Tuberculinum bovinum Kent 200c

- VERMEULEN Frans,
Tub.
Is not this the true romantic feeling - not to desire to escape life, but to prevent life from escaping you?
[Thomas Wolfe]
Signs
Nosode prepared from tuberculous tissue.
INCIDENCE OF TB Tuberculosis was so prevalent in the mid-19th and the early 20th centuries that 80% of the population was infected before the age of twenty years. After decades of declining incidence, tuberculosis is re-emerging since the 1980s. In 1993, the World Health Organization [WHO] took an unprecedented step and declared tuberculosis a global emergency. The breakdown in health services, the spread of HIV/AIDS and the emergence of multi-drug-resistant TB are contributing to a growing global epidemic. TB is a leading cause of death among people who are HIV-positive. It


accounts for about 15% of AIDS deaths worldwide. Between 1985 and 1991, when tuberculosis increased 12% in the US and 30% in Europe, it rose 300% in the parts of Africa where TB and HIV frequently go together. Global trade and the number of people travelling in airplanes have increased dramatically over the last forty years. In many industrialized countries, at least one-half of TB cases are among foreign-born people. In the US, nearly 40% of TB cases are among foreign-born people. The number of refugees and displaced people in the world is also increasing. Untreated TB spreads quickly in crowded refugee camps and shelters. Other displaced people such as homeless people in industrialized countries are at risk. In 1995, approximately 30% of San Francisco's homeless population and 25% of London's homeless were reported to be infected with TB. These figures compare to overall prevalences of 7% in the United States and 13% in the United Kingdom. The prevalence of infection in prisons can be even higher. The WHO estimates that between 2000 and 2020 nearly one billion people will be newly infected, 200 million people will get sick, and 35 million will die from TB - if control is not further strengthened. One-third of the world's population is currently infected with TB, of which 5 to 10% become sick or infectious at some time during their life. In the United States, the number of cases of childhood TB increased by 40% between 1987 and 1993.1
HISTORY "Several reports exist of ancient Egyptian mummies having signs of tubercular decay in their skull and spinal bones, suggesting that TB has been plaguing humans for more than 4000 years. More than 2400 years ago, Hippocrates wrote that phthisis was the most common disease of humans, and he further noted that it was nearly always fatal. Researchers from Munich, Germany reported in 1997 that they had isolated the tuberculosis bacteria from an Egyptian mummy dated between 1550 and 1080 BC. They first noticed traces of TB in the mummy's right lung, and then used sophisticated DNA testing to verify the presence of the tuberculosis bacilli. It wasn't until the late 17th century that tuberculosis was known to be an infectious disease. At this time, the Republic of Lucca in Italy issued a decree that: 'henceforth, human health should no longer be endangered by objects remaining after the death of a consumptive. The names of the deceased should be reported to the authorities, and measures undertaken for disinfection.' Thus, the bodies and property of those dying from tuberculosis were burned immediately. At the time of this edict in 1699, nearly everyone in Europe was infected with TB and one in four deaths was attributable to TB."2
TREATMENT "King Clovis, of 5th century France, believing his divine appointment as King gave him special powers, claimed to heal tuberculosis by the touch of his hand. For more than a millennium after, scrofula - a tubercular infection of the glands - was treated by a touch of the King and placement of a gold 'touch piece' around the neck of the patient. Edward I is said to have touched 533 sick in a single month. In England, in 1660, over 6000 people received the 'Royal Touch'. Several other traditional treatments used for tubercular patients included drinking potions of savoury ingredients like garlic and dog fat, inhaling smoke from burning cow dung, and taking long sea voyages to exercise the chest with extended vomiting. More recently, in the 1800s, patients were instructed to stay in an airtight room, wrapped in a feather blanket, near a hot stove. Just before 1900, rural sanatoriums began to emerge, offering the cure of fresh 'country air'. Near the beginning of TB treatment in sanatoriums, it became known that the sun helped to kill TB bacteria. When the Sun's UV rays hit human skin, vitamin D is produced. Naturally, when cod fish were found to be rich in vitamin D, it followed that their oil was sold as 'liquid sunshine'."3 The French physician René Laennec [1781-1826], famous for his invention of the stethoscope, treated his patients by placing seaweed under their beds, noting that tuberculosis was less common among those living near the ocean. Laennec thought that TB had hereditary aspects and denied it was contagious, believing that in many cases a psychosomatic element ['sad passions'] played a role. [Laennec was himself to succumb to the disease.] TB was so deeply feared that sufferers were sent away to remote sanatoria for a regime of fresh air and rest for many months or even years. To increase their strength and breathing power, patients could be left out in the elements with sandbags strapped to their chests for hours. Sanatoria were typically located in mountainous areas or the site was planted with pine trees which were believed to purify the air. "The benefits of travel were also much touted, in accordance with the Hippocratic Airs, Waters, Places tradition. With the spread of tuberculosis, 'phthisical' or consumptive gentlefolk made winter pilgrimages to Lisbon or Livorno in search of balmy air, while travelling itself [colloquially 'Dr Horse'] was said to recruit the constitution and strengthen the nerves. 