Sanguinaria canadensis

membranes. Burnt feeling; tongue. Burning; in throat; under sternum; spot or stitches in chest; palms and soles, etc. General pulsation. Congestion; to head, abdomen, chest, etc. Symptoms ascend, or end in bilious vomiting. Migraine. Internal rawness. Acrid, blood-streaked or foul discharges. Lies on back with head elevated. .................... Irritable and bilious. Grumbling. Borrows trouble. Pain over r. eye or ASCENDS FROM OCCIPUT TO OVER R. EYE, > free urination. Sun pains. Swelled temporal veins. Pain at root of nose. Coryza; stopped, then diarrhœa. Sensitive to odors. Red, burning cheeks. Hectic spot. Full and tender behind angle of jaw. Anterior tongue looks red, like raw beef. Palate feels scalded. Sorethroat (r); pains to ear and chest. Craves spices. Averse to butter. Nausea, < sneezing or blowing nose, > eating. Tension in epigastrium. Stomach pains to r. shoulder. Bilious or gushing stools. Acrid leucorrhœa. Larynx full and dry; in singers. Coughs; raises foul air, tough, bloody plugs or purulent sputum, or passes flatus; dry, tickling - behind sternum, in evening. Pneumonia. Phthisis. Itching axillæ, < before menses. Cutting, stiff r. deltoid, < raising or turning arm. Omodynia; < night. Wrinkled palms. Dry skin; of jaundice. Polypi. Pain in bones near surface. Flushes of heat, rising into face and head; with headache. Burning, scanty sweat. General pulsation. Heat of palms and soles, < covers.

Periodically: WITH SUN. Weekly. Night. Climaxis. Odors. Jar. Light. Raising arms. Looking up.

SLEEP. Lying on back. Vomiting. Cool air. Passing flatus. Redness; abdominal; tongue, etc. BURNING HEAT AND EBULLITIONS. Dry mucous

RIGHT SIDE: Head. LIVER. Chest. Deltoid. VASO-MOTORS. Capillaries. Mucous membranes. Stomach.

Complementary: Ant-t. Pho.

Sanguinaria Canadensis

Bloodroot. Papaveraceae.

The periodical sick headache; begins in morning, increases during the day, lasts until evening; head feels as if it would burst, or as if eyes would be pressed out ; relieved by sleep.

American sick headache, > by perfect quiet in a dark room (“tired headache” from over mental or physical exertion, Epigea; sick headache < during rest > by rubbing, pressure, motion. Indigo).

Headache begins in occiput, spreads upwards and settles over right eye (Sil. — over or in left orbit, Spig. ).

Headaches, return at the climacteric ; every seventh day (Sabad., Sib, Sulph. — eighth day, Iris).

Neuralgia of face > by kneeling down and pressing the head firmly against the floor; pain extends in all directions from the upper jaw.

Circumscribed red cheeks in afternoon ; burning in ears; in bronchitis, pneumonia, phthisis.

Rheumatic pain in the right arm and shoulder (left, Fer.) ; cannot raise the arm, < at night.

Pains in places where the bones are least covered, as tibia, backs of hands, etc. (Rhus ven.).

Burning in pharynx and oesophagus.

Laryngeal or nasal polypi (Sang, n., Psor., Teuc.).

Climacteric ailments : flushes of heat and leucorrhoea; burning of palms and soles; compelled to throw off bedclothes; painful enlargement of breasts; when Lachesis and Sulphur fail to relieve.

Asthma after the “rose cold,” < from odors.

Cough : dry, waking him at night and not ceasing until he sits up in bed and passes flatus ; circumscribed red cheeks; night sweats; diarrhoea.

Severe cough after whooping-cough ; the cough returns every time patient takes cold.

Eruption on face of young women, especially during scanty menses (Bellis, Cal., Eug. j., Psor. ).

headache; Each., Sulph., in climacteric affections; Chel., Phos., Sulph., Ver. v., in chronic bronchitis or latent pneumonia.

After Bell, fails in scarlatina.

As a dynamic remedy for the narcosis of Opium.

