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in bed; caused by wine, strong light, music or missing dinner at usual hour; returns daily at same hour.
CAPSICUM. Patients of lax fibre; burning pungent pain, worse from slightest draught of air, either warm or cold.
CAUSTICUM. Right side; from malar bone to the mastoid process; aggravated at night; better by rubbing with cold water; chilliness.
CEDRON. Chronic intermittent, prosopalgia always coming on at 7 or 8 p. m., lasting two to four hours; intense, burning pain wandering from one place to another, although emanating from a carious tooth; puffiness of the face.
CHAMOMILLA. Hot perspiration about the head; twitching in eyelids, eyeballs, lips, and facial muscles; patient screams, can't endure pain, is wild and unruly, tossing and rolling about.
CAELIDONIUM. Neuralgic pains across eyes from left to right, accompanied by most profuse lachrymation and dread of light; right sided supraorbital and temporal neuralgia,
CHINA. Violent, tearing, laming, burning, left side, every morning; worse from draughts of air, slightest touch, lying down and in the night; great weakness after the paroxysm.
CHININUM SULPH. Recurring same hour every day; intervals free from pain; no complication with gastric or other do. rangements,
CIMICIPUGA. Reflex from uterine or ovarian affection; sensation of heat of vertex, or as if the top of the head would fly off; pain goes off at night and reappears the next day; frequent flushes of heat, want to be in the open air.
Cina. Pain as if both malar bones were pressed together with pincers; worse from external pressure.
COFFEA. Excited nervous erethism; headache, as if the brain were torn or would be dashed to pieces, coming on during walking in the open air; worse from heat; clavus.
COLCHICUM. Remarkable tolerance of pain; general semiparalytic condition; left sided; tearing and tensive pains in facial muscles, moving from one location to another; drawing in bones of face and nose, with sensation as if they were being rent asunder.
COLOCYNTHIS. Tensive tearing with heat and swelling; left side; caused and aggravated by chagrin or indignation; worse from touch or motion; better in perfect rest, and from external application of warmth.
Conium Mag. Right side; bluish swollen cheek, with sore. ness as from excoriation; worse from cold and from eating and drinking
FERRUM MET. During the paroxysms the face gets fiery red; during intervals the face looks earthy and pale; cannot koop the head quiet; after overheating and cold washing.
GELSEMIUM. Acute, sudden, darting and shooting pains, with contractions and twitchings of the muscles supplied by the affected nerves; muscles sore; inability to raise affected eyelid.
HEPAR SULPH. Obronic cases; pains in malar bones, extending to temple, ear and upper lip; worse in the fresh air, better from wrapping up the face; at the same time coryza, hoarseness, much sweating, and rheumatic pains elsewhere; especially after the abuse of mercury or metallic preparations.
IGNATIA: Supraorbital; convulsive twitching of facial muscles; pain felt only when touching the part; clavus hystericus; forcing and pressing out pain.
IRIS VERS. Pain in head, temples and eyes, attended with most distressing vomiting of a sweetish mucus, and if attended by much straining with a trace of bile; relieved by vomiting.
Kali Bi. Pain in left upper maxillary, shooting towards the ear; supra-orbital with gastric disorder; face pale; cold sweat on face and body; weariness after the pain.
KALI CARB. Stinging in cheeks, with tearing stitches into forehead, eyes and temples.
KALMIA. Right half of the face; rending, agonizing or stupefying neuralgia of superior maxillary branch and of teeth, not from caries but after exposure to cold; worse from worry, mental exertion or heat; better from cold.
LACHESIS. Left sided orbital neuralgia; lachrymation, rising of heat in face before, and weak, nauseous feeling in abdomen after attack. Delirium appears as soon as the eyes are closed.
MAGNESIA Phos. Darting, spasmodic pains; relief from pressure and warmth; patient languid, tired, and exhausted.
MERC. CORR. Tearing pains, worse at night in bed; ptyalism; constant inclination to perspire, especially of affected part,
but perspiration does not relieve the pain; recent cases from cold and chill; from syphilis.
MEZEREUM. Left side ciliary neuralgia with lightninglike pains extending to neck; from carious tooth (Kreosote, Staphisagria); numbness in the region of the pain; constant chilliness, but pain worse from heat; pains come on with great suddenness; or come on daily, increasing from 9 a. m. to 12 m. and then decreasing until 4 p. m.
NATR. MUR. Pain in malar bones, worse from chewing; periodically, especially after checked ague; great thirst.
Nux VOMICA. Patient is morose, irritable, belches a great deal, and is constipated; worse from coffee, liquor and quinine; face numb, with flow of clear water from eye and nostril of affected side.
PHOSPHORUS. Neuralgia following nervous strain from great mental exertion or excitement, with tinuitus aurium and vertigo; worse from every movement of the muscles of the face; from taking cold over the washtub.