'I must be on horseback for life, if I would be healthy,' claimed John Wesley [1703-91] - and indeed the founder of Methodism was still galloping round the country delivering hellfire sermons in his eighties. For the fashionable, the benefits of travel were combined with taking the waters. Spas like Vichy, Bourbon and Baden Baden abounded across the Continent, but it was in England's burgeoning consumer society that they first became big business, promising elegant healing rituals, social contacts and rich pickings for hoteliers and doctors. Pre-eminently Bath, but also Tunbridge Wells, Buxton, Scarborough and Cheltenham, provided balls, gambling, diversions and assignations, to accompany dipping, pumping and drinking the waters. By 1801, Bath, mixing medicine and merriment, had astonishingly become England's seventh largest city. After 1750, with England leading the way, the therapeutic virtues of the seaside were also being praised. Dr Richard Russell [1687-1759], the booster of Brighton, contended that seawater should preferably be drunk [the salts were beneficial], but most people settled less heroically for bathing, with the additional boon of sea air, for consumptives in particular. The Philadelphia polymath and inventor of bi-focals, Benjamin Franklin [1706-90], practised sea-bathing and sitting naked each morning before an open window."4
TUBERCULOSIS TB is a chronic, recurrent, bacterial infection most common in the lungs, but almost any part of the body may become tuberculous. TB is caused by Mycobacterium tuberculosis, M. bovis, or M. africanum. Where bovine TB is controlled, infection occurs almost exclusively by inhalation of organisms dispersed as droplet nuclei from a person with sputum-smear-positive pulmonary TB. The organisms may float in room air for several hours. "The bacilli gain entry to the body via the lungs, gut or skin, but most early infections are in the lower two-thirds of the lungs, where there is maximum ventilation and therefore a high susceptibility to droplet deposition. They multiply freely and reach regional lymph nodes until their progress is stopped by the gradual development of immunity - a period of several weeks. At this stage caseous necrosis and epithelial granulomas develop, and slowly the primary site of the infection heals. However, the defences may fail, and in this case the disease may overwhelm the patient, or spread to the chronic stage."5 Tubercular infection typically goes through three stages: [1] primary or initial infection, [2] latent or dormant infection, and [3] reactivation or adult-type TB. The first stage is often asymptomatic or might be passed off as a 'cold or flu'. "As in syphilis, 90 to 95% of primary TB infections go unrecognized, leaving only a positive tuberculin skin test and a latent or dormant infection. Such an infection may flare into action at any age, producing clinical TB in whatever organ it inhabits, most often the apical area of the lung but also the kidney, long bones, vertebrae, lymph nodes, and others. Usually, this occurs within 1 to 2 years of initial exposure, following HIV infection or onset of diabetes mellitus, during periods of stress or corticosteroid therapy, in adolescence or in the declining years [above 70 years of age]. It is much more likely if the initial infection progresses enough to leave nodular scars in the apices of one or both lungs [Simon's foci], which are the most common seeds for later active disease. Subtotal gastrectomy and silicosis also predisposes to development of active TB."6 The progression from TB infection to TB disease happens more rapidly in children than in adults. Children under age 2 are the most susceptible to TB infection. Vulnerability then decreases until age 13, when it seems to return again but to a lesser degree. Conditions known to increase the risk of TB include HIV infections, chronic malnutrition, chronic alcoholism, chronic renal failure, diabetes mellitus, prolonged treatment with corticosteroids or other immunosuppressive drugs, silicosis, leukemia, and lymphoma. TB is often perceived as most frequently affecting the elderly, and in industrialised countries a quarter of all cases occur in those over 65. In the U.S. overall incidence rates are twice as high for men as for women, whereas in developing countries of Africa and South America women of childbearing age between the ages of 15 and 44 are more likely than men of the same age to fall sick with the disease.
