that is the power of the drug to produce fatty degeneration. Phosphorus seems to affect the blood, how is not exactly known. It decomposes the blood, rendering it more fluid, rendering it difficult to coagulate. At the same time it produces hyperemia of one part or another. Thus you will find tendency to congestion of the head or of any of the viscera of the body. This hyperemia is not an active arterial congestion, but rather a stasis of blood. The affected part becomes engorged with blood, and as this is of an impoverished quality, it does not nourish properly and we have setting-in fatty degeneration of the part. This may be in the brain or spine (of this I have already spoken), it may be in the heart or lungs, but it is especially apt to occur in the liver and kidneys. The muscles even may undergo fatty degeneration.

On the liver, Phosphorus acts very prominently. The symptoms here are directly connected with fatty degeneration. When Phosphorus is taken for a long time you will find at first this hyperemia of the liver. That organ is consequently enlarged with the attendant symptoms, well-marked soreness and jaundice. The stools are apt to be grayish-white, showing the absence of the secretion of bile. The abdomen becomes decidedly tympanitic. By and by, the jaundice increases to an alarming extent, the pulse becomes weak and threadlike. These symptoms are traceable to two causes: first, the inevitable alterations in the blood which Phosphorus produces; and secondly, the poisoning of the blood by the retention within it of the elements which go to make bile. These have a depressing effect on the heart, making the pulse slow or else weak and thread-like. If you examine the liver at this stage, you find that it is beginning to atrophy, this atrophy depending upon destruction of the hepatic cells proper and increase of the stroma of the liver. The connective-tissue framework of the liver has undergone inflammatory increase. The pressure which this exerts on the hepatic cells causes their destruction. Thus we have what has been termed cirrhosis of the liver. Then comes ascites, and you find varicose veins coursing all over the abdomen. The blood becomes so poisoned that the patient goes into the delirium which I have already described. The urine may be highly albuminous in these cases. The icteroid symptoms increase and, finally, death ensues.

Phosphorus is useful in acute yellow atrophy of the liver, a condition which it also produces.

Again, it may be useful in fatty degeneration of the liver as a sequel of heart disease. It may also be indicated in waxy liver dependent upon long-lasting bone disease, as caries of the vertebra or of the hipjoint.

Phosphorus is also indicated in hepatitis when suppuration ensues with hectic fever, night sweats, enlargement in the right hypochondrium, and marked soreness over the liver.

The jaundice of Phosphorus is not functional in origin, but is indicative of organic disease; it is associated with anaemia, with brain disease, with pregnancy or with malignant diseases of the liver. Phosphorus has a marked action on the alimentary tract. The tongue is coated white, and this, as under Bryonia, is more along the middle of the organ. With bilious affections, the tongue is coated yellow; in typhoid affections, it is brownish or blackish and very dry. Here it is very much like Rhus. The throat and adjacent parts may be inflamed, particularly the uvula. White, transparent mucus collects in the throat. The patient is very hungry, particularly at night. This S5^mptom may almost amount to bulimy, which is also an indication for Phosphorus in chills and fever. He wakes up hungry and lies awake until he gets something to eat. There is longing for cold things, ice-cream, ice-water, etc. Cold food seems to relieve until it gets warm in the stomach, when there appears the characteristic vomiting of the remedy. Phosphorus may cure vomiting in chronic dyspepsia when there seems to be simple exhaustion of the stomach. Perhaps the inner surface of the viscus is coated with mucus, thus preventing the action of the gastric juice on the food. We also find Phosphorus useful in spasmodic stricture of the oesophagus, especially at its cardiac end. Food seems to go down a certain distance and then it is violently ejected.

Coming to the stomach itself, we find Phosphorus indicated in that very dangerous disease, perforating ulcer of the stomach. We find it there indicated by the pain, by the vomiting of food as soon as swallowed, and by the vomited matters containing a dark, grumous, semisolid substance looking like coffee-grounds.

We also find Phosphorus indicated by these same symptoms in cancer of the stomach, particularly when it is about to pass into the stage of ulceration.

Phosphorus is one of the few remedies that act on the pancreas. It is especially useful if there be fatty degeneration of that organ. The symptoms indicating it here are the gastric symptoms just enumerated, and oily stool. Sometimes the stool looks like frog spawn, or, to speak more accurately, like cooked sago. Phosphorus may also be remembered in diabetes mellitus and Bright' s disease when these have been preceded or are accompanied by disease of the pancreas. The intestinal tract is attacked by Phosphorus almost as violently as it is by Arsenicum. It produces constipation, the character of which I have already explained to you. It also produces diarrhoea. The stools may be profuse and watery, and worse in the morning. Here it runs against Sulphur and Podophyllum. It also produces green mucous stools, worse in the morning. The stools are apt to contain undigested food and are very debilitating to the patient. We find Phosphorus indicated in cholerine, or diarrhoea occurring in time of cholera epidemics. Paralysis of the bowels is also produced and cured by Phosphorus, particularly when the lower portions of the bowels, the colon and rectum, are affected. The anus seems to stand wide open and exudes moisture.

In diseases of the urinary organs Phosphorus is a first-class remedy. It is to be thought of in the diseases classed under the general term, Bright' s disease. It is useful in fatty or in amyloid degeneration of the kidneys, especialty if associated with a similar pathological condition of the liver and of the right or venous heart, with the consequent symptoms of venous stagnation and venous r^persemia in different organs, with oedema of the lungs and all the symptoms of pulmonary engorgement which indicate pneumonia. The urine contains epithelial, fatty or waxy casts.

Phosphorus may cure haemorrhages from any part of the body, particularly from the lungs and stomach when associated with Bright' s disease.

Phosphorus is a decided irritant to the sexual organs in either sex, producing nymphomania in the female and satyriasis or uncontrollable sexual desire in the male.

It does not affect the female organs very prominently. The menstrual discharges seem to be altered. They are often too profuse and longlasting, the menstrual blood being too pale. There is always a weeping, sad mood at that time. However, we find Phosphorus indicated more when the menses are checked; amenorrhcea when vicarious blood-spitting, epistaxis or hsematuria ensues.

In diseases of the mammary gland, Phosphorus is especially useful when abscesses have formed. The inflamed gland has an erysipelatous appearance. Red streaks radiate from the opening in the abscess. The pus discharged is not laudable, but is of a thin, watery, ichorous character. Here it is complementary to Silzcea, and very similar to Belladonna.

Next we take up the action of Phosphorus on the respiratory passages. In nasal catarrh we do not find it often indicated except it be chronic catarrh or ozsena. Then it is indicated by the color of the discharge, which is green mucus and blood-streaked. Green mucus not bloodstreaked does not often require Phosphorus.

Nasal polypus, when it bleeds much, calls for Phosphorus. It may also be used in polypi of the ears or uterus. Other remedies to be thought of here are Teucrium, Calcarea, Calcarea phos., Thuja and Sanguinaria.

On the larynx it acts more prominently than any other remedy we have. The symptoms indicating it here are hoarseness, which is usually worse in the evening, at which time it may amount to aphonia, and extreme sensitiveness of the larynx. The patient is worse from talking or coughing. It hurts the larynx for him to cough or talk, so sensitive is it to the vibrations thus produced.

It also causes catarrhal and membranous croup, but it is not usually indicated here in the beginning. But it acts as a sort of prophylactic to prevent the return of the disease. It is useful also in advanced cases of croup when the cerebro-spinal system is giving out, just as we found in typhoid states. Thus there are aphonia, rapid sinking of strength, cold, clammy sweat, rattling breathing, sunken, pale face and dropping of the lower jaw. The pulse in such cases is weak, thready and intermittent. In this group of symptoms Phosphorus is very similar to Lycopodium.

