Hepar Sulphuris Calcareum

Keynotes by William Boericke

Suits especially scrofulous and lymphatic constitutions who are inclined to have eruptions and glandular swellings. Unhealthy skin. Blondes with sluggish character and weak muscles. Great sensitiveness to all impressions. Sweating patient pulling blanket around him. Locally, it has a special affinity to the respiratory mucous membrane, producing croupous catarrhal inflammation, profuse secretion; also easy perspiration. After the abuse of Mercury. Infected sinus with pus forming. The tendency to suppuration is most marked and has been a strong guiding symptom in practice. The lesions spread by the formation of small papules around the side of the old lesion. Chilliness, hypersensitiveness, splinter-like pains, craving for sour and strong things are very characteristic. Feeling as if the wind were blowing on some part. The side of the body on which he lies at night becomes gradually insufferably painful; he must turn. Pellagra (material doses required). Syphilis after anti specific gross medication.

Mind.–Anguish in the evening and night, with thoughts of suicide. The slightest cause irritates him. Dejected and sad. Ferocious. Hasty speech.

Head.–Vertigo and headache, when shaking the head or riding. Boring pain in the right temple and in the root of the nose every morning. Scalp sensitive and sore. Humid scald-head itching and burning. Cold sweat on head.

Eyes.–Ulcers on the cornea. Iritis, with pus in anterior chamber; purulent conjunctivitis, with marked chemosis, profuse discharge, great sensitiveness to touch and air. Eyes and lids red and inflamed. Pain in the eyes, as if pulled back into the head. Boring pain in upper bones of the orbits. Eyeballs sore to touch. Objects appear red and too large. Vision obscured by reading; field reduced one-half. Bright circles before eyes. Hypopion.

Ears.–Scurfs on and behind the ears. Discharge of fetid pus from the ears. Whizzing and throbbing in the ears, with the hardness of hearing. Deafness after scarlet fever. Pustules in the auditory canal and auricle. Mastoiditis.

Nose.–Sore, ulcerated. Soreness of nostrils, with catarrhal troubles. Sneezes every time he goes into a cold, dry wind, with running from the nose, later, thick, offensive discharge. Stopped up every time he goes out into cold air. Smell like old cheese. Hay-fever (Hepar 1x will often start secretions and profuse drainage in stuffy colds).

Face.–Yellowish complexion. Middle of lower lip cracked. Vesicular erysipelas, with pricking in parts. Neuralgia of the right side, extending in streak into temple, ear, alæ, and lip. Pains in bones of the face, especially when being touched. Ulcers in corners of the mouth. Shooting in the jaw on opening mouth.

Mouth.–Ptyalism. Gums and mouth painful to touch and bleed readily.

Throat.–When swallowing, sensation as if a plug and of a splinter in throat. Quinsy, with impending suppuration. Stitches in throat extending to the ear when swallowing. Hawking up of mucus.

Stomach.–Longing for acids, wine, and strong-tasting food. Aversion to fat food. Frequent eructations, without taste or smell. Distention of stomach, compelling one to loosen the clothing. Burning in the stomach. Heaviness and pressure in the stomach after a slight meal.

Abdomen.–Stitching in the region of the liver when walking, coughing, breathing, or touching it (Bry; Merc). Hepatitis, hepatic abscess; abdomen distended, tense; chronic abdominal affections.

Stool.–Clay-colored and soft. Sour, white, undigested, fetid. Loss of power to expel even a soft stool.

Urine.–Voided slowly, without force-drops vertically, bladder weak. Seems as if some always remained. Greasy pellicle on urine. Bladder difficulties of old men (Phos; Sulph; Copaiva).

Male.–Herpes, sensitive, bleed easily. Ulcers externally on prepuce similar to chancre (Nitr acid). Excitement and emission without amorous fancies. Itching of glans, frænum, and scrotum. Suppurating inguinal glands. Figwarts of offensive odor. Humid soreness on genitals and between scrotum and thigh. Obstinate gonorrhœa “does not get well”.

Female.–Discharge of blood from the uterus. Itching of pudenda and nipples, worse during menses. Menses late and scanty. Abscesses of labiæ with great sensitiveness. Extremely offensive leucorrhœa. Smells like old cheese (Sanicula). Profuse perspiration at the climacteric (Tilia; Jaborandi).

Respiratory.–Loses voice and coughs when exposed to dry, cold wind. Hoarseness, with loss of voice. Cough troublesome when walking. Dry, hoarse cough. Cough excited whenever any part of the body gets cold or uncovered, or from eating anything cold. Croup with loose, rattling cough; worse in the morning. Choking cough. Rattling, croaking cough; suffocative attacks; has to rise up and bend the head backward. Anxious, wheezing, moist breathing, asthma worse in dry cold air; better in damp. Palpitation of heart.

Extremities.–Finger-joints swollen; tendency to easy dislocation. Nail of great toe painful on slight pressure.

Skin.–Abscesses; suppurating glands are very sensitive. Papules are prone to suppurate and extend. Acne in youth. Suppurate with prickly pain. Easily bleed. Angio-neurotic œdema. Unhealthy skin; every little injury suppurates. Chapped skin, with deep cracks on hands and feet. Ulcers, with bloody suppuration, smelling like old cheese. Ulcers very sensitive to contact, burning, stinging, easily bleeding. Sweats day and night without relief. “Cold-sores” very sensitive. Cannot bear to be uncovered; wants to be wrapped up warmly. Sticking or pricking in afflicted parts. Putrid ulcers, surrounded by little pimples. Great sensitiveness to the slightest touch. Chronic and recurring urticaria. Small-pox. Herpes circinatus. Constant offensive exhalation from the body.

Fever.–Chilly in the open air or from slightest draught. Dry heat at night. Profuse sweat; sour, sticky, offensive.

Modalities.–Worse, from dry cold winds; cool air; slightest draught, from Mercury, touch; lying on painful side. Better, in damp weather, from wrapping head up, from warmth, after eating.