PULMONARY TB Pulmonary tuberculosis in 20% of cases in adults immediately follows the initial infection. Four out of five cases, however, represent reactivation after a variable period of dormancy [even sixty years]. Reactivation TB typically occurs in nodular scars in the apex of one or both lungs and may spread through the bronchi to other portions. "The onset of pulmonary TB is insidious, and the early symptoms are constitutional: fever in the evening or afternoon, night sweats, malaise, irritability and depression at the end of the day. Weight loss may or may not occur. A cough is commonly found, worse in the morning [on rising], and productive of yellow or green or blood-streaked sputum, which is usually odourless. The complications of pulmonary tuberculosis include haemoptysis, pleural effusion, TB meningitis, bronchopleural fistula and empyema."7 The British physician William Heberden [1710-1801] was not only the first to use the term angina pectoris, but he also gave an accurate description of consumption, based upon a life-time of taking histories and close observation: "The phthisis pulmonum usually begins with a dry cough, so light and inconsiderable, that little or no notice is taken of it, till its continuance, and gradual increase, begin to make it regarded. Such a cough has lasted for a few years without bringing on other complaints. It has sometimes wholly ceased, and after a truce of a very uncertain length it has returned, and after frequent recoveries and relapses the patient begins at last to find an accession of other symptoms, which in bad cases will very soon follow the appearance of the first cough. These are shortness of breath, hoarseness, loss of appetite, wasting of the flesh and strength, pains in the breast, profuse sweats during sleep, spitting of blood and matter, shiverings succeeded by hot fits, with flushings of the face, and burning of the hands and feet, and a pulse constantly above ninety, a swelling of the legs, and an obstruction of the menstrua in women; a very small stone has sometimes been coughed up, and in the last stages of this illness a diarrhoea helps to waste the little remainder of flesh and strength."8
OTHER SITES Pulmonary tuberculosis, formerly called 'consumption' because victims were almost literally consumed, comprises some 80% of cases. Other parts of the body that are susceptible to TB include the bones and joints, the meninges, and the lymphatic, reproductive, urinary and digestive systems. In the past, TB of the tonsils, lymph nodes, abdominal organs, bones and joints was commonly caused by ingestion of milk infected with Mycobacterium bovis. This strain infects cows and other animals, and is so closely related to the strain M. tuberculosis that it can also cause TB in humans. Before the introduction of the pasteurization process of milk, bovine TB affected hundreds of children between the ages of 5 and 15 and death from this cause was not uncommon. "Although tubercles may be present in the liver of patients with advanced pulmonary TB, miliary TB, or disseminated spread, this organ generally heals without incident when the principal site of the infection is treated. Tuberculous involvement of the liver occasionally spreads to the gallbladder, leading to obstructive jaundice. ... TB of the skin generally occurs at the site of irritation in a patient with cavitary pulmonary TB. The infection may involve the wall of a blood vessel and has even been reported to cause rupture of the aorta. Adrenal involvement, leading to Addison's disease, formerly was common but now is rare. Trauma to a tendon sheath may cause tuberculous tenosynovitis in a patient with tuberculous involvement of any organ. ... Other mycobacterial infections resembling tuberculosis include: [1] the Mycobacterium avium complex [MAC], the typical patient being a middle-aged man with prior lung problems such as chronic bronchitis, emphysema, healed TB, bronchiectasis, or silicosis; cough and expectoration are common, systemic symptoms are infrequent; [2] lymphadenitis: in children 1 to 5 year of age, chronic submaxillary and submandibular cervical lymphadenitis is commonly due to MAC; [3] cutaneous disease: swimming pool granuloma is a protracted but self-limited superficial granulomatous ulcerating disease usually caused by Mycobacterium marinum contracted from contaminated swimming pools and occasionally from home aquariums. ... The chronic infectious disease lepra is caused by the bacillus Mycobacterium leprae, which has a unique tropism for peripheral nerves and other cooler regions of the body - skin and mucous membranes."9