You find Phosphorus indicated in tracheitis and bronchitis, especially in tall, slender persons of rather tuberculous habit or tendency, rather inclined to stoop and to be hollow-chested. The cough is particularly worse on going from the warm room into the cold air, or in changes from warm to cold. It has dry, tickling cough caused by irritation in the larynx and beneath the sternum. In extreme cases it is associated with tremor of the whole body, so nervously weak is the patient. It is frequently accompanied by almost intolerable pain in the larynx from laryngeal catarrh, by splitting pain in the head just as you found under Bryonia, and by burning rawness down the larynx and trachea. There is tightness across the upper third of the lungs. Now, a word of caution respecting this tightness. It is not a feeling as from a band around the chest, but as though the lungs themselves were constricted.

The relation between the fauces, larynx and trachea, as a starting point for cough, has been aptty mapped out by Dr. Dunham and carefully distributed among three remedies. For instance, Belladonna acts upon the fauces. It causes dry, tickling, teasing cough. The throat is bright red and the tonsils enlarged.

Going further down, you find tickling in the suprasternal fossa. Every change in the breathing causes cough. This condition calls for Rumex.

When the irritation extends down still further, into the bronchi, then Phosphorus becomes the remedy.

We find Phosphorus indicated in a great variety of coughs. Thus it is useful in stomach or hepatic cough coming on after the patient eats, and starting from tickling at the pit of the stomach. It is also indicated in cough made worse by the entrance of a stranger into the room ; this being purely a reflex nervous symptom. It is also called for in cough provoked by strong odors. In fact, perfumes or anything that will disturb the balance of the nervous system will bring on cough under Phosphorus.

Phosphorus is indicated in bronchitis or bronchial catarrh, whether the disease involves the bronchial tubes high up or whether it extends down into the bronchioles. The symptoms are as follows: cough, with tearing pain under the sternum, as if something were being torn loose; suffocative pressure in the upper part of the chest, with constriction of the larynx. You will also find the lungs to be engorged with blood, mucous rales through the chest, panting and labored respiration and even emphysema. The sputa are of various kind. Thus we may have bloody and mucous sputum. Very characteristic is sputum, consisting of yellowish mucus, with streaks of blood running through it. It may be rust-colored, as in pneumonia, or it may be purulent and have a sweetish or salty taste.

In pneumonia, Phosphorus is indicated when the bronchial symptoms are prominent. Then it is almost certain to be the remedy. It does not cause hepatization of the lungs, so that it would not be indicated when the lung or lungs are in a complete state of hepatization. But it may be indicated for typhoid symptoms in the course of pneumonia (these symptoms I have already given to you), especially in the latter part of the period of deposit and in the early part of absorption, that is, just when hepatization is coming on and just when it is going off. There is great dryness of the air-passages, with burning, excoriating, raw feeling in the upper part of the chest.

In tuberculosis you find Phosphorus indicated particularly in youths, and by this expression I mean both young men and women who have grown too rapidly, who have delicate skin, long silky eyelashes, and who are of easy, graceful manners. The mental development is excellent, yet they have not the physique to support this keenness of mind. Particularly is it indicated if they have a hereditary tendency to consumption, or have had bone diseases in early childhood. The early symptoms, you will notice, are these: the patient catches cold easily; he suffers from rush of blood to the chest; he has the above-mentioned constriction across the chest with every little cold; pains through the apex of the left lung; cannot lie on the left side; aphonia; dry cough; hectic flush of the cheeks, particularly towards evening; oppression of the chest at night, forcing him to sit up: empty feeling at the pit of the stomach, particularly in the forenoon at ten or eleven o'clock; he awakens hungry at night, feeling that he must eat, and that he would faint if he did not. Finally, the hectic fever grows more prominent. There is rapid formation of vomicse or cavities in the lungs. These are the indications for Phosphorus in pneumonia, and I must supplement them with a warning. Unless you give the drug cautiously, you precipitate what you would prevent. Be certain that it is the remedy, and do not give it too often, or you will hasten the process you are anxious to avoid. I would not advise you to give Phosphorus in wellmarked tuberculous patients. If tubercles have been deposited in the lungs, you should hesitate before giving it, unless the " picture" calling for it is so strong that you cannot possibly make a mistake. I may say that the same is true also of Sulphur. Sulphur is adapted to the onset of the disease. Then, a dose or two allowed to act will frequently head these symptoms off. But after tubercles have been deposited, you must be careful how you use the drug.

I would next say a few words about the action of Phosphorus on the heart. It is particularly indicated in affections of this organ when the right side of the heart is involved more than the left. Its symptoms point more to the bad results that follow disease of the right heart than disease of the left; in a word, venous stagnation. It is suited to all forms of palpitation; palpitation from emotion, as from the sudden entrance into the room of an unexpected visitor, welcome or unwelcome; from motion; and also from rush of blood to the chest. Particularly does this latter occur in the rapidly-growing young.

Phosphorus must also be remembered in endocarditis, in which disease it is often forgotten. Particularly is it indicated when endocarditis or myocarditis occurs during the course of acute inflammatory rheumatism or during pneumonia.

Phosphorus is also useful for fatty degeneration of the heart. You distinguish it from Arsenicum by the involvement of the right heart, by venous stagnation and pufifiness of the face, particularly under the eyelids. Arsenicum has more symptoms of the left heart, more oppression of the chest in breathing, more orthopncea, and more anasarca or general dropsy.

Phosphorus acts upon the bones. We find this illustrated in the necrosis of the lower jaw, formerly so common among matchmakers. The fumes of the Phosphorus cause necrosis of the lower and sometimes of the upper jaw. You may ask, is this not a local effect produced by inhalation of the fumes ? If it is a local effect, why does it affect by preference the lower jaw? Why not the upper? But, when persons have been poisoned by eating Phosphorus , if necrosis results, it is the lower jaw that is affected, thus showing you that the drug has a special affinity for this bone. It is to be remembered in caries or necrosis of the lower jaw. This you sometimes meet with from teething or from an inflamed or suppurating gland. Phosphorus affects other bones as well as the lower jaw, however. We find it not infrequently indicated in caries of the vertebra in scrofulous children. The concomitant symptoms have to decide the remedy for you. For instance, the child is of the characteristic Phosphorus build. There is diarrhoea, worse in the morning, much like that of Sulphur, the stool containing undigested food. There is tendency to involvement of the lungs. For instance, the patient catches cold easily, with marked tendency to bronchitis. Still further, we may be called upon to use Phosphorus in caries of the vertebra when the inflammation has extended inwards and involved the spinal cord itself. This you notice to be expressed first by burning in certain portions of the spine. The patient cannot tolerate any heat near the back. A hot sponge on the back causes him to wince. There will be a feeling as of a band around the body. The difficulty in walking increases until finally the child cannot walk at all. There is often partial loss of control over the sphincters.

Phosphorus also affects the joints, the hip and knee-joints in particular. Hence, it may be indicated in morbus coxarius or in white swelling, both common, as you know, in scrofulous children. Here, too, you have to separate it from the other antipsorics by the general symptoms. I would say, for your guidance, that Phosphorus belongs with Silicea and seems to complement it. It is useful when Silicea has been partially successful in these joint-diseases.