Lecture XXVII — Sanguinaria and Chelidonium

Before proceeding with our study of Sanguinaria, I will say that there is a variety of the poppy plant which grows in Mexico called the Argemoyie Mexicana. It is used in Mexico in much the same manner as we use Opium. It causes cutaneous eruptions and has been used in the expulsion of tape-worm. The juice of the plant when collected and dried has much the appearance of gamboge. I mention this, not because it is a matter of importance, but as a piece of information that may in time prove beneficial.

We shall now take up the study of another member of the Papaveraceae, the Sanguinaria Canadensis, or blood-root. This is a plant which is readily recognized by the character of its root, which, when cut, is red, and exudes a fluid having the appearance of blood, hence the plant has been aptty named " blood-root." The seeds of Sanguinaria are somewhat narcotic. You can see a resemblance between it and Opium, not in the completeness of its symptomatology, but a family resemblance sufficient to place it by the side of Opium, yet having differences so great that there can be no danger of confounding the two drugs. In extreme narcosis from Sanguinaria we find languor and torpor, dilated pupils, with disordered vision and irregular pulse. The symptoms are not unlike those which follow poisoning with Stramonium. In studying the drug we may save all unnecessary multiplication of symptoms by attention to the following schemse : Compare with Sanguinaria Canadensis, Belladonna, Iris versicolor, Paullinia, Melilotus, Veratr. viride, Phosphorus, Antim. tart., Sulphur, In headache.

In pneumonia.

sanguinaria Canadensis irritant to { Circulation Brain : Anxiety, irritability.

Nose : Faint from odors.

Ears : Sensitive to sudden sounds.

Headaches.

Vertigo.

Haemorrhages.

Climaxis.

Fever.

Menstruation.

Phthisis florida.

Local congestions.

Dry feeling or rawness.

Cough.

Croup.

Ulceration.

Polypi.

Diarrhoea.

Pneumonia.

Glands : Salivation.

Skin : Acne, ulcers.

Muscles: Rheumatism, myalgia, languor, nausea, faintness.

Mucous membranes Sanguinaria in the first place is an irritant, whether taken into the mouth, applied to the skin, or when carried by the blood to other tissues. For the primary and most important effect of the drug, then, we have irritation of tissue. For instance, the brain is irritated by Sanguinaria. This is mentioned first because of the predominant importance of all mental symptoms, be they emotional or be they intellectual. Anxiety is almost always present with the Sanguinaria ailments. This anxiety, however, is not an isolated symptom. It appears qualifying the headaches, the gastric difficulties, the heart and chest symptoms, and in fact all the ailments in which Sanguinaria is applicable. Like almost all anxiety, it is accompanied by irregularities or disturbances in the circulation. There is also an irritability of temper which makes the patient morose, irritable, peevish or excitable. We note, too, that the ears are irritated by the drug, but as a result, primarily, of the irritating action on the circulation. There is increased redness of the external ear, with humming and roaring in the ears from increased circulation of blood through the aural structures. Sanguinaria also produces a hyper-excitation of the auditory nerves with the following symptoms as characteristic : painful sensitiveness, especially to sudden sounds ; sensation as if the patient were in a railroad car or in some vehicle which was moving and jarring her, with a feeling as if all about her were talking rapidly and confusedly ; the patient desires to be held in order to remove this nervous vibratory sensation through the body. Thus you see the primary irritating effect on the ear reflected through the entire nervous system, producing these symptoms, which, by the way, are not uncommon in women about the time of the climaxis. Sanguinaria is equal to Glonoin in these cases.

This desire to be held reminds one of Gelsemium, which has heart disease and chills with tremor of the whole body and desire to be held still, and Lachesis, which wants to be held down during the chill in intermittent form.

Next we come to the nasal symptoms. The sense of smell is usually increased ; hence we notice a peculiar susceptibility to odors, which causes the patient to feel faint. This is not an uncommon symptom in "rose-cold." It also belongs to hysteria, and places Sanguinaria by the side of Phosphorus , Ignatia, Valerian, Nux vomica and similar remedies.

