CONIUM MACULATUM [Con]:

- Tarkas P. and Ajit Kulkarni.

motion or lying (>)

$ CONIUM MACULATUM [Con]

Poison Hemlock

Region

C-S System

Ganglionic

Brain (sympathetic)

and Motor cells of

Nerves cranium, esp.

III pair

Spinal cord

Solar plexus

Voluntary muscles; later respiratory muscles

Mammae

Glands Ovaries

Liver

Lymphatic

Spinal column

Bones Sternum

Teeth

Heart. Circulation

(Venous) capillaries

Adenoid tissue

Absorbents

R. side (head, face)

L. side (chest, limbs)

Worse

THESE FIRSTS:

first lying down, turning in bed, or head rising up raising up, falling asleep (sweat, cough), waking, motion, walking swallowing / eating

first appearing in public First smoke first coitus to drink cold water (at beginning of summer)

adolescence puberty primipara first week of confinement of a trouble climaxis early old age

morning (beginning of day) Spring (beginning of summer)

Weather : Wet, Cold

Snowy

Spring

Cold: bath; food, drink

Heat (eye)

Better

Sun heat

Heat (pains)

Cold applications (but tepid bath)

Open air (debility)

Daytime (cough, pains)

Sunrise (cough, oppression)

Darkness. Closing eyes (vertigo, nausea)

When occupied (diversion, pleasant company, reading, eating, or even keeping awake)

Discharges; sex, leucorrhea, sweat, deflating eruptions

Fasting, but also during and sometime after eating (esp.anxiety)

Positions : knee-chest (colic, oppression) hanging down limb pressure motion;continued lying

Worse (Contd)

12 to 3 or 4 am/pm

4 am 3 pm 5 pm

Periodically sundown to sunrise night every 10 days every 2 weeks before, during menses

When at rest, relaxing or idle on retiring lying: with head low; on side sleep, during and after (long); loss of

Seeing moving objects

Depressing factors : perspiration, after emotions (excitement,anger, grief, worry, shock, bad news,mortification) poisoning (alcohol, lead, mercury, aluminium, milk, tea, tobacco) overexertion, overstudy suppr. eruptions contusions, sprains denial or surfeit (of sex etc.) prolonged engagement disappointed love, love-pangs clandestine gratification

Highlights : Any start causes a reeling vertigo. Sweat on closing eyes, or in first sleep. Agg. first departure from a status quo. Glandular induration. Loss of physical irritability (or response to stimuli, Gels.,Hell.). Depressed functions (Carb-v.).Gradual shutting down of physical and mental functions (Alum.).Trauma. Syndromes of aluminium - mercury - lead poisoning (Carb-s.) and addictions.

Scrofulous affections with engorgement of lymphatics; with exhausted vital energy and tubercular diathesis (takes cold often). Irregular action ending in progressive debility as in old age esp. premature (unsteady gait, early degeneration, both physical and mental; as in Baryta.,Cur.); aphasia; dullness, lethargy (habitude).

Mental and nervous (paralytic and tremulous) debility, of old widows, widowers or others: languor, sluggishness, lack of reaction, sexual debility, paralysis, losing flesh, arterio- sclerosis, hypertension, diarrhea, urinary troubles, asthma, cough, local congestions, vertigo; (mentally) aversion to meeting people, to making a new acquaintance, loss of interest (s), weakened memory and (sometimes) extravagance (reverse of Lyc.). Shopaholic (shopping mania). Adolescents with sex awakening but lack of its fulfilment (Agar.). Forced celibacy.