Fistulae in the glands and about the joints are apt to form with Phosphorus. These fistulous ulcers have high edges from exuberant granulations, the purulent discharge being rather thin and ichorous. Around the ulcer Phosphorus has, probably more than Silicea, an erysipelatous blush, often radiating as in Belladonna. There will frequently be burning, stinging pains, well-marked hectic fever with night sweat, diarrhoea, and anxiety towards evening.

These same symptoms apply to inflammation of the mammary glands when there are fistulous ulcers, as in Silicea, but distinguished from that remedy by the erysipelatous blush.

Burning and stinging pains also suggest Apis, but Apis does not cause deep-seated suppuration, such as that in the parenchyma of an organ.

Next, I wish to say a word about the action of Phosphorus on the eyes. While it may not be the best remedy for affections of the external parts of the eye, it certainly does lead the list for diseases involving the deeper structures of that organ, as the retina, choroid and vitreous humor. It is particularly in nervous affections of the eye that we find Phosphorus indicated, and by " nervous" I mean belonging to the nerves of the eye. Thus it is suited to hyperemia of the choroid and retina, which may even result in retinitis or choroiditis, and when it does so result, it is apt to be a serious trouble. Vision is greatly lessened. The patient sees all sorts of abnormal colors, black spots in the air and gray veils over things; it seems as if he were constantly looking through a mist or fog. Objects look red. Letters appear red when reading. That symptom, I believe, is under no other remedy but Phosphorus. Other remedies have red vision, but under Phosphorus alone is it that in reading the letters look red. This remedy is also indicated in retinitis accompanying kidney affections, retinitis albuminuria.

It may also be indicated in retinitis with suppression of menses or some other uterine or ovarian disorder. When you have an eye affection to deal with do not forget that the eyes are not the whole body. Remember that lesion in the eye may have as a starting point, disease in some other part of the body. Therefore, in making your prescription, do not forget to look for the constitutional symptoms that may be present.

We also find Phosphorus indicated in either amblyopia or asthenopia, particularly when associated with Bright' s disease or resulting from loss of fluids. When the patient attempts to read the letters blur and run together, and the eyes smart and burn. It is useful in amblyopia occurring after typhoid fever, sexual excesses or loss of fluids. It is also suited to blindness after lightning-stroke. In these cases the patient almost always sees a green halo around the candle-light. I would like to say that Phosphorus will retard the growth of cataract. Other remedies that may suggest themselves in this condition are Silicea, Baryta carb., Conium, Seca/e, Natrum mur., Calcarea ostr. and Magnesium carb.

In addition to producing oversensitiveness to sound, as already mentioned, Phosphorus has the opposite effect, deafness or hardness of hearing, particular^ for the sound of the human voice. We have exactly the opposite symptom under Ignatia. This deafness may be purely nervous, as after typhoid fever. It may also indicate the drug in congested states when the hardness of hearing is associated with buzzing and roaring in the ears.

Phosphorus acts on the blood, destroying its coagulability. Thus it is that small wounds bleed much. I think that these are the words of the symptom as Hahnemann gave it to us. The way that he found that to be characteristic of Phosphorus was this: one prover noticed that when he pricked his finger it was difficult to stop the bleeding. Hahnemann put this down as a possible symptom of Phosphorus. Later, a patient came to him, and described the totality of her symptoms. She had this bleeding. He gave her Phosphorus which cured her. Since then this drug has been used many times for this hsemorrhagic diathesis. Lachesis has a similar symptom, but has not been so thoroughly confirmed as has Phosphorus.

Phosphorus is also indicated in haematemesis. This may be vicarious as from a suppressed menstrual flow, or it may result from simple congestion of the stomach, or even from organic disease of the stomach, particularly open cancer or round ulcer of the stomach. The vomited matters contain dark grumous substances, looking like coffee-grounds. Phosphorus may also be used in haemoptysis, when indicated by the symptoms already given.

Great lowness of spirits. Easily vexed. Fearfulness, as if something were creeping out of every corner. Clairvoyant state. Great tendency to start. Over- sensitive to external impressions. Loss of memory. Memory. Paralysis of the insane. Ecstasy. Dread of death when alone. Brain feels tired. Insanity, with an

exaggerated idea of one's own importance. Excitable, produces heat all over. Restless, fidgety. Hypo-sensitive, indifferent.

Phosphorus irritates, inflames and degenerates mucous membranes, irritates and inflames serous membranes, inflames spinal cord and nerves, causing paralysis, destroys bone, especially the lower jaw and tibia; disorganizes the blood, causing fatty degeneration of blood vessels and every tissue and organ of the body and thus gives rise to hæmorrhages, and hæmatogenous jaundice. Produces a picture of destructive metabolism. Causes yellow atrophy of the liver and sub-acute hepatitis. Tall, slender persons, narrow chested, with thin, transparent skin, weakened by loss of animal fluids, with great nervous debility, emaciation, amative tendencies, seem to be under the special influence of Phosphorus. Great susceptibility to external impressions, to light, sound, odors, touch, electrical changes, thunder-storms. Suddenness of symptoms, sudden prostration, faints, sweats, shooting pains, etc. Polycythemia. Blood extravasations; fatty degenerations, cirrhosis, caries, are pathological states often calling for Phosphorus. Muscular pseudo-hypertrophy, neuritis. Inflammation of the respiratory tract. Paralytic symptoms. Ill effects of iodine and excessive use of salt; worse, lying on left side. Tertiary syphilis, skin lesions, and nervous debility. Scurvy. Pseudo-hypertrophic paralysis. Ataxia and adynamia. Osteo myelitis. Bone fragility.

Worse, touch; physical or mental exertion; twilight; warm food or drink; change of weather, from getting wet in hot weather; evening; lying on left or painful side; during a thunder-storm; ascending stairs. Better, in dark, lying on right side, cold food; cold; open air; washing with col water; sleep.

Vertigo of the aged, after rising (Bry). Heat comes from spine. Neuralgia; parts must be kept warm. Burning pains. Chronic congestion of head. Brain-fag, with coldness of occiput. Vertigo, with faintness. Skin of forehead feels too tight. Itching of scalp, dandruff, falling out of hair in large bunches.

Pale, sickly complexion; blue rings under eyes. Hippocratic countenance. Tearing pain in facial bones; circumscribed redness in one or both cheeks. Swelling and necrosis of lower jaw (Amphisbæna; Hecla lava).

Cataract. Sensation as if everything were covered with a mist or veil, or dust, or something pulled tightly over eyes. Black points seem to float before the eyes. Patient sees better by shading eyes with hand. Fatigue of eyes and head even without much use of eyes. Green halo about the candlelight (Osmium). Letters appear red. Atrophy of optic nerve. Œdema of lids and about e eyes. Pearly white conjunctiva and long curved lashes. Partial loss of vision from abuse of tobacco (Nux) Pain in orbital bones. Paresis of extrinsic muscles. Diplopia, due to deviation of the visual axis. Amaurosis from sexual excess. Glaucoma. Thrombosis of retinal vessels and degenerative changes in retinal cells. Degenerative changes where soreness and curved lines are seen in old people. Retinal trouble with lights and hallucination of vision.

Hearing difficult, especially to human voice. Re-echoing of sounds (Caust). Dullness of hearing after typhoid.

Fan-like motion of nostrils (Lyc). Bleeding; epistaxis instead of menses. Over-sensitive smell, (Carbol ac; Nux). Periostitis of nasal bones. Foul imaginary odors (Aur). Chronic catarrh, with small hæmorrhages; handkerchief is always bloody. Polypi; bleeding easily (Calc; Sang).