The disturbances in the circulation we find first exhibited in the vertigo. There is rush of blood to the head with this dizziness ; the patient feels sick and faint, as if she would fall when she attempts to rise from a sitting posture.

Then, too, we have the circulatory disturbances represented in the sick-headache, and Sanguinaria has no equal in this affection especially in that form which is so common in this country as to receive the name of "American sick-headache." The patient suffers from rush of blood to the head, which causes faintness and decided nausea, the nausea even continuing until vomiting sets in. The pains, which are of a violent character, begin in the occipital region, spread thence over the head, and settle over the right eye. They are of a sharp, lancinating character, and at times throbbing. At the height of the disease the patient can bear neither sounds nor odors. Mark the effect on the auditory and olfactory nerves. She can not bear any one to walk across the floor, for the slightest jar annoys her. As the headache reaches its acme nausea and vomiting ensue, the vomited matters consisting of food and bile. The patient is forced to remain quiet in a darkened room. Sometimes a profuse flow of urine relieves ; otherwise the only respite she has is when sleep comes to relieve her. Sometimes the pain is so violent that the patient goes out of her mind, or she seeks relief by pressing against her head with her hands or by pressing the head against the pillow. This is the Sanguinaria sickheadache in its completeness. Not only does the remedy palliate, but it cures.

Studying Sanguinaria with its concordant remedies, you will find coming into your mind most prominently Belladonna as affecting the right side, as having throbbing pains, cerebral congestion and intolerance of light and noise. You see that the two remedies are very similar. Practically speaking, Sanguinaria is the more useful of the two in the gastric form. In Belladonna, you almost always find cold feet with the hot head, which may not necessarily be present under Sanguinaria. Then again, the Belladowia patient is not relieved by lying down, but by sitting propped up, while Sanguinaria has relief from lying down. Further, the symptom of pain coming from the occiput over the head, etc., is not so prominent under Belladonna as it is under Sanguinaria.

Melilotus, one variety of the clover, produces a most violent cerebral congestion with headache, which drives the patient almost frantic. It really seems to the patient that the brain would burst through the forehead. The throbbing pain is almost as violent as it is under Glonoin. In one proving of this drug, a lady had this congestive headache with prolapsus uteri and violent palpitation of the heart. The pain is sometimes relieved by profuse flow of urine.

Still another drug closely allied to Sanguinaria is Iris versicolor. This drug is useful for sick-headaches, particularly when they are periodical in their appearance, recurring, for instance, every Sunday. This is because the strain of the preceding six days has been relieved and now the patient feels its effects and has this sick-headache. It is especially suited to school teachers, college professors, students, etc. The pains are intense and of a throbbing character and supra-orbital. They often affect the eyes and cause temporary blindness. At the height of the headache vomiting often ensues, the vomited matters being bitter or sour, or both.

I wish also to mention Paullinia sorbilis. This has some little history. A number of years ago there appeared a specific, in the form of pills, for sick-headache, the principal ingredient of which was this Paullinia. It proved itself to be an efficacious remedy. The objection I have to the drug is that it must be given in large doses, consequently I do not think that it has a true symptomatic relation to the ailment for which it was recommended. Its active principle is said to be identical with Caffeine and Theine.

Continuing our study of the effects of Sanguinaria on the circulation, we find it sometimes indicated for haemorrhages, not very frequently it is true, yet when the symptoms call for it you should bear it in mind. It is especially indicated in metrorrhagia occurring at the climaxis. The blood is bright red, clotted and frequently offensive. Especially is it to be used when the metrorrhagia is accompanied by the form of sick-headache which I have already described, and by flushing of the face and flushes of heat which are incident to change of life in women. The face becomes scarlet. This high color passes off with moisture and faint, weak, sick feeling. Here then you must place Sanguinaria with GloJioin, Nitrite of AmyI, and Lachesis. The menstrual flow of Sanguinaria is bright red, clotted and offensive, later becoming dark and losing its offeusiveness.

