Imperfect assimilation and consequent defective nutrition. It goes further and produces neurasthenic states in consequence, and increased susceptibility to nervous stimuli and exaggerated reflexes. Diseases of bones, caries, and necrosis. Silica can stimulate the organism to re-absorb fibrotic conditions and scar-tissue. In phthisis must be used with care, for here it may cause the absorption of scar-tissue, liberate the disease, walled in, to new activities (J. Weir). Organic changes; it is deep and slow in action. Periodical states; abscesses, quinsy, headaches, spasms, epilepsy, feeling of coldness before an attack. Keloid growth. Scrofulous, rachitic children, with large head open fontanelles and sutures, distended abdomen, slow in walking. Ill effects of vaccination. Suppurative processes. It is related to all fistulous burrowings. Ripens abscesses since it promotes suppuration. Silica patient is cold, chilly, hugs the fire, wants plenty of warm clothing, hates drafts, hands, and feet cold, worse in winter. Lack of vital heat. Prostration of mind and body. Great sensitiveness to taking cold. Intolerance of alcoholic stimulants. Ailments attended with pus formation. Epilepsy. Want of grit, moral or physical.
Mind.–Yielding, faint-hearted, anxious. Nervous and excitable. Sensitive to all impressions. Brain-fag. Obstinate, headstrong children. Abstracted. Fixed ideas; think only of pins, fears them, searches and counts them.
Head.–Aches from fasting. Vertigo from looking up; better, wrapping up warmly; when lying on the left side (Magnes mur; Strontia). Profuse sweat of head, offensive, and extends to neck. Pain begins at occiput, and spreads over head and settles over eyes. Swelling in the glabella.
Eyes.–Angles of eyes affected. Swelling of lachrymal duct. Aversion to light, especially daylight; it produces dazzling, sharp pain through eyes; eyes tender to touch; worse when closed. Vision confused; letters run together on reading. Styes. Iritis and irido-choroiditis, with pus in the anterior chamber. Perforating or sloughing ulcer of the cornea. Abscess in the cornea after traumatic injury. Cataract in office workers. After-effects of keratitis and ulcus cornæ, clearing the opacity. Use 30th potency for months.
Ears.–Fetid discharge. Caries of the mastoid. Loud pistol-like report. Sensitive to noise. Roaring in ears.
Nose.–Itching at point of the nose. Dry, hard crusts form, bleeding when loosened. Nasal bones are sensitive. Sneezing in the morning. Obstructed and loss of smell. Perforation of the septum.
Face.–Skin cracked on the margin of lips. Eruption on the chin. Facial neuralgia, throbbing, tearing, face red; worse, cold damp.
Mouth.–Sensation of a hair on tongue. Gums sensitive to cold air. Boils on gums. Abscess at the root of teeth. Pyorrhea (Merc cor). Sensitive to cold water.
Throat.–Periodical quinsy. Pricking as of a pin in the tonsil. Colds settle in the throat. Parotid glands are swollen (Bell; Rhus; Calc). Stinging pain on swallowing. Hard, cold swelling of cervical glands.
Stomach.–Disgust for meat and warm food. On swallowing food, it easily gets into posterior nares. Want of appetite; thirst excessive. Sour eructations after eating (Sepia; Calc). Pit of stomach painful to pressure. Vomiting after drinking (Ars; Verat).
Abdomen.–Pain or painful cold feeling in the abdomen, better external heat. Hard, bloated. Colic; cutting pain, with constipation; yellow hands and blue nails. Much rumbling in bowels. Inguinal glands are swollen and painful. Hepatic abscess.
Rectum.–Feels paralyzed. Fistula in Ano (Berb; Lach). Fissures and hæmorrhoids, painful, with a spasm of sphincter. The stool comes down with difficulty; when partly expelled, recedes again. Great straining; rectum stings; closes upon the stool. Feces remain a long time in the rectum. Constipation always before and during menses; with irritable sphincter ani. Diarrhœa of cadaverous odor.
Urinary.–Bloody, involuntary, with red or yellow sediment. Prostatic fluid discharged when straining at stool. Nocturnal enuresis in children with worms.
Male.–Burning and soreness of genitals, with an eruption on the inner surface of thighs. Chronic gonorrhœa, with thick, fetid discharge. Elephantiasis of scrotum. Sexual erethism; nocturnal emissions. Hydrocele.
Female.–A milky (Calc; Puls; Sep), acrid leucorrhœa, during urination. Itching of vulva and vagina; very sensitive. Discharge of blood between menstrual periods. Increased menses, with paroxysms of icy coldness over the whole body. Nipples very sore; ulcerated easily; drawn in. Fistulous ulcers of the breast (Phos). Abscess of labia. Discharge of blood from vagina every time child is nursed. Vaginal cysts (Lyc; Puls; Rhod) hard lumps in the breast (conium).
Respiratory.–Colds fail to yield; sputum persistently mucopurulent and profuse. Slow recovery after pneumonia. Cough and sore throat, with expectoration of little granules like shot, which, when broken, smell very offensive. Cough with expectoration in the day, bloody or purulent. Stitches in the chest through to the back. Violent cough when lying down, with thick, yellow lumpy expectoration; suppurative stage of expectoration (Bals. Peru).
Back.–Weak spine; very susceptible to draughts on back. Pain in coccyx. Spinal irritation after injuries to spine; diseases of bones of the spine. Potts’ disease.
Sleep.–Night-walking; gets up while asleep. Sleeplessness, with the great orgasm of blood and heat in head. Frequent starts in sleep. Anxious dreams. Excessive gaping.
Extremities.–Sciatica, pains through hips, legs, and feet. Cramp in calves and soles. Loss of power in legs. Tremulous hands when using them. Paralytic weakness of forearm. Affections of fingernails, especially if white spots on nails. Ingrowing toe-nails. Icy cold and sweaty feet. The parts lay on go to sleep. Offensive sweat on feet, hands, and axillæ. Sensation in tips of fingers, as if suppurating. Panaritium. Pain in the knee, as if tightly bound. Calves tense and contracted. Pain beneath toes. Soles sore (Ruta). Soreness in feet from instep through to the sole. Suppurates.
Skin.–Felons, abscesses, boils, old fistulous ulcers. Delicate, pale, waxy. Cracks at end of fingers. Painless swelling of glands. Rose-colored blotches. Scars suddenly become painful. Pus offensive. Promotes expulsion of foreign bodies from tissues. Every little injury suppurates. Long-lasting suppuration and fistulous tracts. Dry fingertips. Eruptions itch only in daytime and evening. Crippled nails. Indurated tumors. Abscesses of joints. After impure vaccination. Bursa. Lepra, nodes, and coppery spots. Keloid growths.
Fever.–Chilliness; very sensitive to cold air. Creeping, shivering over the whole body. Cold extremities, even in a warm room. Sweat at night; worse towards morning. Suffering parts feel cold.
Modalities.–Worse, new moon, in the morning, from washing, during menses, uncovering, lying down, damp, lying on, left side, cold. Better, warmth, wrapping up head, summer; in wet or humid weather.
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