Spigelia anthelmia

Neuralgic affections of the muscles of the chest. Many of the Spigelia pains in the chest are attributed to the heart, but there is intercostal neuralgia; tearing pains shooting into the shoulders and neck, especially the left side and down the arm. Pains shooting hither and thither. Irregularity of the heart. Painful complaints associated with valvular troubles, especially growing out of rheumatism. Pericarditis and endocarditis of rheumatic character. Thrusting pains in the chest like a knife, in the eye like a knife. Stitching pains in the chest, worse from the least movement, breathing, sensation of tearing in the chest; trembling feeling in the chest when moving the arms or from any movement. Can lie only on the right side with the head high. Rheumatic troubles especially in the left side of the chest. Feeling as if the heart were compressed with a hand. Purring feeling over the region of the heart, wave-like motion not synchronous with the pulse. Waving palpitation not synchronous with the pulse. Trembling of the carotids. Acute pericarditis with anxiety and weight in the praecordium. These troubles following a rheumatic attack, at its close or many months after the fever has subsided. Spigelia is seldom indicated in rheumatism of the heart in phlegmatic persons who do not feel intensely. When a rheumatic affection attacks the venous side of the heart, and there is a sense of stuffiness, of fullness through the whole body, limbs swollen, but do not pit on pressure, face mottled, it is a serious case and may end in Bright's disease and death.

Sixth to thirtieth potency for neuralgic symptoms; second to third potency for inflammatory symptoms.