Still another fact which illustrates these irregularities of the circulation, is the application of Sanguinaria to phthisis florida. In detailing to you the symptoms calling for this remedy in phthisis florida, I will also mention the character of the cough and also the application of the drug in pneumonia, because the symptoms in each case are similar, although belonging to different diseases. You find the patient suffering from hectic fever. The fever usually comes at about two or four o'clock in the afternoon ; the cheeks have a bright circumscribed flush. The cough is usually dry at first, and seems to be excited by tickling or crawling in the larynx and upper portion of the chest, probably in the trachea, and perhaps in the beginning of the bronchial tubes. There is a great deal of burning and fulness in the upper part of the chest, as if it were too full of blood, which it really is. The patient complains of sharp stitching pains, especially about the right lung and in the region of the nipple. These pains are in all probability myalgic. The affected muscles of the chest are sore. There is also great dyspnoea. Thus early in the disease, Sanguinaria, by calming the circulation, by removing the congestion of the chest, by lessening the hectic fever, will save your patient from what would end fatally in a few months.

When pneumonia calls for Sanguinaria, we have, in addition to the symptoms already mentioned, rust-colored sputum with the cough (just as you find in the stage of red hepatization), a very distressing amount of dyspnoea, and the hands and feet burning hot, or else just the reverse, icy cold. Sometimes, even before the amount of hepatization will account for it, you have failure of the heart's action. The pulse becomes weak and irregular. There is a weak, faint feeling about the heart. The patient is faint. He is covered with sweat and he suffers from nausea.

Localized congestions are frequent enough in the symptomatology of Sanguinaria. You have seen how it causes cerebral congestion, circumscribed redness of the cheeks, etc. You may also use it for a teasing cough compelling the patient to sit up at night. The cough ceases so soon as the patient passes flatus by the bowels or belches. Connected with this form of cold, there is a feeling as of a warm current running from the chest to the stomach. The disease may be transferred from the chest to the abdomen, the whole difficulty ending in diarrhoea.

Sanguinaria resembles several drugs in pneumonia. It bears a resemblance to Veratrum viride in the engorgement of the lungs and in the intensity of the symptoms. Veratrum viride has, more marked than Sanguinaria, arterial excitement. As yet, hepatization has not taken place. Veratrum viride given then lowers the pulse, reduces the congestion and modifies the pneumonia. It also resembles Sanguinaria when the engorgement is so profound as to threaten the death of the patient. The pulse becomes rapid and quivering, the face livid, and every symptom of approaching paralysis of the lungs is present. But when hepatization has taken place, Veratrum viride is not indicated.

Phosphorus resembles Sanguinaria in pneumonia. Its symptoms I will mention when I lecture on that drug.

Antimonium tartaricum resembles Sanguinaria when the face becomes livid; the blood is surcharged with carbon; rattling cough, etc. Sulphur resembles Sanguinaria during the stage of resolution when the hepatized lung does not clear up properly, and the sputum becomes purulent. In these cases, either remedy is indicated, Sanguinaria being preferable when the expectoration is very offensive, even to the patient himself.

Returning to Sanguinaria and reviewing its action on the mucous membranes, we find that it has a highly irritating effect, causing at first extreme dryness, whether it be of the conjunctiva, the mucous membrane of the mouth, nose or any other mucous surface. Alternating with this dryness and indicating the drug in another phase of the case, is rawness with burning, as though the mucous membrane were denuded of its epithelium. This is common enough in catarrhs. You find the nose sore and raw with fluent excoriating coryza. The cough is as I have described, and seems to depend upon this dryness or irritation of the mucous surfaces.

When the laryngeal mucous membrane is affected, we have very distressing symptoms. There is aphonia and, in addition, a feeling of swelling in the throat as though the patient would choke. Sanguinaria is indicated in laryngeal catarrh, whether it be from phthisis or from simple cold or exposure.

The croup for which we may use Sanguinaria is one in which there may be a formation of pseudo-membrane with dryness, burning and swollen feeling in the throat, and metallic croupy cough which cannot be characterized by any other words than wheezing-whistling. It is too shrill to be only "wheezing," and it is too moist to be "whistling" alone. If it is associated with the dryness and burning, and some of the other catarrhal symptoms, Sanguinaria will quickly cure the entire affection.