Nerves Pains : Fine stitches (like needles) everywhere; through glands, in mammae, teeth, gums, throat, in abdominal tumor. Stinging pains (stinging stitches) in ovaries, cervical glands, skin. Prickling in skin, clawing. Sudden sharp thrusts (stabbings or shocks); from sternum to spine, deep in pit of stomach, in abdomen, occiput, in heart; glands. Feeling as if bruised by blows, as if rubbing together (joints, vertebrae). Cramps; fingers, calves, (toes). Pains (<) night, rest. Also painlessness with complaints and in lesions (ulcers, paralysis etc.).Numbness: with pains; in paralysis; with weakness; of one side of head, l. arm, hands, fingers, legs, feet, toes. Tingling. Extreme restlessness of the whole body; legs fidgety (like Zinc.); will not lie down, must sit up and better walk about. Nerves in a state of fret, jerking, quivering, vibrating (Med.). Hurry in actions. Tremors a general state. Anxious trembling; of aged. Trembling hands; r. after tea or fright; while writing; in dyspeptic; legs on walking. Tremulous sinking from sex denial. T. (<) morning; (>) breakfast, alcohol. Shakiness, tottering gait, in the elderly. Automatic motions, during coma (and loss of voluntary muscles control; trial- worthy in cerebral palsy).

Sensorial depression (or loss of power) with acute special senses; vision, hearing (cannot bear any one speak however softly), smell.

Convulsions; of upper part, lower paralysed; with (apoplectic) blood from ears (Cic., which goes ahead with convulsions, while Con. advances to its target : paralysis). Epileptiform spasms.Trismus. Lockjaw. Chorea. Hysteria, from suppr. sex; tending to syncope, chilliness, delapidated state, globus etc. Nervo-hysterical reflexes (Lil-t.).

Multiple neuritis, disseminated sclerosis. Posterior spinal sclerosis (locomotor ataxia. Gels. is a milder and earlier stage of Con.) ; can walk with closed eyes (opp. Alum.); or cannot walk in dark; trotting gait. Spinal irritation; after contusion. Softening of brain (Bar-c.).

Fainting fits, after exhaustion. Sinking and sick feeling early in morning in bed, or at stool. Collapse: from abstinence; from disappointed love; at beginning of general paralysis. Even a short walk may cause fainting.

Debility : Suddenly sick or weak and numb. Profound, prolonged, tremulous, even paralytic (Gels.); after exhausting diseases as flu, zymotic fevers, abuse of tea. Extreme languor with ill humor or general apathy, dread of any exertion physical or mental, yet legs fidgety. Agg. morning in bed. Debility (or hunger, a sinking sensation) after stool (Arg-n.). Sudden debility while walking, must desist. Weakness in spells. Complete loss of muscular control or power. Severe neurasthenia; a nervous insufficiency, cause, inter alia, of diabetes (Ph-ac.).

Paralysis : A gradually growing shakiness or paresis into paralysis (Caust., Cocc.); or sudden: as legs giving way while walking. P. after grief, a fall, head injury, spinal concussions; P. from pressure / compression (Arg-nit.); after apoplexy (hemiplegia), diphtheria, even after a cold bath; ascending (or reverse); painless; of old people; agitans (Gels.), head shaky and bent down, limbs in tremor, walks in trots, body rigid; or after every spell of fever. Paralysis of deglutition comes first, then of motor muscles, of respiration last (Gels.). P. of upper eyelids.

Tissues

Stenoses, strictures of tubes.

Indurations; often painless, but also with darting pains; from blows, contusions. Nodules (hard) all over under the skin (rice bodies). Hardness deep under an ulcer. Hard spot after injection. Hard cancers with lancinating pains.

Atrophy : mammae; brain ?

Glands : Get sore, enlarge and harden: sluggish indurations; with numb feeling. Induration (tumors) in abdomen from swelling of mesenteric glands. Lymphatics (cervical, axillary or inguinal) like knotted cords or stringed beads (Bar-c.). From simple taking cold in glands to malignancy. Parotid. Pain in axillary glands with numb feeling down arm.Trauma.

Growths : Tumor in brain (Thuj.) ; on back; of heart (Sep., Sil.); behind ear; on a pedicle, both bluish; or elsewhere; after a blow (Bellis-p.). Fibroids in uterus etc. Wens (sebacious cysts). Warts; on nates, soles. Polypus; in nose, uterus. Feeling of a lump: in brain; in epigastrium.