WRITERS In his book Creativity and Disease: How illness affects literature, art and music, Philip Sandblom presents the idea that certain diseases, particularly tuberculosis, may exert a distinct effect on creative production: " ... the slight fever livened the associations and filled the thoughts with fantastic, dreamlike pictures. ... A greater zest for life, which could not be satisfied in reality because of the lassitude produced by the disease, found an outlet instead in imagination, often with an erotic touch." Robert Louis Stevenson [1850-1894] writes how the tubercular patient was "tenderly weaned from the passion of life." "I venture some argument which finds echoes in the words of Philip Bailey in Homoeopathic Psychology: 'The image of the consumptive writer racing against time to complete his work of intellectual romanticism, living of bread, wine and tobacco, poignantly embodies the spirit of Tuberculinum.' I should like, therefore, to draw some similarities between writers, the disease TB and the remedy Tuberculinum. The issues discussed, the traits highlighted and the characteristics illustrated in the following may prove valuable when endeavouring to understand the nature of the remedy. ... Franz Kafka, one of the most influential writers of this century, was born in Prague, then part of Austria, in 1883. He contracted tuberculosis at an early age, thirty-four, and, despite spending much time in sanatoriums and health resorts, died just seven years later. His tubercular nature found expression in a variety of guises: the characteristic restlessness is portrayed externally - for example, in the things he did to relax [he enjoyed travel, swimming, hiking and rowing] - and within, in his mental anguish and torment. Another aspect is that of his suppressed sexuality - a huge element of desire figured in his life, but it was a desire he was unable to carry through - his love affairs always ended unhappily. Throughout his intense writings runs a theme: that of modern life being an anxiety-ridden alienation in a hostile, or indifferent world with the lonely protagonist[s] tormented by isolation. ... D.H. Lawrence also contracted and died of tuberculosis. Like Kafka, Lawrence's work was a response to the constricting and sterile values of modern civilisation: he rejected old social values and looked forward to a future of more personal freedom. In this he was a romantic in his approach, as can be seen in his first novel The White Peacock [1911]. Interestingly enough, however, in his writings we find an expression of the polarity that is inherent in every remedy: while Lawrence regarded sexual relations as the fundamental key to human behaviour, in many of his works he deals with the irreconcilable polarity of sensual and spiritual values. This inability to achieve harmony was evident in his life too: we can see a lack of contentment with the present and the characteristic desire for change as he and his wife left England in 1919 to live abroad. Indeed among his works are a number of books on travel which include Mornings in Mexico and Etruscan Places. ... Katherine Mansfield, another contemporary of Kafka, was born in New Zealand in 1888. She wrote short stories which were considered original and experimental. Her writing owed more to atmosphere and mood than to plot and action. Like Kafka, she contracted TB in 1917, and died in 1923 at the age of thirty-four. The characteristic restlessness and desire for change is here, too, in Mansfield's artistic career: she went from music to literature; moved from New Zealand to England and had two unhappy relationships prior to her second marriage. Mansfield's life was also marked by the emotionally unfulfilled and unhappy tubercular nature. Indeed, in an ironic twist, she died at the Institute for the Harmonious Development of Man at Fontainebleau