Sometimes we have ulceration of the mucous surface with the qualifying symptoms already mentioned.

Another effect on the mucous surfaces is the formation of polypi. These ma}' be found in the nose or in any other part of the body. Sanguinaria is especially useful for mucous polypi when they bleed profusely. When occurring in the nose, they are associated with the form of coryza already referred to. There is also profuse salivation, showing that the drug irritates the salivary glands.

The skin is also affected under Sanguinaria. It produces acne on the face, particularly in women who have scanty menstruation and are subject to irregular distribution of blood.

Lastly we find the drug affecting the muscles, inflaming them, and giving a picture of acute muscular rheumatism. The pains are erratic, sharp and stitching, with great soreness and stiffness of the muscles, especially those of the back and neck. Sanguinaria exhibits a special affinity for the right deltoid muscle. The pains are intense. The patient is unable to raise the arm to the head. Sanguinaria holds the same relation to the right deltoid that Ferrum does to the left.

So much for Sanguinaria Canadensis.

Chklidonium Majus.

Liver, Lungs, Heart.

Neuralgia, Toothache.

Chelidoni \ Eyes, Kidneys, Fistula.

Joints, Diaphragm.

Skin, Chills and Fever.

~ f Antim. tart.

Compare 1 - - J Mercurius.

with

Blood Root Is a right-sided remedy pre-eminently, and affects chiefly the mucous membranes, especially of the respiratory tract. It has marked vaso-motor disturbances, as seen in the circumscribed redness of the cheeks, flashes of heat, determination of blood to head and chest, distention of temporal veins, burning in palms and soles, and has been found very applicable to climacteric disorders. Burning sensations, like from hot water. Influenzal coughs. Phthisis. Sudden stopping of catarrh of respiratory tract followed by diarrhœa. Burning in various parts is characteristic.

Worse, sweets, right side, motion, touch. Better, acids, sleep, darkness.

Worse right side, sun headache. Periodical sick headache; pain begins in occiput, spreads upwards, and settles over eyes, especially right. Veins and temples are distended. Pain better lying down and sleep. Headaches return at climacteric; every seventh day (Sulph; Sabad). Pain in small spot over upper left parietal bone. Burning in eyes. Pain in the back of head "like a flash of lightning".

Flushed. Neuralgia; pain extends in all directions from upper jaw. Redness and burning of cheeks. Hectic flush. Fullness and tenderness behind angle of jaws.

Burning in ears. Earache with headache. Humming and roaring. Aural polypus.

Hay-fever. Ozæna, with profuse, offensive yellowish discharges. Nasal polypi. Coryza, followed by diarrhœa. Chronic rhinitis; membrane dry and congested.

Swollen; worse, right side. Dry and constricted. Ulceration of mouth and fauces, with dry, burning sensation Tongue white; feels scalded. Tonsillitis.

Aversion to butter. Craving for piquant things. Unquenchable thirst. Burning, vomiting. Nausea, with salivation. Sinking, faint all-gone feeling (Phos; Sep). Spitting up of bile; gastro-duodenal catarrh.

Diarrhœa as coryza improves. Pain over region of liver. Diarrhœa; bilious, liquid, gushing stool (Nat sulph; Lycop). Cancer of rectum.

Leucorrhœa fetid, corrosive. Menses offensive, profuse. Soreness of breasts. Uterine polypi. Before, menses, itching of axillæ. Climacteric disorders.

Œdema of larynx. Trachea sore. Heat and tension behind the sternum. Aphonia. Cough of gastric origin; relieved by eructation. Cough, with burning pain in chest; worse, right side. Sputum tough, rust-colored, offensive, almost impossible to raise. Spasmodic cough after influenza and after whooping- cough. Cough returns with every fresh cold. Tickling behind sternum, causes a constant hacking cough; worse at night on lying down. Must sit up in bed. Burning soreness in right chest, through to right shoulder. Severe soreness under right nipple. Hæmoptysis from suppressed menses. Severe dyspnœa and constriction of chest. Offensive breath and purulent expectoration. Burning in chest as of hot steam from chest to abdomen. Fibroid phthisis. Pneumonia; better, lying on back. Asthma with stomach disorders (Nux). Valvular disease with lung development, phosphates in urine and loss of flesh. Sudden stoppage of catarrh of air passages brings on diarrhœa.