Rapidly spreading cancers. (Final stage of) Scirrhus, of breasts, after a blow. Cancer of stomach; of eyes; cancerous ulcers of lower lip from pressure of tobacco pipe (Sep.); of oesophagus; of lung. Epithelioma. Noma. Lupus. After suppressed sex.

Emaciation; after every acute trouble; rapid, of the aged; after (>) of dropsy; with good appetite. Tubercular wasting.Thin, wasted, feeble and cold. Skin wrinkled.

Dropsy : Anasarca; hydrocephalus (Hell.); (ascites); hepatic (Chel.); oedema of face, limbs, knees, feet. Inflammatory swellings. Infiltrations. Agg. after sour.

Muscles: Limp; paralytic (Hell.). Tottering. Prolapsus : uteri; ani ? Hernia.

Bones : (Concealed) Caries, like Stron-c. esp. in middle of long bones. With burning-gnawing. Caries of teeth, sternum. Ricket : softening; spinal curvature (Bar-c., Cal-fl.). (Exostoses).

Blood : From ears (apoplectic or epileptic); from nose (vicarious), in Spring (Lach.) with anxiety; from gums; in urine, with dyspnea; from lungs, with cough, or due to onanism. Extravasation, after injury. Petechiae. Purpura; senilis (Lach.). Ecchymoses. Chlorosis, after suppr. menses. Local congestions; peripheral vascular occlusions. Arteriosclerosis (see Heart).

Discharges : Thick; burning-hot (tears, urine, leucorrhea); cold (flatus, stool, sweat); offensive (esp. axillary) odor in Summer; when fatigued, excited or anxious body gave out a stink; intermittent, gushing.

Injuries : Easily overstrained (like Psor.); of glands, swollen and hard; after burns or contusions; mammae, from knock, e.g. of sucking child's head; or overuse of arms. Contusions, bruises or shocks of spine, the 'railway spine' (Cic.); back-pain after fall or concussion (Hypr.). Of genitals, from difficult labor, instrumental delivery or sterilization operations. Surgical injuries anywhere in general. Stitching pains and other ill effects, hard cicatrices, keloids (Bellis-p.,Cal-fl.). A general feeling as if bruised by blows (like Rhus-t.). Injured (long ago) spot pains (Arn.).

Peculiar features 1. Constant lack of vital heat; a constitutional coldness; always chilly; though likes cold on parts (eyes, face etc.), cannot stand the massive experience of a cold bath. Liability to take cold from the least exposure, e.g. of feet; glands are the first to be affected. Is a friend of the Sun (like Stron-c.), esp. during fevers.

2. Although a deep-acting syco-syphilitic and tubercular is useful in early stage of disease too; hence called the Aconite of chronic disease. "Con. is initially to glands and capillary system what Acon. is to heart and arterial system" (viz. sudden shock and congestions). It is to Cal-c. what Aco. is to Sul.

3. Beginning of a certain act, state, process etc. disturbs.

4. Single effects : A single organ fails to mature or develops slowly (Agar.,Bar-c.).

5. Opposite effects : Irritable or apathetic. Depressed or lively. Sight too acute or dim. Glands enlarged or atrophied. Indurations,dysentery, painful or painless. Hysterical oscillations of moods (laughing or crying). Loves Sun or anxious in it. No appetite and bulimy. Sleep agg. or amel. Discharges some hot, others cold. Arms weaker than legs, or vice versa.Yet also definite unambivalent symptoms in some cases.

6. Sudden (momentary) attacks of : blindness; weakness; faintness; numbness; paralysis.

7. Several "withouts" : Lameness-paralysis without pain, without spasms. Headache without ability to pass urine. Photophobia without inflammation. Dysentery without blood or pain. Stitches in anus without stool. Sexual desire without ability or erections. Seminal emissions without dreams. Loose cough without ability to expectorate. Ulcer without pain. Heat without fever. Can walk without opening eyes (in locomotor ataxia). (Contusion without pain ?).

