Ferrum. - Hand Book of Materia Medica and Homoeopathic Therapeutics. - By T. F. Allen. - Presented by Médi-T.

Main

Hand Book of Materia Medica and

Homœopathic Therapeutics.
By T. F. Allen.
Presented by Médi-T.

Ferrum.
Pure Iron, reduced by Hydrogen, is triturated for use.
General Action :- º Iron acts chiefly on the blood, producing more rapid
oxydation, with rise of temperature, at first an increase of red color (or of
red corpuscles), but subsequently a diminution of red corpuscles and
profound anæmia. º The use of the various preparations of iron for febrile
and inflammatory states has been greatly neglected.
Allies :- º Cinchona, Bell., Mangan., Phos., Puls., Lyc.
Generalities :- º º Emaciation. º Trembling ; in frequent attacks ; anxious T.,
alternating with fatigue. º Blood darker, corpuscles intensely colored, more
colorless corpuscles, coagulating in a shorter time ; darker, corpuscles
intensely colored, sharply margined, more and larger colorless corpuscles,
fewer elementary corpuscles, longer in coagulating, serum darker ;
corpuscles deeply colored, colorless corpuscles smaller, longer in
coagulating ; serum increased in one case, diminished in four, dried serum
diminished, ashes of serum increased in four cases, diminished in one,
coagulum increased in three cases, diminished in two, dried coagulum
increased in two, diminished in three, ashes of coagulum increased, red
sediment increased in three cases, diminished in two, fibrin increased in one,
diminished in four, water increased, dry residue diminished, fat increased in
two, diminished in two, sol. º Salts in ashes increased, iron in ashes
increased in one case, diminished in three, Calc. phos. in ashes increased in
two cases, diminished in three.
º Periodical pains. º Wandering about at night on account of pains. º
Magnetized sensation on waking, irresistible sleepiness. º Nervousness ;
after menses ; for three successive monthly periods, with headache and
varicose vines in left ankle ; and hysterical feeling, proneness to weep or
laugh immoderately, with choking in throat as if it were swelling outwardly.
º Restlessness.
º º Weakness ; all day, with sleepiness ; by day, with sleepiness (little amel.
by sleep) ; in afternoon ; general, from mere speaking ; from walking ;
walking in open air ; during menses ; at beginning of menses, amel.
exercise, with mental depression and the pain usually felt at beginning of
menses disappeared ; agg. towards evening ; with falling asleep ; with

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drowsiness and disinclination to talk or work ; with aching in all limbs ;

periodical, then persistent (after increase of physical and mental energy),
agg. walking. º Tired aching as from lying long in one position. º Inclination
to lie down. º Syncope ; when walking, darkness before eyes, feeling as if
she would have apoplexy and at every step roaring in ears ; then weakness.
º Aggravation in evening ; A. by sitting ; when standing, by motion, heat
eating, drinking water, conversation, the sight of any person, even the
dearest, noise, the sound of voices. º Amelioration from gentle movement ;
A. from rest, sitting, lying, cool weather, after vomiting or evacuations,
silence and solitude.
Clinical :- º Profound prostration, generally with restlessness and
general relief from walking slowly, cannot keep quiet, but feels worse
from any active effort. º General oversensitiveness to pain (headache,
neuralgia, etc.). º General anæmia, but with tendency to flushing of the
face and head and liability to violent headache ; in anæmia the extremities
are generally cold, and the feet and hands often swollen.

Mind :- º Wandering and discontented. º Excited by the slightest opposition.

º Anxiety ; from slight cause, with throbbing in pit of stomach ; with
alternations of trembling and weakness ; as if she had done something bad,
also at night, with sleeplessness and tossing about. º Depression before
menses ; during menses, with excitement ; after menses ; when alone, but
without complaints or weeping ; (as from too loose bowels). º Ill humor ;
after menses ; with disinclination for labor ; with indifference, also
periodically. º Sober and uncomfortable, but not gloomy. º Quarrelsome,
insisting that he is right. º Disinclination to talk of work. º Desire for
solitude. º Too gay one evening and sad the next. º My surroundings large,
and I am inclined to attribute great importance to trifles and am unusually
earnest. º Dullness and heaviness all day. º Stupor, with headache ; S. with
vertigo. º Indisposition to think and confusion of head. º Memory weak.
Clinical :- º Hypochondriasis or even melancholia, with profound
anæmia.

Head :- º Shooting before menses, with singing in ears. º Intermittent

tearing. º Aching as if brain were torn ; in morning slumber. º Aching all
day, agg. in evening, agg. on right side of forehead, going down to right
nostril ; in afternoon, with fever ; every evening, with dullness over root of
nose ; in evening after a walk in the open air ; after menses ; from writing ;
agg. when walking or stooping, amel. when sitting ; amel. towards evening
during a foot bath, but soon returning more violent than ever ; with languor
and stiffness of head ; with coryza ; extending into nostrils ; acute, then dull,
amel. towards night, with stupor ; intermittent, during the day ; undulating ;
drawing. º Sick headache after menses, with hot head and cold feet ; sick H.
a few days after menses, which, till within six months (after Veratrum),
always preceded or followed menses, this time with throbbing in vertex as if
a vein were too full, pulsation in stomach extending through œsophagus, as
if a nerve were quivering causing at times a sensation of suffocation as if
something rose in the throat like a valve, hysterical sensations. º
Hammering and beating, so that she must lie down, for two, three or four