Swelled and easily bleeding gums, ulcerated. Toothache after washing clothes. Tongue dry, smooth, red or white, not thickly coated. Persistent bleeding after tooth extraction. Nursing sore mouth. Burning in œsophagus. Dryness in pharynx and fauces. Thirst for very cold water. Stricture of œsophagus.

Hunger soon after eating. Sour taste and sour eructations after every meal. Belching large quantities of wind, after eating. Throws up ingesta by the mouthfuls. Vomiting; water is thrown up as soon as it gets warm in the stomach. Post-operative vomiting. Cardiac opening seems contracted, too narrow; the food scarcely swallowed, comes up again (Bry; Alum). Pain in stomach; relieved by cold food, ices. Region of stomach painful to touch, or on walking. Inflammation of stomach, with burning extending to throat and bowels. Bad effects of eating too much salt.

Feels cold (Caps). Sharp, cutting pains. A very weak, empty, gone sensation felt in whole abdominal cavity. Liver congested. Acute hepatitis. Fatty

degeneration (Carbon tetrachloride; Ars. Chlorof). Jaundice. Pancreatic disease. Large, yellow spots on abdomen.

Very fetid stools and flatus. Long, narrow, hard, like a dog's. Difficult to expel. Desire for stool on lying on, left side. Painless, copious debilitating diarrhœa. Green mucus with grains like sago. Involuntary; seems as if anus remained open. Great weakness after stool. Discharge of blood from rectum, during stool. White, hard stools. Bleeding hæmorrhoids.

Hæmaturia, especially in acute Bright's disease (Canth). Turbid, brown, with red sediment.

Lack of power. Irresistible desire; involuntary emissions, with lascivious dreams.

Metritis. Chlorosis. Phlebitis. Fistulous tracks after mammary abscess. Slight hæmorrhage from uterus between periods. Menses too early and scanty- not profuse, but last too long. Weeps before menses. Stitching pain in mammæ. Leucorrhœa profuse, smarting, corrosive, instead of menses. Amenorrhœa, with vicarious menstruation (Bry). Suppuration of mammæ, burning, watery, offensive discharge. Nymphomania. Uterine polyps.

Hoarseness; worse evenings. Larynx very painful. Clergyman's sore throat; violent tickling in larynx while speaking. Aphonia, worse evenings, with rawness. Cannot talk on account of pain in larynx. Cough from tickling in throat; worse, cold air, reading, laughing, talking, from going from warm room into cold air. Sweetish taste while coughing. Hard, dry, tight, racking cough. Congestion of lungs. Burning pains, heat and oppression of chest. Tightness across chest; great weight on chest. Sharp stitches in chest; respiration quickened, oppressed. Much heat in chest. Pneumonia, with oppression; worse, lying on left side. Whole body trembles, with cough. Sputa rusty, blood-colored, or purulent. Tuberculosis in tall, rapidly-growing young people. Do not give it too low or too frequently here, it may but hasten the destructive degeneration of tubercular masses. Repeated hæmoptysis (Acal). Pain in throat on coughing. Nervous coughs provoked by strong odors, entrance of a stranger; worse in the presence of strangers; worse lying upon left side; in cold room.

Violent palpitation with anxiety, while lying on left side. Pulse rapid, small, and soft. Heart dilated, especially right. Feeling of warmth in heart.

Burning in back; pain as if broken. Heat between the shoulder-blades. Weak spine.

Ascending sensory and motor paralysis from ends of fingers and toes. Stitches in elbow and shoulder joints. Burning of feet. Weakness and trembling, from every exertion. Can scarcely hold anything with his hands. Tibia inflamed and becomes necrosed. Arms and hands become numb. Can lie only on right side. Post-diphtheritic paralysis, with formication of hands and feet. Joints

suddenly give way.

Wounds bleed very much, even if small; they heal and break out again. Jaundice. Little ulcer outside of large ones. Petechiæ. Ecchymosis. Purpura hæmorrhagia. Scurvy. Fungous hematodes and excrescences.

Great drowsiness, especially after meals. Coma vigil. Sleeplessness in old people. Vivid dreams of fire; of hæmorrhage. Lascivious dreams. Goes to sleep late and awakens weak. Short naps and frequent wakings.

Chilly every evening. Cold knees at night. Adynamic with lack of thirst, but unnatural hunger. Hectic, with small, quick pulse; viscid night-sweats. Stupid delirium. Profuse perspiration.

Complementary: Ars; Cepa; Lyc; Silica. Sanguisuya 30-Leech–– (Persistent hæmorrhages; effects of use of leeches). Phosph pentachloride (great soreness of mucous membrane of eyes and nose, throat and chest sore). Incompatible: Caust. Compare: Tuberculinum follows Phosphor well and complements its action. Phosphorus hydrogenatus (crumbling teeth; hyperæsthesia; locomotor ataxia); Amphisbæna (right jaw swollen and painful). Thymol (Typical sexual neurasthenia; irritable stomach; aching throughout lumbar region; worse, mental and physical exertion); Calc; Chin; Antim; Sep; Lyc; Sulph. In Pneumonia, Pneumococin 200 and Pneumotoxin (Cahis) taken from the Diplococcus lanceolatus of Fraenkel. Pneumonia and paralytic phenomena; pleuritic pain and pain in ilio-cecal region (Cartier). Antidote: Antidote to Phosph. Poisoning: Turpentine with which it forms an insoluble mass. Also Potass permang. Nux. Phos antidotes the nausea and vomiting of chloroform and ether.

Third to thirtieth potency. Should not be given too low or in too continuous doses. Especially in tuberculous cases. It may act as Euthanasia here.

Phosphorus

The complaints of Phosphorus are most likely to arise in the feeble constitutions, such as have been born sick, grown up slender, and grown too rapidly.

Its complaints are found in such as are emaciated, and in those who are rapidly emaciating; in children who are going into marasmus, and in persons who have in them the foundation of consumption fairly well laid. Delicate, waxy, anemic and emaciated subjects. In persons who are vehement, irascible. This expresses the person's disposition somewhat as well as his internal constitutional state. Internally he is in a turmoil. Subject to violent pulsations, complaints from electric changes in the atmosphere; violent palpitations and orgasms. In chlorotic girls who have grown too rapidly and have suddenly taken on weakness, pallor, green sickness, with menstrual difficulties. Ebullitions and congestions. Hemorrhagic constitutions.

Blood: Small wounds bleed much; the prick of the needle will bubble forth much bright red blood.

Hemorrhage from small wounds, from the nose, from the lungs, from the stomach, from the bladder and from the uterus. Bleeding from ulcerations. False granulations that bleed. Purpura hoemorrhagica. Black and blue spots. Blood settles beneath the conjunctiva, or beneath the skin anywhere.

Bloody saliva; evidences of disorganized blood, or that the blood seems to become fluid. Small bruises take on broad blue spots. Blows much blood out of the nose. Petechiae all over the body, such as are found in typhoid fever, low forms of continued fever with hemorrhages. Fungous growth. Fatty degeneration is a marked feature of Phosphorus, and can be found in the liver, heart or kidneys.

General dropsical condition. Bloating of the hands and feet, especially dropsical conditions after scarlet fever. The mucous membranes are all pale, such as is found after bleeding or in low forms of disease. A marked state of anemia and relaxed condition of the muscles. Muscles flabby. Fatty degeneration of the muscles.

The genitals hang down. In the woman, relaxation of the pelvic organs, prolapsus and other displacements. Stiffness is a marked feature of Phosphorus. Stiffness on beginning to move. Limbs stiff like a foundered horse, especially in the morning. Rheumatic stiffness in all the limbs. Phosphorus has tearing, drawing pains in the limbs. Drawing, tearing pains in affected parts. Phosphorus complaints are worse in cold weather.