where she had gone the previous year in an effort to regain her physical and spiritual health. ... Albert Camus wrote, like Kafka, on the theme of the alienated outsider; his novel The Stranger is considered by some to be his finest work. Camus portrayed the world as a fundamentally hostile and indecipherable place where humanity is left with feelings of loss, purposelessness and bewilderment. In terms of the remedy, we are now uncovering some of its innermost aspects: those which explain the meaning behind the superficial expression: desire for travel. ... Anton Chekov ... developed the themes which we have seen so often in each of our Tuberculinum case studies. His characters remain dissatisfied and are portrayed as either victims of illusion [young] or victims of disillusion [older]. The search for some meaning to the human condition continues unsuccessfully. Chekov was found to be suffering from chronic tuberculosis in 1897, and he died in 1904, aged forty-four years. ... Maxim Gorky [1868-1936] was another writer from Russia who died of tuberculosis. In his life we can see some more elements of the tubercular nature, perhaps most clearly the bohemian characteristic: having been sent to work at eight years of age, he subsequently became a tramp and for many years lead an aimless existence travelling throughout Russia. These travels provided much material for his writing; in particular he wrote about the rebellious, freedom-loving tramps that he had met along the way of his life's journey. ... John Keats was orphaned as a child and, soon after the death of his brother from TB in 1818, realised that he, too, had fallen victim to the disease. This realisation, and the awareness that his life, too, would be short, dissuaded him from marrying the woman he loved, ensuring that the final years of his short life would be spent in misery. What worse fate for a romantic? Although he travelled widely in an attempt to delay progress of the disease, Keats died in 1821. "10
PROVINGS •• [1] Swan - 2 provers, c. 1885; method: CM and CMM potencies, dosage and frequency unknown.
•• [2] Nebel - "the provers were tuberculous individuals, mostly workpeople, and only pathogenetic symptoms are recorded; Tub. 30 was used." [Clarke]
[1] World Health Organization, Geneva; Stop TB Initiative, 2000. [2-3] National Tuberculosis Center [Canada]; website. [4] Porter, The Greatest Benefit to Mankind. [5] Gibson, Studies of Homoeopathic Remedies. [6] Merck Manual. [7] Gibson, ibid. [8] cited in Porter, ibid. [9] Merck Manual. [10] Karen Doherty, Tuberculinum; The Homoeopathic Times, Autumn 1999.
Affinity
LUNGS. Mind. Head - occiput. Glands. Larynx. Blood. * Right side.
Modalities
Worse: CLOSE ROOM. Motion; at beginning of motion. Exertion. Weather [DAMP - cold; changing]. Draft. Awaking. Noise. Mental excitement. Thinking of it. Pressure of waistband. Before a storm. Music. Standing.
Better: Cool wind. Open air. WALKING FAST. Continued motion.
Main symptoms
M Longing. Romantic longing, never finding inner contentment.
UNFULFILLED. Unbearable sense of being unfulfilled.
M NEED for CHANGE [stimulating experiences].
Frequently changing [job, house, partner, interior of house, car, etc.].
Fight a constant battle against boredom.
• "Tuberculinum individuals are well suited to a nomadic way of life, since they do not form strong attachments to either places or to people. ... Tuberculinum is independent and very often gives the impression that he needs nobody, at least not emotionally or practically. What he does need is stimulation, and hence he likes to surround himself with interesting people. ... Like a cat, Tuberculinum is sensual but detached. Tuberculinum people tend to be friendly and yet aloof at the same time. ... It is seldom that one sees a Tuberculinum person looking ruffled. In the main Tuberculinum does what he wants, and if things don't work out he moves on to something else, without fretting too much.... Most Tuberculinums are very much future-orientated. The future holds the promise of fantastic discoveries which will liberate Mankind from the drudge of routine existence, giving him the time and the means to play and to explore the inner and the outer universe." [Bailey]
M Desire to TRAVEL.