8. Anomalies : Salivation with dry lips. Intolerance of clothing but uncovering body in bed not tolerated. Sleepy by day, sleepless at night. Better on sweating but worse afterwards. Desires, but also dreads, to be alone.

9. Acute : vision, hearing, smell (primarily).

10. Termini: Cold. Dry (lips, fingertips).

11. Ascending symptoms.



12. Stubborn chronicity; symptoms develop insidiously, slowly, steadily, even painlessly paralysing first gastric, then locomotor, then respiratory, and lastly cerebral if at all.

To conclude : Con. is a great revitalizer or rejuvinator (aligning with Alum.), making the old or oldish persons look comparatively younger. If you miss Con. in children (which is quite likely because e.g. it camouflages as Lyc. one is tempted to push it) they will age early without enjoying a vigorous youth, or they may develop tumors and perhaps even cancer. And, if Con. is not followed up (esp. in the elderly) by constitutional treatment (as by Calcareas or Barytas) in time, terminal troubles like apoplexy, sclerosis or paralysis might appear. Giving Gels. or Rhus-t. e.g. for colds (where Con. was required) may render one more and more suceptible to colds, to say the least. Remember, Con. is a bridge between Gels. and Bar- c. or Bar-m., and a comrade to Hell. which is its close-up (in vegetable dyspepsia and cerebro-muscular difficulties of the aged).



Make-up : For the lesbian who have become so after unsuccessful sexual relations. For the aged and the prematurely aged, broken down. Also though rarely called for the ageing-resistants not going beyond otosclerosis (deafness and vertigo) and an atonic dyspepsia (sclerosis apart, like Bry.). Con. is (like Arn.) our homoeopathic aspirin. It here aligns itself with our Sal-ac. and Chen-a; will prove a better vasodilator. It perhaps contains some salicylate.

It is like Chel., but is deeper acting, more neurotic, hypochondriacal and cachectic, and is asocial, but is not plethonic.

Mind

Psychogenic causes : Unresolved grief, sexual abstinence or excesses, being isolated, suppr. love, mortification, business failure etc.

Irritable; excitable; hysterical; intolerant of contradiction; everything makes an unpleasant impression on him. Oversensitive to light, noise, odors.

Restless and anxious; moves from place to place; changes occupations frequently. Anxiety from sunlight. Anxious restless apprehensiveness; before menses or during pregnancy. Anticipatory anxiety. Very anxious thoughts almost rising to a deadly anguish haunt one after mid-night when seemingly half- awake. A feeling of apprehension referred to the epigastrium (Arg-n.,Lyc.); after overeating at supper. Frightened feeling from trifles, e.g. a slam at door, with a feeling as before diarrhea (urging). Anxious hurry in all actions with uneasiness (distress) in pit of stomach, anxiety at heart and dyspnea (solar plexus).

Hypochondriasis; from enforced chastity or after sexual excesses; after suppr. menses; after excitements.

Melancholia; sad, depressed, morose, though quietly peevish and vexed; during puberty, from suppr. menses, pregnancy or climaxis; attack every 2 weeks. Gives short answers; picks his fingers or at his nose. Folie circulaire (cyclic madness); summer insanity; alternate excitement and depression in ten days cycles. Unsympathising from indolence and want of proper understanding (which requires adequate will power).

Brain fag : Inability for sustained mental effort (Hell.); can not think, after straining eyes (e.g. students, after night study; or, thinks but slowly; memory somewhat impaired (cp. Anac.)); a gradually developing dementia, imbecility or a passive insanity; paretic dementia; after grief. Broken down, tired of life, discouraged; women feel as if they must cry and swallow the lump, they feel choking the throat. Apathy; loss of interest in life; no inclination for business or study; avoids any serious work or enterprise, prefers play or platitudes. Fascination for rags. Takes everything in bad part. Childish, free only with her children. Suggested in atrophy of brain; Alzheimer's disease (cp. Alu., Bar-c., Lyc., Plb. etc. In schizophrenia, Hell.).