The patient himself, generally considered, is sensitive to cold. All his complaints are worse from cold and cold applications, and better from beat and warm applications, except the complaints of the head and stomach, which are ameliorated from cold as will hereafter be described. Phosphorus has been very useful in weak, relaxed conditions of the joints following sprains, when the symptoms agree.

Necrosis is another feature of Phosphorus, especially of the lower jaw, but may be useful in necrosis of any of the bones. Exostoses of the skull with tearing pains. Tearing, boring pains, especially at night. Phosphorus has cured polypi of the nose and cars. Scrofulous and glandular swellings. Glands enlarge, especially after contusions like Bellis.

Glandular affections of weak, pale, sickly individuals, such as suffer from diarrhea, such as suffer from exhaustive conditions, abscesses, fistulous openings, with hectic fever. Abscesses with copious discharge of yellow pus. Malignant growths are greatly restrained by the use of Phosphorus, when the symptoms agree. Burning pains are observed everywhere. Burning in the brain, burning in the skin. Burning in the stomach, in the chest, and in various parts. The Phosphorus patient is very sensitive to all external impressions slight odors, noises, touch. Slight causes lead to exhaustion of either body or mind. Trembling throughout the body from slight causes, using the bands, from slight exertion, from debility, from coughing. Weakness prevails in a marked degree, finally becoming paralysis or paralytic weakness such as occurs in most forms of typhoid fever, with sliding down in bed, trembling and jerking of the muscles. Paralysis with formication and tearing in the limbs. Paralysis that comes with apoplexy. Jerking and twitching of the muscles such as has been found in paralysis. Spasms of the paralyzed parts. Tearing, drawing, burning pains throughout the body.

The Phosphorus patient wants to be rubbed. He is generally better after sleep. Always wants to rest. Always tired. The Phosphorus patient undergoes great excitement. Tremulousness. Wild thoughts. Excitability, keeping him awake at night. Violent imaginations.

Mind: Excitability even to ecstasy and clairvoyance.

The mind may be overactive or may be extremely passive with loss of memory. Irritability of mind and body and great prostration of mind after slight mental effort, and of the body afar slight physical exertion. Anxiety, gloomy forebodings. Fear that something will happen. Anxious at twilight. Anxious when alone. Apprehensiveness. Apprehensive during thunder storms, which brings on many complaints; palpitation, diarrhea and trembling. Trembling of the whole body. Attacks of indigestion from fear. Fear in the evening, fear of death. Fear of strange old faces looking at him from the corner. Full of strange, insane imaginations. On the border land of insanity. Inability to sustain a mental effort. Fear of apoplexy. Reflecting brings on headache and difficult breathing associated with apprehensiveness or sinking at the pit of the stomach. His fear seems to begin 'at the pit of the stomach.

Apathy or indifference; indifferent to his friends and surroundings. Indifferent to his children. Answers no questions, takes no notice of his family and things about him, answers slowly, thinks sluggishly, seems dazed or in a stupor. Everything looks dark, he is weary of life, gloomy and says nothing.

Dejected; a most marked case of hypochondriasis. Weeping, sad, hysterical; will uncover the body and expose his person. Violent, loquacious; delirium. Delirium of low forms of fever, or delirium of mania a potu.

Maniacal attacks come on during sleep with fury and extreme violence, so that no one dares approach him, and this progresses to imbecility, silliness, weak brain, idiocy. Brain fag from mental overwork and constant strain of eyes. Vertigo is a very common symptom throughout all of the complaints of Phosphorus. Staggering while walking as if intoxicated. Vertigo when in the open air; vertigo after eating; vertigo in the evening. Heaviness and confusion in the head and things go round; great weakness of the head.

All of these mental symptoms are worse in the dark; worse when alone; sometimes worse from music; worse from excitement; worse from playing the piano.

Head: The headaches of Phosphorus are congestive and throbbing.

The blood mounts to the head. The headaches are ameliorated from cold and worse from heat, worse from motion, and better from rest, worse lying down. The patient is often compelled to sit upright, with great pressure upon the head and cold applications. The face is flushed and hot; burning in the brain.

The warm room, warm surroundings, warm food, putting the hands into warm water will increase the headache. The complaints of the head like the complaints of the stomach are worse from heat, warm applications and from warm food, and better from cold things; while the complaints of the body are better from warmth and, worse from cold.

The headaches are most violent and are often attended with hunger or preceded by hunger; headaches with vomiting, red face, and scanty urine; uraemic headaches; violent neuralgic pains darting, tearing, shooting through the head; pressing pains in the head. Periodical headaches, headaches brought on from mental exertion.

Great heat in the head and stiffness in the muscles of the face and jaws. This is sometimes attended with coldness in the back of the head. Shocks through the brain. The headaches are worse from noise, from light; apoplectic congestion of the head. It has cured acute hydrocephalus and hydrocephaloid symptoms. Chronic inflammation of the meninges of the brain; softening of the brain; imbecility; insanity. Violent head pains; atrophy of the brain; medulla oblongata. The scalp is covered with dandruff; the hair falls out in patches, leaving bald places here and there. Great heat in the scalp; tension in the scalp and face and forehead as if bound by a bandage. Scaly eruptions on the bald places of the head; exostoses on the skull.

The complaints of the head are brought on from becoming overheated. Sensation as if the hair were pulled; great soreness of the scalp; must let the hair hang down during headaches.

Eyes: The eye symptoms are very numerous; burning, redness, congestion, enlargement of the blood-vessels.

Objects look red and often blue in the field of vision, or objects sometimes look green and gray as is observed in incipient cataract. Colors, also, appear black before the eyes. Vision is vague; the eyes give out while reading; sees better in the morning, in the twilight.

The eye symptoms, like Phosphorus in general, have amelioration after rest. Momentary blindness like fainting; seems to suddenly become blind; paralysis of the optic nerve; blindness after electric shocks, or after a stroke of lightning. It has cured glaucoma. It has cured inflammation of the retina in Bright's disease. It has cured opacity of the vitreous humor. It has cured paralytic weakness of the various muscles of the eyes. It has cured paralysis of the third pair of nerves where there is falling of the lids; sub-acute inflammation of the eyes.

Burning, redness, and smarting ameliorated from cold applications. The eyelids twitch and tremble; swelling of the eyelids; dropsical swelling of the eyelids; great darkness around the eyes; great circles around the eyes. It is a very useful remedy in malignant growths involving the eye, restraining very much the progress of the disease.

The eye symptoms like the head and mind symptoms are such as often come on in brain workers; working under a bright light causing much determination of blood to the head in which the eyes as well as other parts suffer.

Ears: Phosphorus has a peculiar deafness. One of the most striking features of Phosphorus is inability to understand the articulations of the human voice. Hearing is difficult. He sometimes feels as if there were something over the ears; as if the ears were covered, obstructing the waves of sound.

Violent itching in the ears; congestion of the external ear; itching, tearing, throbbing, burning pains within the ear, It has cured polypi in the ears.

Nose: The nose symptoms are also very numerous; inveterate nasal catarrh.

He takes cold in the nose, but the most common seat of the Phosphorus cold is in the chest, and most of his difficulties begin in the chest, but Phosphorus cures nasal catarrh and coryza. There is painful dryness in the nose; constant sneezing and running from the nose of bloody water.