• "Day and night, thought crowd upon each other roaming the universe, preventing sleep."1
Wandering.
• "Am sure I am losing my mind. I seem to go in other people's houses, see all the furniture, pictures and occupants of the home. They never speak to me and I never speak to them, but I am so miserable; then I seem to come back, and I am in my own home, and am so rejoiced that I often cry for joy. Since you have been talking to me I have been wandering away. This has been going on so long I can't stand it; am afraid I will land in the asylum with my sister."2 [cured case]
M Want to try everything.
Must live life to the full.
M Impulse to RUN.
M MALICIOUSNESS, destructiveness.
Especially when need for change is frustrated.
Destructive fantasies.
• "Felt positively ugly; personal aversions became almost a mania."
• "Trifles produced intense irritation and I could not shake them off."
• "Very irritable, want to fight; no hesitancy in throwing anything at anyone, even without cause." [H.C. Allen]
Pent up nervous strain = unconditional tantrums.
• "Full of nervous excitement; little, annoying trifles throw them into uncontrollable, nervous irritability, almost reaching temporary insanity; must use restraint to keep from profanity. Must do something to give vent to their pent up nervous irritation, after which they become calm. Pick up a chair and slam it down; pound the sewing machine when they can't thread the needle; draw cane to strike best friend; say harsh unreasonable things that they do not mean. Naturally of a sweet disposition when well, but under pent up nervous strain and tension will smash and break things and use the most abusive language which relieves the nervous tension. These are symptoms I have seen give away under Tuberculinum. One patient said if I can only get out and walk, and walk fast, it relieves the nervous tension [Sep.]. In two patients, after weeks of anxious nursing of loved ones, while the patients were at the worst, the nervous symptoms were manifest by shrill, piercing screams, felt they would die, or top of the head would burst if they did not scream, followed by nervous shaking chill. Tuberculinum CM relieved the nervous symptoms and headache and caused refreshing sleep that was impossible before. Patients accused me of giving an opiate."3
M COMPULSIVENESS.
Ritualistic.
Superstitious.
M Extreme IRRITABILITY in morning on WAKING.
M Shrieking during sleep, esp. before menses.
M Fear of DOGS and aversion to CATS.
• "The fear of animals is probably the way that this symptom should read because dogs are more numerous than other animals, it appears as the fear of dogs. It is just the same with cats, rats and horses and is characteristic of the tubercular diathesis. I have cured patients of an oversensitiveness to cats, they could not stay in the room if a cat were there, with Tuberculinum. It is so of many other animals."4
Or:
Great love for cats.
[The French author Colette, known for her novel La Chatte, credited the species of the cat with teaching her self-control and 'a particular kind of honourable deceit'. De Buffon, the French naturalist and avowed cat hater, on the other hand, was of the opinion that cats possess 'an innate malice and perverse disposition' and that they 'easily assume the habits of society, but never acquire its manners'.]
M Optimistic.
Hopeful.
M Precocious children.
G COLD AND HEAT <. Coldness. • "As if cold air were blowing on them. So cold, feels as if no clothing was on; that wind blew clear through to the marrow; so cold that no fire seems to warm them; can sit all day by radiator with thermometer at 80o F and only fairly comfortable. When this coldness strikes the spine we have intense pain and aching in the spine and chattering of teeth so they can hardly talk."5 G > Open air.
< CLOSED ROOM. Like to drive the car with the windows open [the face in the wind]. Can't stand covering of bed clothes; feels smothered. G PROFUSE perspiration; at night; from slight exertion. Musty odour. G Strong craving for SMOKED things, FAT and COLD MILK. Craving for cream, ice cream before menses. G Ravenous HUNGER at night; driving out of bed. G < BEFORE STORM. G < COLD DAMP weather. G Seashore < or >.