In society : Irritable, tense, peevish. Intolerant, narrow- minded, dogmatic. Suspicious. Religious, superstitious and full of fears with frequent thoughts of death. Aversion to society, even to members of one's own family. Will not care to form or maintain friendships, from lack of stamina or bashfulness. Timid, coyish, sheepish (like Puls.), esp. young adolescent girls; before strangers. Or domineering, easily angered, quarrelsome (like Lyc.). Asocial (due to indignation or onanism is Staph.; due to miserliness,Lyc.). Con. is somewhat generous.

In company is inclined to abuse; scolds and will not bear contradiction (cp. Anac.); yet cannot live alone (like Lyc.). Ill-adjusted with one's environment. Love-pangs, ailments from unrequited or suppr. love (Ign.); melancholia, hysteria, collapse. Grief then imbecility or paralysis. Society - shy children old people or (Bar-c, Con. parents may beget Bar-c. children).

Old age aberrations : Foolish extravagance, makes useless collections or purchases (and perhaps forgets to collect them), wears best or raggy clothes, cares very little for big things, or much for trifles, wastes or ruins them; dementia. Senile break-down, depression, withdrawal (Carb-s.). Unbalanced behaviour of the aged living under constraints in an unfriendly set-up.

Coma; at beginning of paralysis or collapse; eyes roll about, an "unsettled glance"; unsteady, tremulous look.

Ambulant delirium or mania.

Select Particulars

Head : (Rotary) Vertigo on any change in posture, or starting a habit, as first smoke; exertion; vicarious; anemia; senile; with numbness in head;(>) rest (and walking, Bry.); (<) on turning in bed; to l. Congestion; apoplectic; in children. Sick headaches, preceded by a well feeling, (>) closing eyes (for sleep). Serous apoplexy; of the aged; with blood from ears. Apoplexy minor, momentary loss of senses (Pho. acute, Hell. severe).

Eyes : Photophobia; even with little inflammation. Lachrymation, hot tears on opening eyes. Drooping eye lids. Paralysis of recti-muscles or optic nerve (Caust.). Inflammations. Cataract: acute; after contusion; senile. Recurring, indurating styes. Cornea: pustules on; ulcers on; opacity of. Divergent squint.

Many aberrations of vision; sluggishness of Accomodation. Momentary blindness, from sunlight, day B. Blurred. Dim. Diplopia. Foggy, cloudy. Dazzled; by bright light. Prefers darkness (like Med.).

Ears : Meniere's disease.Labyrinthine vertigo, tinnitus. Deafness; from liver affections; (>) pulling auricle. Fluttering- humming as of butterfly.

Nose : Liability to take cold. Spring coryza; discharge watery, purulent; nose obstructed with sneezing in morning. Epistaxis in spring and summer; with anxiety; vicarious. Smell acute. Ozaena.

Face : Leaden hue. Greasy. Nightly pains. Mumps; suppurating; indurated; in diabetes.Ulcer, even epithelioma of lips from pressure of pipe (Sep.).

Mouth : Toothache, stitching, (<) cold food, (>) cold water; feel loose; carious; gums scorbutic.

Tongue: inflammation; paralytic; no coating on. Taste bad, bitter. Saliva: sour.