Frequent alternations of fluent and stopped-up conditions of the nose; coryza with sore throat; stoppage of the nostrils; much sneezing and stopping of the nose alternating with dryness of the nose in scarlet fever; nostrils filled with green mucus; a copious nasal discharge of greenish-yellow, blood-streaked mucus, worse in the morning; bad odor from the nose; frequent blowing of blood from the nose; copious hemorrhage from the nose of bright red blood; swelling of the nose, redness and shining; very sensitive to touch; necrosis of the bones of the nose.

It has cured polypi of the nose, especially bleeding polypi. Fan-like motion of the nose, like Lycopodium.

Face: The Phosphorus patient presents a sickly face, earthy, sunken and pale, such as we find in consumption and those about to go into consumption those suffering from deep-seated constitutional conditions; haggard, anemic. The color is changeable; swollen, oedematous face; puffed under the eyes; lips and eyelids swollen. Again, red spots upon the checks, which appear in hectic fever; the hectic blush. Tension of the skin and of the face; tearing, shooting pains all through the face and about the eyes, from the temples and vertex down to the zygoma. Jerking, tearing pains in the teeth. The pains of the teeth are often ameliorated by warmth, while those of the head are ameliorated by cold. The pains of the teeth are worse when talking and eating, and worse after eating It has violent neuralgias of the face involving the jaw and temples, with hot, bloated face, worse from talking and from eating.

It has caries of the lower jaw, with great heat, burning and fistulous openings. Neuralgia of the face and teeth; has to be wrapped up at night; worse in windy weather.

The countenance is sickly, sunken, declining, as if a serious sickness was coming.

The lips are parched, dry and bleeding. The lips become black, brown and cracked as in low forms of fever, and with necrosis of the lower jaw. Inflammation of the parotid gland, especially when it suppurates or there are fistulous openings. Rapid decay of the teeth. The gums bleed and settle away from the teeth. Phosphorus is very useful for the bright red hemorrhage after the extraction of teeth. The tongue is swollen and speech is difficult. It is difficult to articulate. The taste in the mouth is bitter or sour, especially sour after taking milk; sometimes salty or sweetish; bitter after eating. Taste of hydrogen sulphide in the morning. The tongue is coated like fur; sometimes chalkywhite, sometimes yellow; dry, cracked and bleeding; sordes on the teeth. Crusts form upon the mucous membranes of the mouth, gums, lips and tongue. The tongue is swollen and the papillae are engorged.

Throat: Dryness of the mouth and throat; sore, excoriated mucous membranes of the mouth and throat.

The mouth may be covered with thrush, as in nursing sore mouth; bloody erosions of the mouth; nursing sore mouth. Much watery saliva and bloody saliva flows from the mouth. The saliva is copious, tasting sweetish, saltish or foul. The mucous membranes of the throat are like those of the mouth. Great dryness, roughness, rawness, excoriation, bleeding, and inflammation of the tonsils; inflammation of the throat; sensation of cotton in the throat; sensation of velvet in the throat.

The tonsils are much swollen. Intense pain in the throat and burning in the throat that extends into the oesophagus. Inability to swallow any nourishment because of paralysis of the oesophagus or acute inflammation of the mucous membranes of the throat and oesophagus; constriction of the oesophagus.

In Phosphorus there is violent hunger and very soon after eating the hunger returns again. Must eat during the chill. Must get tip in the night to eat. Feels faint and is driven to eat. Ravenous hunger during headache; he knows that the headache is coming on because of his violent hunger; in periodical headaches.

The hunger is often spasmodic, because at times there is aversion to food. Again, he wants to eat and as soon as the food is offered he does not want it. Thirst is one of the most constant features of Phosphorus.

In acute and chronic complaints there is violent thirst; thirst for ice-cold drinks. Wants something refreshing; is ameliorated momentarily by drinking cold things, but the thirst appears as soon as the water gets warm in the stomach. Vomiting comes on as soon as the water becomes warm in the stomach, but there are many conditions where the ice-cold water agrees.

Unquenchable thirst. When the water is vomited there is always unquenchable thirst. He wants cold food as well as cold drinks; refreshing, spicy things, juicy things; desire for wines and sour things. Phosphorus often cures the violent' longing in inebriates for alcohol.

It simply resembles the congestion of the mucous membrane of the stomach. Aversion to sweets, to meat, to boiled milk, to salt fish, to beer, to puddings, to tea and coffee. Many of the complaints of Phosphorus are ameliorated by eating. The nervous symptoms of Phosphorus drive the patient to eat and he feels better for a little while, and then he must eat again or the nervous symptoms will come on. Often he can sleep better after eating and cannot go to sleep until he eats something.

Stomach: The stomach symptoms are numerous: pains, nausea, vomiting, burning.

The stomach symptoms are ameliorated by cold things and aggravated by warm things. The nausea and vomiting are brought on by putting the hands into warm water, from being in a warm room, from warm things and from taking warm things into the stomach. The nausea of pregnancy is cured when the woman cannot put the hands into warm water without bringing on vomiting. Another marked feature of Phosphorus is eructations of food.

The food is eructated by mouthful until the stomach is emptied of the last meal. Constant nausea except when something cold is in he stomach. As soon as water becomes warm in the stomach it comes up. This very much resembles the vomiting and nausea of Chloroform, and Phosphorus is a great friend to the surgeon because he can nearly always antidote the stomach affections of Chloroform by Phosphorus. Vomiting of blood and violent vomiting of sour fluids; vomiting of bile and mucus; vomiting of black substances, coffee-ground substances. Awful sinking, gone feeling in the stomach. This sometimes comes at 11 o'clock like Sulphur. Pressing pains, burning pains, tearing pains in the stomach; pain in the stomach after eating; sensitiveness in the pit of the stomach; inflammation of the stomach. It has been a very useful remedy in cancer of the stomach, with coffee-ground vomiting and burning; coldness, as if freezing, in the pit of the stomach; paroxysms of knife-like pains in the stomach. The pains in the stomach are ameliorated by icecold things for a moment; spasmodic contractions of the stomach; hemorrhage from the stomach; vomiting of great quantities of clotted blood; long-standing dyspepsia; much flatulence; regurgitation of food; distended stomach and abdomen; ulceration of the stomach.

The liver furnishes us many symptoms of Phosphorus. Congestion of the liver, fullness, pain, hardness, fatty degeneration of the liver, hyperemia of the liver. Phosphorus is one of the most useful liver remedies; hard, large liver. With the stomach and liver symptoms there is commonly jaundice.

Abdomen: Very sensitive abdomen, painful to touch, rolling and rumbling.

Sensation of emptiness in the abdomen; sunken feeling in the abdomen. The abdomen feels as if relaxed; hanging down sensation and sensation of great weight in the abdomen. Tympanitic abdomen such as occurs in typhoid fever. A marked feature in Phosphorus is the peculiar gurgling which begins in the stomach and gurgles along down through the intestines, attended with involuntary stool. This occurs in typhoid fever. The gurgling that occurs in Arsenicum is down the oesophagus.

Flatulence; colic; rending, tearing, cutting pains throughout the abdomen; stitching pains in the abdomen; violent neuralgic pains in the abdomen; inflammation of the bowels, of the peritoneum; appendicitis. Yellow, brown spots on the abdomen; petechiae over the abdomen during typhoid fever.

Phosphorus is rich in symptoms of the rectum and stool; involuntary discharges from the bowels; copious emission of fluids; foetid, gushing stools; horribly offensive, yellow, watery stools. The patient lies as if dying, the stools passing involuntarily; stools of white mucus; stools of slime intermingled with little specks like tallow; involuntary oozings from the constantly wide open anus.