Rheumatism of right shoulder, left hip-joint and nape of neck. Burning in soles and palms. Rheumatic pains in places least covered by flesh; not in joints soles of feet burn. Right-side neuritis; better touching the part.

Antidotes: Rhus poisoning. Red, blotchy eruptions; worse in spring. Burning and itching; worse by heat. Acne, with scanty menses. Circumscribed red spots over malar bones.

Complementary: Tart em. Compare: Justicia (bronchial catarrh, coryza, hoarseness; oversensitive). Digitalis (Migraine). Bell; Iris; Melil; Lach; Ferr; Op.

Tincture in headaches; sixth potency in rheumatism.

Sanguinaria

Generalities: Blood root is an old domestic remedy. A great many eastern farmers' wives will not go into the winter without blood root in the house.

In the cold winter days, when the coryzas come on, a "cold" in the head, throat and chest, then they get the blood root ready and make a tea of it. With them it is a routine remedy for "colds." They give it to combat all complaints, and there is no doubt but that even in this crude form it does break up "colds," because the provings show its relation to chest troubles and "colds" that go to the chest.

Head: Periodic headaches, when the headache comes once in seven days it begins in the morning on waking or wakes the patient up. It begins in the occiput and travels upward and settles over the right eye and in the right temple. It gets worse during the day and is aggravated by light, so that he is driven into a dark room and compelled to lie down.

Vomiting comes on and the vomited matter is bile, slime, bitter substance and food, and then comes relief of the pain. The headaches are, relieved from passing flatus up or down. If the patient suffers when he goes to bed with hot palms and soles, so that he must put them out of bed, this is an additional striking feature. Take an individual who has missed his chronic headache, by some means, for a considerable time, but since then he has become increasingly sensitive to cold, and "colds" settle in the nose, throat and bronchial tube and these parts feel as if on fire, with rawness and burning; the expectoration is thick, tenacious mucus; disturbance of the belly, with much belching, and the belching is especially noticed after a violent attack of coughing.

It is not a very long acting remedy. When a periodic sick headache is interrupted by Sanguinaria, if a deeper drug, an antipsoric, is not given, the headache will return or something worse will come on, as Sanguinaria does not go deep into the nature of the case. I remember a case in which the patient missed his Sanguinaria headache and an epithelioma developed, which was cured by Phosphorus.

I am convinced that if Phosphorus had been given at the end of the attack the cancer would not have developed, as Phosphorus was his constitutional remedy. If a chronic sick headache is interrupted the patient will tend to phthisis.

Chest: Chest troubles come on and grow worse and worse. Its ability to palliate phthisis is very well known.

A patient much debilitated with bronchial catarrh; susceptible to cold, to every change in the weather, from change to damp weather, to every draft, to change of clothing; always taking new "cold."

There is burning in the chest behind the sternum; thick, tough, ropy expectoration; spasmodic cough, and every cough ends in belching; eructations of gas; empty eructations. If to the burning in the chest, the severe pains in the larynx and trachea when talking, and cough ending in belching, you add heat in the palms and, soles, Sanguinaria will patch him up and mitigate the trouble.

Many such cases get Sulphur, but to their destruction. There is a class of remedies that suits these phthisical patients better than Sulphur, Silicea and Graphites; remedies such as Pulsatilla, Sanguinaria, Senecio gracilis and Coccus cacti, which palliate, mitigate his sufferings, and may even build him up so that he could take a medium potency of a deep remedy. But the deeper remedies ought to be avoided if the vital force is low, if the body is too much damaged to be repaired. Hahnemann warned against the use of Phosphorus in such cases of deficient vitality. Sanguinaria is a surface remedy; it does excellent palliation.

Nose and throat: Catarrhal conditions of nose and throat, especially those due to colds and to poisonous plans; also rue colds.