Throat : Choking fits, stricture (spasmodic) of oesophagus, on first few morsels. Lump feeling, rising. Malignant stenosis of oesophagus (a divorcee). Pain (<) first swallow. Tonsillitis, sluggish, painless; with pepper box openings (small crypts). Stomach : Appetite enormous (loath to miss a meal), but not assimilating (Pho.); in the aged; or lost. Desire for acids, coffee, salt, sweet. Averse to bread. Easy digestive upsets; esp. after milk; acidity; fullness; heartburn. Heavy nausea; pregnancy; seasickness. Vomiting; coffee-grounds - like. Digestive disorder with pain in I. chest, oppression, vertigo, stage wise; even to ulcer. Ulcer or cancer (of stomach and / or liver); secondary to nerve malfunction. Eating (<) pain, generally and in cancer; but in acidity eating (>) for 2-3 hrs. About 3-4 am inflation (following vexatious dreams of quarrel), with nervous feeling and palpitation (with sometimes oppression or pain in I. chest); (>) deflation, lying knee-chest, sitting up. Atonic dyspepsia. Frequent or constant empty eructations, during stool; while walking.

Abdomen : Liver: painful, sluggish, enlarged, hard; nodes on; chronic jaundice (Chel. an acute and close-up), after mortification.

Chronic abdominal affections; venous plethora. Flatulent colic; after milk; incarceration with oppression in abdomen and (l.) upper chest, ext. both up and down, cold feet; painful meteorism after milk; (>) in knee-chest position (like Med.). Dragging or distensive pain in the hernial locus. Knocks as from foetus.Trembling in. Retracted (Plb.,Con. antidote to lead). Pancreatitis. Stitches in l. chest, sub-pseudo angina pectoris (flatulent twinges). Abdominal discomfort, during siesta; or oppression of chest during sleep in small hours (3-4 am).

Mesenteric glands enlarged leading to abscess and after its draining off healing delayed with tumor formation, which is hard and pains like cutting; T. on the site of antirabid shots.

Rectum : Cold flatus, stool. Heat during stool. Stitching when not a stool.Traumatic periproctitis. Bleeding piles with tenesmus (during normal stool).

Diarrhea: Neurotic; after milk; crampy; with palpitation and tremulous weakness after stool; during pregnancy. Dysentery: tenesmus, or colic either or neither (Bapt.), membranous, pus, no blood. Obstinate constipation; ineffectual urging; stool on alternate days; (<) after milk. Urinary : Nephritis. Bladder catarrh; strangury; pain squeezing, stitching; retention from nervousness, injury, paretic B.; or feeble flow. Prostate: inflamed, enlarged, with intermittent flow. Forcible retention causes renal pain. Urination easier standing. Easy prostatic discharge. Diabetes from nervous insufficiency (Ph-ac.), as in old age. Male : Forced abstinence causes sexual incompetence or / and excessive desire (satyriasis, nymphomania). Erection failing at first coitus. Cutting pain in urethra as urine or semen passes. Discharge; nocturnal; from first smoking; after onanism; after slightest provocation. Gonorrhea; stricture after silver-nitrate. Testes inflamed, indurated, hypertrophied or hydrocele after contusion (Penic.). Syphilitic sarcocele; after a bruise; also (para-) phimosis. Female : Milky leucorrhea. Deep-in pruritus, at menses, climaxis or in diabetes.Vagina sensitive, vaginismus, or cold. Inflammations and indurations, after pessary or loop. Polypus. Fibroids. Scirrhus. Menses : feeble; suppr. from cold. Painful, with dragging down, vertigo and shooting in precordia. Climacteric bleeding with vertigo, flushes of heat and HBP (Lach.). Unready conception and ready abortion. Suppr. lochia. After- pains at (first) breast feeding. Effects of weaning on nurse. Mammae : Inflamed after every cold; tender, (stony) hard and swollen at every period; or after a contusion or an abscess, or in the elderly. Nodules around an abscess. Burning (l.); in cancer, after a blow; suppr. sex or suppr. cancer elsewhere (<) night, (>) warmth, motion (Sil. compl.). Atrophy.

Respiratory : Peculiar noise from larynx like : ----------------- ---------(tha-ha, tha-ha; sanya-sanya). Threatened chronic tracheal affection. Tracheo-bronchial catarrh.

Dyspnea, with hematuria, with anxiety in pit of stomach, the first thing in morning; suffocative, with choking; easy.