Hemorrhage from the bowels in typhoids, in low forms of disease; bloody discharges like meat washings, involuntary, on every motion. Burning in the rectum during stool. Protrusion of the rectum; protrusion of hoemorrhoidal tumors. Sharp, stitching pains from the coccyx up the spine to the base of the brain drawing the neck backward, and this symptom occurs during stool. It has occurred during involuntary stool. After stool painful cramps in the rectum; burning in the anus; violent tenesmus; sinking feeling in the abdomen; obliged to lie down; exhaustion and fainting. The copious diarrhea is like the profuse flow of water from a hydrant. It is useful in cholera times and in cholera morbus. It is a useful medicine for chronic diarrhea with soft, thin stools. It has been a very useful remedy in cholera infantum. It has also cured dysentery with bloody mucus, scanty stools with violent tenesmus. It also cures inveterate constipation. The stool is hard, long, and slender, described in the books as like that of a dog. Alternating diarrhea and constipation in old people. Spasms of the rectum. Paralysis of the bowel, so that it is impossible to strain at stool, Hemorrhage from the bowels. It has cured polypi of the rectum; inflammation of the rectum. It has many times cured bleeding, protruding hemorrhoids; hemorrhoids that burn. It has cured fissures of the anus. Among many of these bowel symptoms the anus feels as if wide open.

Kidneys: Phosphorus is a useful remedy in diseases of the kidneys, especially diabetes, with sugar in the urine when there is great thirst for ice-cold things and ice-cold water. Gradual emaciation; gradual weakness; considerable heat of the head; coldness of the extremities, and sugar in the urine. Phosphorus will cure fatty degeneration of the kidneys. Renal calculi. No desire to pass urine though the bladder is full. There is a paralytic weakness which resembles the paralytic weakness throughout all the muscles of the body. He is unable to strain to pass the urine because such straining increases pain in the region of the bladder.

Profuse, pale, watery urine; frequent and scanty or completely suppressed urine. Turbid, whitish urine; curdled like milk. Albuminous urine. Involuntary urination during sleep.

Tearing in the urethra; twitching and burning in the urethra. Periodical sick headaches sometimes are preceded by scanty urine and sometimes by a copious watery flow of urine.

Men: The male sexual organs furnish many symptoms of Phosphorus.

Violent sexual desire driving him frantic. Erections frequent and painful day and night. Seminal emissions at night even without lascivious dreams. Sexual debility from the inordinate use of table salt. Impotence after excessive excitement and secret vice, preceded by over-excitement of the sexual organs. Frequent discharges day and night of thin, slimy, colorless fluid from the urethra. Sexual abuse with spinal disease. Discharges of prostatic fluid during a hard stool. Chronic urethral discharges due to hypertrophy of the prostate gland gleety discharge, Swelling and soreness of the testes and cord; inflammation of the testes and cord. It has cured hydrocele following gonorrhea.

Women: In the woman it is equally useful. Phosphorus has cured many cases of sterility supposed to depend upon violent sexual excitement. Violent sexual excitement with aversion to coition. Violent pain in the ovaries extending down the inner side of the thighs during menstruation caused by inflammation of the ovaries.

Inflammation of the uterus during menstruation and during pregnancy or during pyoemia. Copious hemorrhages from uterus, bright red, clotted blood after confinement, during menstruation or during the climacteric period. Frequent and profuse hemorrhages from the uterus caused from cancerous affections. The menstrual period is too early, flow bright red, lasting too long, is copious; during the menstrual period ice-cold feet and hands; nausea; pain in the back, as if broken; blue rings around eyes; loss of flesh; much fearfulness. It has also menstrual suppression in consumptives with cough, bleeding from the nose, and spitting of blood. Violent sexual excitement driving to secret vice.

Copious yellow leucorrhoea with great weakness; leucorrhoea instead of menses; white, watery leucorrhoea, acrid, excoriating; milky leucorrhoea, copious when walking. The leucorrhoea is so excoriating that blisters form upon the genitals. Burning and smarting in the vagina. Stitching pains upward from the vagina into the pelvis. While there is violent sexual excitement during coition there. is lack of sensation in the vagina, as if it were numb. Condylomata appear like fig warts and excrescences about the genitals and in the, vagina. Bleeding warts. Erectile tumors on the external genitals.

Dropsical swelling of the labia. Cauliflower excrescences with much bleeding. Painful, hard, large nodosities in the female mammary glands. Fibroid tumors of the breast. Fibroid tumors of the uterus with copious hemorrhages During pregnancy and lactation violent sexual desire; vomiting of pregnancy. Much prostration, sinking, and trembling, puerperal convulsions; pain in the back, as if it would break. Increased secretion of milk out of season. Inflammation of the mammary glands with much heat, weight, and suppuration. Erysipelas of the breasts or of the genitals.

Larynx: Inflammation of the larynx with hoarseness in the morning; husky voice; great sensitiveness of the larynx to touch and cold air; pain and burning in the larynx on talking; weakness in the vocal cords; violent tickling of the larynx while talking; constriction and spasms of the larynx; constant irritation to cough in the larynx; tuberculous condition of the larynx; bleeding; loss of voice; cannot speak a word on account of pain in the larynx; sensation of velvet in the larynx; rawness and smarting in the larynx.

Phosphorus has cured many cases of croup, membranous croup, when all the symptoms were present. Every change of weather, from becoming overheated, and colds settle in the larynx, producing loss of voice and hoarseness, especially in public speakers and singers. Hoarseness and loss of voice; great dryness in the larynx and all of the air passages. Hard, dry, rasping cough that shakes the whole body from irritation in the larynx.

The irritation travels down the air passages, affecting the trachea, along with difficult respiration; asthmatic breathing; clutching in the larynx; suffocation; dyspnoea; spasms and constrictions of the chest.

Violent, stridulous inspiration in the evening on falling asleep; fear of suffocation; labored breathing. Paralysis of the lungs; fullness in the chest after eating, much irritation in the larynx; difficult breathing; scraping of mucus from the larynx after eating.

Chest: In the chest, Phosphorus produces oppression; anxiety, weakness and constriction going along with its chest complaints. Heaviness as if a great weight were lying upon the chest. With the cough, bronchitis, pneumonia and cardiac symptoms there is always more or less constriction of the chest as if bound, or as if bandaged, or as if tied tight with a string. Tightness felt over the sternum, and with all complaints great weakness of the chest; pressure as of a weight over the middle of the sternum; feeling of a rush of blood to the chest with or without violent pulsations. Sensation of heat in the chest mounting to the head; flushes of heat in the chest extending upward. Stitching pain in the chest; spasmodic pains in the chest; violent stitching pains in the left side of the chest better by lying on the right side. These are pains likely to occur ig pleurisy or in pleurisy with pneumonia.

Complaints of chest, worse in cold air. Rawness in the trachea extending into the lungs; burning in the chest; acute pain in the lower part of the lungs; violent pain in the chest with coughing. The patient is compelled to hold the chest with the hand. Inflammation of the lungs with anxiety, oppression, and expectoration of bright red blood.

The Phosphorus patient suffers from copious hemorrhages from the lungs in phthisical conditions, in inflammation, inflammation of the bronchial tubes with intense fever and violent shaking cough; the body trembles with the cough; tearing pains in the sternum with the cough; suffocation and constriction of the chest. Pain in the larynx. The expectoration may be blood-streaked or rust-colored as it is in pneumonia. It may be purulent. In the later stages it becomes thick, yellow, sweetish. Phosphorus is a useful remedy in old bronchial catarrhs, in complaints that date from pneumonia or from bronchitis. Every cold settles in the chest. The lungs seem to be weak. Again, in hepatization during pneumonia with hard, dry, hacking cough; in hepatization of the lungs during pneumonia Phosphorus, Sulphur and Lycopodium are the most frequently indicated medicines.