The Sanguinaria patient has "rose colds" in June. Sensitive to flowers and odors; subjects with bay fever. Hay fever patients with burning in the nose, in the throat, as if dry; as if the mucous membrane would crack open.

Dryness and burning in the larynx, with hoarseness; dryness and burning throughout the chest, with asthma; associated with burning of the palms and soles. Examination shows the palms to be dry, wrinkled and hot to the touch; so, also, the soles, where the skin is thickened and indurated. Corns that burn; the toes burn and the patient puts the feet out of bed for relief.

Head again: When the headache is present it seems to be a general congestive headache; although beginning in the morning, coming up the back and extending to the right eye, the whole head is hot and aches.

Sulphur, Silicea and Sanguinaria have periodic weekly headaches. Arsenicum has a headache every two weeks. Not that these remedies will not cure other headaches, for Sanguinaria has also a headache every three days. The majority of headaches coming every two weeks are cured by Arsenicum or greatly mitigated in broken down constitutions. The attempt to cure a chronic sick headache should be made before the senile decline.

"Pulsations in the head with bitter vomiting; aggravated by motion."

The headache is generally aggravated by motion, but not so strikingly as in Bryonia. When the Sanguinaria headache increases. towards the afternoon or night, it becomes so severe he must go to bed; and the head becomes sore, and then a step or jar is extremely painful. A severe headache is likely to be disturbed by light, noise, motion, etc.

"Headache as if forehead would burst with chill, and burning in stomach."

"Headache over right eye."

This is a characteristic feature.

"Periodic sick headache; begins in the morning, increases during the day, lasts till evening; head feels as if it must burst, or as if eyes would be pushed out; throbbing, lancinating pains through brain, worse on the right side, especially in the forehead and vertex; followed by chills, nausea, vomiting of food or bile; must lie down or remain quiet; ameliorated by sleep."

Some of these things are not found in every case, but they all go to make up a Sanguinaria headache.

Pains: All sorts of neuralgic pains; cutting, tearing, lacerating pains; as if the muscles were torn, or put on a stretch.

Tearing pains anywhere, neuralgic or rheumatic. Pains about the scalp, but more particularly about the shoulder and neck; stiff neck; cannot turn over in bed; cannot raise the arm, though he can swing it back and forth.

Pain streaks up the neck; pain in the deltoid. It prefers the right side, but also cures the left side. Rheumatic pains in the right shoulder so that ho cannot raise the arm, and all the muscles of the neck and back of the neck become involved; stiff neck. If the pain comes on in the day it increases as the day advances to night. Complaints are worse at night in Sanguinaria.

A patient comes to you after exposure to cold; he cannot raise the arm; it hangs by his side; pain worse at night in bed, worse turning over (as he uses the shoulder muscle to turn over). It is probably in the deltoid, but you need not speculate on the tissues involved.

It competes with Ferrum. All red-faced, highlyflushed people, who cannot raise the arm and have pain which is worse in the daytime, not night, and ameliorated by slow motion need Ferrum. Sanguinaria is not relieved by motion; it is aggravated by such motion as calls the arm into use. Ferrum has relief from slow motion, aggravated from rapid motion and the pain comes in the daytime.

While Ferrum has a uniformly red, plethoric face, Sanguinaria has a pale face. In the chest complaints Sanguinaria has a circumscribed red spot over the malar bones, such as seen in hectic patients.

Headache from stomach disturbances, overeating, rich food, drinking wine. Almost as useful as Nux in old drinkers. Those who disorder their stomachs and weaken their digestion by beer drinking; they cannot eat; vomiting of even a teaspoonful of water.

No food or drink stays on the stomach. Headaches associated with such troubles. Vomiting and diarrhea with complaints. Catarrhal affections are prominent.