Wet weather asthma, of old people.

Cough. Periodical coughs. Short paroxysms. Tormenting, nervous, convulsive, dry, night coughs from tickling in a spot in larynx which feels dry. Cough seems to come from the stomach (or sporadic) cough day and night. Reflex, irritative coughs of pregnancy (Cer-o.); severe cough threatens abortion. Nervous night cough of old people. Worse: on first lying down after dinner or at night; from slightest exposure to cold air, like getting into a cold bed, getting out of a warm bed, or even taking out arm; in recumbent position; evening or 6 pm to sunrise (>) in daytime); drinking too cold water; eating sour or salt; deep inspiration; talking; running; on waking; 12 - 3 am; after emotions; from irritating things (acid, acrid or salt) (Alum.). Whooping cough after exanthem; spasmodic stage.

Expectoration : during day; loosened late, or cannot be thrown out (like Ant-t., Zinc.) but has to be swallowed. Yellow, purulent, offensive, bloody. Hemoptysis after masturbation.

Phthisis : dry, hacking cough.

Chest cold. Pain in apex of l. lung ext. to sternum with soreness to touch, in (r.) side of chest, spot back of clavicle between neck and shoulder. Painful spot at the level of sternum. Sharp thrusts at sternum or through sternum or in precordia. Shooting in side of chest; in sternum. Pressure behind sternum with desire to breathe deep. Stiffness of sternum on physical exertion. Pleurodynic stitches; in (r.) chest about nipple, on every inspiration, motion etc. (and relieved by hard pressure (like Ascl-t., Bry.). Fine stitches into (l.) side of chest. Hot pains through l. breast to axilla. Beating stitch (in heart) with pain in upper and l. part of chest towards centre. Substernal pain.

Shocks in chest, heart. L. subclavicular pain. Pectoralis muscle and forearm bruised / tender to touch on the radial or ulnar side (l.). Tremor of muscles at base of clavicles; (in chest). Cannot tolerate weight of clothes on trunk (abdomen, chest, shoulders) like Lach., but must have a sheet on in bed. Oppression; (towards morning) from incarcerated flatulence.

Cancer of l. lung after removal of l. mamma for cancer; whole l. arm badly swollen and purple in color (which Lach. palliated), axilla swollen and lumpy, oppression in l. side of chest.

Heart : Precordial oppression. Anxiety, driving him from place to place. Half waking after midnight with great precordial anguish; (<) 12-4 or 4-7 am, better keeping awake, relief complete by daybreak (prob. incarcerated flatulence); sub - pseudo angina pectoris (flatulent twinges). Angina pectoris: pseudo(or sub-pseudo=hysterial). Pressure on chest, in sternum and in heart region. Beating-stitch with pain in upper and lower part of chest towards centre. Sudden sharp thrusts from sternum to spine (or deep in pit). Frequent shocks at heart. Substernal pain. Heart pain ext. along ulnar nerve (upto l. little finger). Precordial pain from shock to spine in overlifting. Violent beating of heart with sinking, trembling and weakness. Palpitation: after exertion, drinking, stool; anxious on being suddenly called (or from a loud noise); during sleep, (>) lying knee-chest.

Blood vessels pulsate everywhere. Orgasm of blood; with jerking in heart. Arteriosclerosis; of radial and other palpable arteries, with H.B.P. and attacks of hemiplegia; or a momentary attack of l. arm paralysis. Essential hypertension with cold flush (and flushes of heat). H.B.P. at climacteric. "Con. clears peripheral vascular stenosis (or thrombosis / occlusion) better than dilators"- Dr. Troupe; by controlling cholesterol level in blood and atheroma (?). Coronary insufficiency. I.H.D.; senile. It thus aligns itself here with the aspirin group like Arn., Chen-a. and Sal-ac. (esp. in the aged).

Hypertrophy.

Valves : Insufficiency of mitral. Rough sclerotic sound in the valves; sclerotic mitral and aortic leak; sharp shooting pain from about l. nipple through to back.