Phosphorus is often the remedy to follow Arsenic when Arsenic has been suited to the restlessness, prostration, and anxiety that comes to a place where because of hepatization it is capable of accomplishing no more toward the cure of a case. If, then, the patient has thirst for ice-cold water, constriction of the chest, dry, hacking cough, paralytic weakness of the lungs, and expectoration of blood or frothy mucus Phosphorus is the best remedy.

In pneumonia, there may be burning in the chest, burning in the head, hot cheeks, and fever; gesticulation and delirium; violent thirst for ice-cold water; fan-like motion of the nose; difficult breathing; catchy inspiration; lying on the back with the head thrown far back; short, dry cough.

The carotids pulsate. Rawness in the chest; bruised feeling in the chest; pains are cutting; burning or sharp and tearing in the lungs when coughing. Suffocation, or inspiration almost impossible, especially at the beginning of hepatization when the face becomes livid and the features pointed with cold sweat and quick, hard pulse. Frothy expectoration in low forms of pneumonia known as typhoid pneumonia. Threatened paralysis of the lungs. Again, Phosphorus is a useful remedy when tuberculosis is about to make its appearance, in persons who are narrow-chested, slender, and of feeble vitality. All colds settle in the chest. After each cold, much rattling, hard cough that shakes the whole body, in persons who are feeble, pale, sickly, and disposed to hemorrhages.

Cough comes on in cold air. Emaciation; emaciation of the chest and neck. Along with these conditions comes hectic fever in the last stages of phthisis; intense fever, red face, and night sweats; fever coming on in the afternoon and lasting until after midnight.

A powder of Phosphorus very high will reduce this fever and make the patient comfortable until death. In all incurable cases after the fever has been reduced, Phosphorus should not be given, as it will intensify the fever and do just what it was given to avoid. It is not uncommon for a crisis to follow the administration of Phosphorus. Prolonged sweat and diarrhea, these should never be interfered with as they will soon stop of their own accord and the patient will be left in a state of quietude.

Phosphorus is a dangerous medicine to give very high in some cases of phthisis, in the last stages of phthisis. In this case they should have received Phosphorus when they were yet curable. In these cases Phosphorus 30 th may sometimes be used with safety and it will act as a test in doubtful cases to see whether reaction can be brought about. In such cases where reaction can be brought about the administration later of a still higher potency may be found useful, but in the beginning with Phosphorus in phthisical cases far advanced it is better not to go higher than the 30 th or 200 th.

Phosphorus very low will act as a poison in really Phosphorus cases and the only safety some patients have had who have received Phosphorus so very low was due to the fact that the Phosphorus was not similar enough to either kill or cure.

Heart: Phosphorus has violent palpitation; worse from motion, and from lying on the left side especially in the evening; worse at night on waking, with orgasms of blood in the chest, accompanied by much suffocation.

Tightness in the chest and palpitation over the body; pressure in the region of the heart. Phosphorus has cured endocarditis. Phosphorus has cured enlargement of the heart and dilatation and also fatty degeneration. With fatty degeneration where there is much venous stagnation, puffiness of the face, particularly under the eyelids, Phosphorus is often the remedy.

In all of these cardiac affections thirst for very cold water will always be present. Internal heat; he wants something cold to cool his insides. Violent orgasms of blood in the chest from every excitement, from worry, and from anticipation. Phosphorus has many neuralgic pains upon the outer chest and yellow brown spots.

Back and spine: There are many symptoms in the back; stiffness in the back and in the back of the neck, between the shoulders, and in the small of the back.

Stiffness on rising from a seat. Sensation of intense heat in the back running up the back. The patient complains of a hot spine. Soreness in places up and down the spine; soreness to touch between the! shoulders; pulsations in various places in the back and in the whole spine.

The coccyx is sensitive to pressure; pain in the coccyx as if ulcerated, preventing motion. Pain in the back during menstruation and during confinement as if the back would break. Spinal affections and inflammations, Weakness of the limbs after mental exertion, prolonged physical exertion, being overheated, sunstroke and sexual excesses; paralytic weakness. Myelitis; softening of the spine; progressive spinal paralysis. Phosphorus has been a useful remedy in locomotor ataxia, palliating many of the symptoms; the pains; restoring the reflexes. Phosphorus is often suitable and restrains the progress in multiple sclerosis where there is much weakness and trembling of the extremities. Phosphorus has cured caries of the vertebrae in scrofulous children. Phosphorus is a broad remedy in various diseases of the spine.

Limbs: In the limbs we have paralytic weakness extending to both arms and legs, with trembling and numbness; paralysis of one or of both lower extremities or of the upper extremities with trembling and numbness.

The hands and arms become very cold. The limbs emaciate and the veins become distended; the arms burn; periodical constriction of the fingers; numbness increasing to complete insensibility of the fingers; finger tips feel numb and insensible. Great restlessness in the lower limbs; weariness in the lower limbs; weakness in the lower limbs, especially observed on walking, unsteady and trembling gait; paralysis of the lower limbs. Acute inflarnmation of the joints of the knees and hip joint.

Burning, tearing pains in the limbs from exposure to cold, Rheumatism of the joints and muscles; stiffness of the joints on becoming cold. All complaints of the limbs are ameliorated by heat, while complaints of the head and stomach are ameliorated by cold. The complaints of the chest are ameliorated by heat. The lower limbs are covered with foetid sweat, The lower limbs are gangrenous. Inflammation of the periosteum of the tibia. Ulcers upon the lower limbs; feet icy-cold.

The Phosphorus patient wants to lie down; exhausted; he is unable to walk; staggers when walking from weakness and from vertigo. A gradual progressing weakness creeps over him; weakness; trembling; faintness.

Jerking and twitching of the muscles; spasms of the paralyzed parts. Epilepsy; convulsions; neuralgic pains of the various parts of the body and of the limbs especially, ameliorated by heat. It has cured multiple neuritis.

Sleep: Restless sleep; starts in sleep; feels in the morning as if he has not kept enough, yet most of the complaints and aches are ameliorated by sleep, especially the head symptoms; walks in his sleep.

He sleeps on the right side. Lying on the left side causes anxiety and pain in the heart and palpitation. Late falling to sleep in the evening; lies awake thinking about the affairs of the day and borrowing trouble. Phosphorus is a usual remedy in low forms of typhoid fever on the symptoms previously mentioned.

Skin: There are many eruptions in Phosphorus. The eruptions are dry and scaly; dry furfuraceous herpes; blood blisters; purple spots; yellow spots on the chest and abdomen; formication and itching in the paralyzed parts; numbness of the skin; irregular brown spots upon the body; psoriasis of the knees, legs, elbows, and eyebrows; hives and blood boils; phlegmonous inflammation.

Chronic suppurating openings with hectic fever; fistulous openings; ulcers bleed on appearance of the menses; deep eating ulcers; indolent ulcers; malignant ulcers.

Very useful in cancerous ulcers that bleed and take on fungous appearance and in low forms of scarlet fever where the rash is very dusky or disappears and suppuration begins in various places about the neck or upon the extremities or upon the ends of the fingers and there is violent thirst for cold water, purple appearance in the throat, and dry, hacking, shaking cough.