Chronic catarrh of the throat apparent thickening of the mucous membranes of the throat. Nose and pharynx fill with mucus. He hawks it out; there is a dry burning sensation, but the burning is most marked every time he takes a fresh cold. Acridity of discharges is another feature. Acrid mucus forms in the nose, causing burning in the throat. Acrid, hot fluids eructated from the stomach, excoriating the throat and mouth. The diarrhea is accompanied by an acrid watery stool; especially in infants; the nates become raw and red. This burning extends all through the bowels; burning in the abdomen and stomach in old gastric troubles; vomiting of even a teaspoonful of water with burning; old gastric irritation; dyspepsia; all sorts of disorders of the stomach.

Tongue red and burns as if in contact with something hot. Burning in pharynx and oesophagus, burning in roof of mouth. Tonsillitis with burning.

"Heat in throat, ameliorated by inspiring cold air; throat so dry it seems as if it would crack." This burning excoriated feeling applies to all the mucous membranes affected.

Patient suddenly taken w bed with a chill; burning in the chest symptoms of pneumonia; rusty expectoration; violent cough; every cough felt as a concussion at the bifurcation of the trachea; as if a knife were in the parts; as if torn asunder; and after the cough copious, loud, empty eructations. No other remedy has this. "Nausea with burning at the stomach, with much spitting."

Nausea not relieved by vomiting. Keeps on vomiting and retching. Burns as if on fire. Arsenic is often given by mistake, because of the great burning.

"Vomiting of bitter water; of sour, acrid fluids; of ingesta; of worms; preceded by anxiety; with headache and burning in stomach; head relieved afterwards; with prostration."

Such symptoms occur in headache, disordered stomach, sour stomach. The sour stomach is manifested by sour eructations or sour vomiting. A patient often speaks of "a sour stomach," and you must find out whether be means sour eructations or sour vomiting.

He says he "spits up" sour food.

With the headache and many complaints Sanguinaria has a faintness; like a hunger, yet not for food. A sinking, faint, "all gone," empty feeling. It is like Phosphorus with its "hungry headache."

Psorinum leads all others in "hungry headaches," but Psorinum wants to eat and cannot get enough.

Sanguinaria has a hunger, but it is not for food; aversion at the thought and smell of food. Psorinum can eat a wolf meal, and so can Phosphorus. It is a false hunger with the headache in Sanguinaria.

"Burning in stomach; with headache and chill." Belching up of acrid fluids in asthma; hay asthma. Sanguinaria palliates asthma associated with stomach disorders. Do not forget Nux in asthma from stomach troubles.

Liver complaints; pains and aches and sense of fullness. Bilious trouble described in general terms. It seems as if the liver makes an enormous quantity of bile, but there is a gastroduodenal catarrh, so that the bile is regurgitated into the stomach instead of going down, and it is eructated as bitter, green, yellow fluid; vitiated bile.

This is a peculiar thing. If you watch a chronic Sanguinaria patient you will notice that the stomach will be disordered for a week; spitting up bile much flatulence; sour hot eructations; then all at once this will disappear, and a diarrhoea, which fairly floods him, comes on suddenly; a bilious, liquid, gushing stool. Natrum sulph., Sanguinaria, Pulsatilla and Lycopodium cure this alternation of diarrhoea and constipation.

"Os uteri ulcerated; foetid, corrosive leucorrhoea."

"Distension of abdomen in the evening and flatulent discharges by vagina from os uteri, which was constantly open; at same time a pain passing in rays from nape of neck to head." "Chronic dryness in throat, sensation of swelling in the larynx and expectoration of thick mucus when associated with dryness, rawness, burning and smarting."

"Whooping cough; constricted, spasmodic across throat beneath jaws; cough worse at night with diarrhoea."

Cough worse at night with diarrhoea is the feature this remedy is prescribed for. "Severe cough occurring after whooping cough when patient takes cold, which partakes of the spasmodic nature of whooping cough."

An adult takes cold and has a spasmodic cough, like whooping cough. He says it is a stomach cough, because there is a gagging with it. In all there is burning and diarrhoea.

"Distressing, dry, spasmodic, exhaustive coughs, especially in children; worse towards night, lying down, going into a cold room to. sleep, feeling of rawness and burning in bronchi."

The trachea seems so sore, and it is sore; a bolus of food passing down the oesophagus can be plainly felt; he can outline the part where the food passes.