Pulse : Intermittent; unequal in strength; irregular in rhythm.

Back : Stiff on (first) rising (from lying on cold stone). Lumbar stitches, (<) on beginning to move (which causes dizziness). Injuries of spine; then spinal irritation (also from sexual causes). Locomotor : Rheumatism with Rhus-t. modalities. Nightly fidgets. Jerking during sleep. Trembling, and unsteady; tottering gait. Lame, paralysed feeling. Yellowish nails, or stains on fingers (jaundice?). Sciatica, (>) hanging leg down. Shooting in heels, as in calcaneal spur.

Skin : Spotted red, white, yellow or brown; greenish blue (as if ecchymosed), in incipient gangrene. Dark spots in aged, with wrinkles.

Urticaria after exertion. Abscesses, with purple surrounding (Lach.); felons. Erysipelas. Rash; (<) before menses. Eczema. Boils. Herpes; zoster (?). Impetigo figurata. Suppr. eruptions. Ulcers : indolent, painless, phagedenic, fistulous; traumatic; gangrenous; malignant; honey-combed (pepper box openings); tense; with crawling in. Sleep : Sleepiness, of the aged, with vertigo or during headache. Insomnia, of the neurotic and fidgety; of multiple neuritis; till midnight. Worse after long sleep, or loss of sleep. Dreams : of all sorts from amorous and pleasant to most frightful, also of disgrace, quarrel, vexation. "Horrid dreams from which he woke in fright about 3 - 4 am with distended feeling in stomach (>) lying on it), nervous feeling, palpitation (or oppression of chest)."

Thermic: Coldness predominates; with internal heat (a feverish coldness); in internal parts (like stomach, vagina etc.); legs cold and dropsical; flatus or stool; knees, feet, arms or anus cold; chilled through wetting feet. Fever on falling asleep or during / after sleep (Lach.); or flushes of heat of climaxis (Calc.). Sweat on falling asleep (Chin.) or even on closing eyes. Inflammatory or catarrhal fevers. Influenza; debility after. Intermittents quotidian or tertian. Bilious. Petechial fevers.

Relations : Acutes: All-s., Ars., Bell., Bry., Carb-v., Chel., Gel., Hell., Lach., Merc., Nux-v., Pho., Pul., Rhus-t., Stram.

Chronic : Alu., Bar-m., Cal-a., Calc-c., Carc., Caust., Cic., Dro., Grap., Lyc., Nat-m., Nit-ac., Pho., Psor., Scir., Sep., Sil., Sul.

Similar : Arg-n.,Bro., Bry., Calc-fl., Carb-s.,Chen-a., Cist.,Cur., Gel., Hydr., Iod., Kali-p., Lach.,Lap-a., Merc., Nit- ac., Nux-v., Phos., Phys., Plb., Rhus-t., Sal-ac. (Con. perhaps contains some salicylate), Sel.

Symbiotics : Ars-i., Bry., Caust., Chel., Hell., Lach., Lyc., Pho., Sep., Sul. Carb-v. helps nutrition.

Con. is a bridge between Gel. and Bar-c. or Bar-m. or Plb.; between Alu. and Aur.and between Carb-v. and Sul.

Hell. is an intensified acute close-up of Con.

Con., Hell. and Zin. are intensified Bry.

Is an advanced (though less chronic) Calc-c. and esp. Calc-fl. Con. covers the same field as Calc. but minus malnutrition and plus more emphasis on nerves. Con's non-traumatic analogue : Hydr.

Antidotes : Coff.,Dul., Gel., Merc., Nit-ac., Nit-s-d., Sul.

Antidote to: Aluminium., Lead., Mercury, Nit-ac., nitrate, Silver.

Inimical : "Psor."

Counterparts : Lach., Lyc.,Puls.

Aged Sep. may turn Con.

Arg-n., Caust., Con., Lyc., Sep. a useful group.

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