PIPER MET. Burning, neuralgic pains, relieved by diversion of the mind by some new topic, or by any excitement or change of position.
PLANTAGO MAJOR. Left side; shooting, tearing pains ex. tending from jaw into ear.
PLATINA. Right sided; painful feeling of numbness in malar bone, mastoid and chin, as if parts were between screws; with anxiety, weeping, and palpitations; profuse lachrymation and swelling of face; worse on rest and at night; wants to rub the part.
PULSATILLA. Jerking, tearing pain, worse in the evening and in a warm room, or when chewing, talking, or from hot or cold things in the mouth; tearful disposition; excited nervous erethism.
RHODODENDRON. Violent, tearing, jerking faceache; worse from changes in weather or from wind; better from warmth and while eating; neuralgia of dental nerves; great weakness after he pain.
Rhustox. After getting wet; feeling as though the teeth were too long, with drawing, burning, tearing pains necessitating moving around; great restlessness; relieved somewhat by the external application of cold.
ROBINIA. Left side; sensation of disarticulation and fracture of jaw bone; whole features of patient changed by the neuralgia.
SANGUINARIA. Must kneel down and hold head tightly to the floor; lassitude; torpor; spongy bleeding gums; shooting, burning pains.
SEPIA. Intermittent faceache, with congestion of eyes and head; shuddering; pain not felt during violent exercise, as walking in the open air; relieved by warmth; nausea and vomiting; jerking like electric shocks, upwards; neuralgia during pregnan. cy or the menopause.
SPIGELIA. Sticking, darting pains affecting the right temple, orbit and eyeballs always attended by feeling of anxiety at heart, and great restlessness and intolerance of pain; parts become swollen and very sore; flow of water from eyes and nose; worse in damp weather from touch or motion; periodical from morning until sunset, worse at noon.
STANNUM. Gradually increasing and then gradually decreasing; feels as if she would faint; prosopalgia after ague, suppressed by quinine.
STAPHISAGRIA. Pressing and beating pain extending from the decayed tooth to the eye; worse from slight pressure or from contact of a metallic substance, better from heavy pressure; spasmodic weeping; cold hands and cold sweat on face.
STRAMONIUM, Pain in cheek near left ear, as if sawing the bone; twitching of the muscles of face; spasms of the chest hindering breathing; frowning; prosopalgia nervosa; pains maddening; delirious talk, with open eyes; grinding of teeth.
SULPHUR. Psoric tendency; chronic cases, where other remedies fail.
TARANTULA. Pain in angle of inferior maxilla, so severe as to think he is going crazy; dizziness; vanishing of sight and lugging in ears.
TAUJA. After suppressed gonorrhoea, or eczema of ear; sensation as though a nail were being driven into the vertex or frontal eminences; intense stabbing pain drives almost to distraction; must lie down; pain changes from left to right; better at night; painful spots burn like fire and are sensitive to the sun
VALERIANA. Hysterical neuralgia; pains appear suddenly and in jerks; fierce pains through left side of face, darting into teeth and ear.
VEBATBUM ALB. Icy coldness of part; copious cold per. spiration; great exhaustion; nausea and vomiting; drawing, tearing pains, with bluish pale face and sunken eyes; pains worse in damp weather; right side or left to right; tearing in cheeks, temples and eyes, with intense heat and redness, driving to madness.
VERBASCUM. Violent pain, jerking like lightning, or crushing as with tongs; especially right zygoma; brought on by pressure, sneezing, talking, chewing, change of temperature, or exposure to cold air; daily from 9 a. m. to 4 p. m.; attended with feeling of fullness in the head, vertigo, belching, discharge of tough saliva, together with great coldness of the rest of the body.
ZINCUM. Burning, quick stitches, and jerking along the course of right infraorbital nerve, attended with bluish eyelids; cold sweat on forehead; numbness of tongue; sensation of con. striction in throat; worse from the slightest touch, and in the evening
SIGNIFICANCE OF SPUTA.
By Prof. J. S. Mitchell, We are apt to fail in our appreciation of the value of the indications presented by the sputa.
Before physical exploration of the chest was practiced their gross appearances were always carefully noted and much importance attached to them, but, notwithstanding our modern aids to diagnosis, I am still in the habit of asking for careful saving of the sputa before each visit. Their examination furnishes very accurate and ready method of diagnosis. We may see, for instance, that the old idea that pus was diagnostic of phthisis is untenable, for it may occur even in acute bronchitis.
In its early stage this affection may show only a clear, white, glairy and frothy expectoration coming mainly from the larger bronchi; later it may give us a yellow-greenish sputum mixed with the white mucus in variable amount, according to the severity of the attack or the constitution of the patient.