G > DRY warm weather.
G Tendency to take cold.
Marked disposition to RESPIRATORY ailments and allergies.
Hay fever; hay asthma.
G Oversensitivity [allergy] to:
Milk and dairy products; animals furs [cats]; dust.
G Crops of small boils one after another.
Tendency to acne [teenagers], esp. on nose and chin.
Acne looks purplish and leaves hard lumps.
G Constantly changing symptoms.
Indicated remedies fail to improve permanently.
• "Obscure, changeable indications." [Boger]
G TB [or chronic respiratory or allergic affections] in family history.
P Periodic headaches [weekly, fortnightly].
Headache; as of an iron band around head.
Or: Beginning in occiput and settling over or in one or both eyes.
Bursting, hammering, throbbing pain.
< Motion; using eyes. < Mental exertion; talking. Preceded by blindness or zigzag flashes. [1-3] Nettie Campbell, Clinical verifications of Tuberculinum; Tr. of the Intern. Hahn. Ass., no. 18, 1909-10. [4] H.C. Allen in McLaren, Tuberculinum; Tr. of the Intern. Hahn. Ass., 1901. [5] Campbell, ibid. Rubrics Mind Love for animals, cats [2]. Censorious [1]. Colours, desire for light blue [2], desire for light green [2], desire for light colours [1], desire for white [2]. Cursing [2], has to restrain himself in order not to curse [1]. Delusions, body looks ugly [1], surroundings seem strange [1]. Destructiveness from suppressed emotions [1]. Selfishness [1]. Striking himself, knocking his head against wall and things [3]. Threatening [2]. Desire to wander [3]. Head Hair, dry [1c], falling in handfuls [1C]. Pain, < smell of coffee [1A], > vomiting [1A], > wrapping up head [1].
Eye
Pupils unequal [1C].
Vision
Colours, blue [2], green [2]. Flickering before headache [1c]. Horizontal hemiopia [2]. Images too long retained [1]. Zigzags before headache [1c].
Nose
Epistaxis, from draft of air [1C]. Eruptions, small boils in nose with green pus [1c].
Hearing
Lost, > reclining position [1c], while standing [1c].
Face
Discolouration, bluish circles around eyes during menses [1C].
Female
Disposition to masturbation, before menses [1C], after menses [1C].
Cough
When reading aloud [2]. When talking loud [2]. In wind > [1/1].
Chest
Sensation as if heart were hanging or swinging by a thread [1].
Sleep
Position, on abdomen [2], genupectoral [2].
Dreams
Black animals [1c]. Dogs [1c]. Journeys [2]. Being prude [3/1].
Perspiration
During slight exertion [3]. Odour, fetid [2], musty [1C].
Skin
Dry, sensation as if skin had dried [1/1]. Itching, > heat of stove [3].
Generals
Seaside air < [2], > [2]. Desire to be in the wind [2].
* Rep. additions: [A] = H.C. Allen, MM of the Nosodes; [C] = Campbell, Clinical verifications.
Food
Aversion: [2]: Meat. [1]: Acids; cheese; coffee, smell of; eggs; milk; milk, cold; pineapple; sweets; vegetables; wine.
Desire: [3]: Delicacies; smoked meat. [2]: Alcohol; bacon; fat; fat ham; milk; milk, cold; pork; refreshing things; salty things; sweets. [1]: Bananas; butter; cheese; cold drinks; cold food; eggs; fat + salt; fat + sweets; fruit [c]; ice cream; juicy things [c]; meat; potatoes; pungent; salami; salty things + sweets; warm drinks.
Worse:[1]: Cheese; coffee, smell of; eggs; fat; hot food; pork; potatoes; smoked food; sugar.
* Repertory additions [Campbell].

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