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days every two or three weeks, then aversion to eating and drinking. º
Pulsating, with sticking.
º Emptiness. º Heaviness ; in morning on waking ; with stupefaction in
forehead and pressure in temples ; with fulness, every pulsation is felt in
temples. º Fulness in afternoon ; F., amel. sleep. º Dullness in morning ; on
waking, as after a wakeful night, with heaviness ; at 8 A.M., gradually amel.
towards night ; with heaviness of eyelids. º Confusion ; amel. after motion,
with aching in one or other temple ; as after a sleepless night. º Congestion. º
Rush of blood, swelling of veins of head, and flushes of heat in face (Bell.).
º Beer rises to head. º Intoxication. º A giddy shock in brain. º Vertigo ;
when walking ; on descending (See Mercurialis), as if she would fall
forward ; as if everything went round with her, on looking at running water ;
on sudden rising after sleep in the afternoon, with sensation as if a dark
curtain were slowly let down before the eyes, nausea, prostration and
lethargic dullness, then sleep from which it was difficult to rouse himself,
two attacks of V. in afternoon as if balancing to and fro on water ; lying
down, as if shoved forward or as if driving in a coach, amel. shutting eyes ;
with cold hands ; with stupor, restlessness and inability to apply the mind. º
Symptoms, except the fulness, amel. after sleep.
Forehead :- º º Sticking over left eye ; S. inward ; cutting. º Prickling in left
sinus, then in right, changing to pressure, amel. at 3 P.M. º Sharp pain over
right eye. º Pain as if it would burst. º Pain all day, with cold feet ; P.
waking at 1.30 A.M., with rumbling and gurgling in abdomen ; over eyes ;
over left eye, with lachrymation ; in eminences in morning after dressing,
then extending over forehead to vertex, then changing to pressive pain from
without inward, agg. descending stairs, transiently amel. decidedly amel. in
open air, changing at 2.15 P.M. to dull pressure, amel. towards 8 P.M., also
lasting from 4 to 6 P.M. ; in eminences, then in whole F. º Sudden
intermittent pain over left eye. º Pulsating tickling pain and in head. º
Drawing pain with hot head and cold feet ; sharp D. pain. º Pain above left
brown towards nose. º Dullness and heaviness in forepart of head. º
Heaviness in F. and over eyes in morning.
Temples :- º Sticking ; as with a penknife, waking at 3 A.M., extending over
forehead, with chilliness, preventing sleep. º Pain, amel. lying quietly ; P.
extending over forehead. º Heaviness. º Pulsation.
º Pain in vertex, waking at 2.15 A.M., agg. every change of position and
preventing sleep till 4 P.M. throbbing P. on moving suddenly or quickly
ascending steps ; peculiar pain in cool open air. º Soreness in vertex, agg.
right side. º Shooting in left side of head in afternoon ; left-sided headache ;
all day ; right-sided, with itching in eyebrows and nose. º Pain in occiput and
neck at 8 A.M., gradually extending to forehead. º Periodical beating pain in
occiput and neck, gradually extending to sides and forehead, agg. moving or
stooping. º Weight from ear to ear. º Heaviness in occiput in afternoon. º
Falling of hair, with pain in scalp and formication. º Pain is scalp as if blood
were extravasated, with pain on touching hair. º Soreness of scalp ; agg. in
front. º Itching.

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Clinical :- º So-called congestive headache, with violent throbbing,

flushed face, extreme sensitiveness to all external impressions (like Bell.),
the pain greatly agg. any sudden motion or by noise ; the pain generally
begins in one temple or one side of the head, and may involve the whole
head, sometimes the skull feels as if it would burst open ; with this very
hot head there are generally cold extremities, feeble pulse, etc.

Eyes :- º Redness, with burning pain. º White of eye discolored ; yellow. º

(Shooting in left). º Aching in right, with agglutination of lids at night ; A. as
if sleepy ; A. as if they would protrude (Bell.), agg. right. º Burning. º Itching
in evening and aching as from sand. º Weakness, with lachrymation ; and
watery discharge from nose. º Lachrymation so that he cannot read long ;
left of left eye, agg. open air. º Pupils capable of only slight dilatation. º
Redness and swelling of lids, on upper a stye, the lower lids full of hard
purulent mucus. º Lids heavy ; in morning. º If he writes two hours he
cannot open the lids wide, the eyes are watery as if he had not slept enough.
º Sticking in external corner of right orbit. º Pain in left orbit, with heartburn.
º Pain in brows, extending into nose. º Darkness before eyes in evening with
pain over orbits and dropping of blood from nose ; D., agg. rising from
stooping. º Inability to see the stitches when sewing. º Letters run into each
other when reading or writing.
Clinical :- º Morbus Basedowii after suppressed menstruation, with
violent palpitation, extreme nervousness, etc.

Ears :- º Sticking in right in morning. º Ulcerative pain in left external. º

Ringing in right. º Chirping before E. like crickets. º Rushing, amel. laying
head on table, with disagreeable feeling in brain.
Clinical :- º Fetid discharge from left ear.
Nose :- º Numbness and stiffness. º Spasmodic sneezing four times at 1 P.M.
º Watery discharge all day, with dull headache. º Bleeding in morning on
stooping ; profuse B. in morning after rising, relieving the head ; dropping
from right nostril in forenoon ; B. from left nostril.
Clinical :- º Nosebleed.
Face :- º º Yellow. º Flushed and cheeks burning ; when riding on a cloudy
day ; cheeks F. º Bloated ; and pasty. º Earthy and spotted blue. º (Pale, with
rumbling in abdomen, contraction of chest, congestion to head, spasmodic
eructation, then heat in face, agg. right cheek, and shooting on crown.). º
Expressions by turns melancholy and fretful. º Pinched. º Swollen feeling. º
Lips pale ; and dry.
Clinical :- º The face is generally bloodless, often puffy, but with the
headache it may be flushed and hot.

Mouth :- º º Toothache all the morning. º Tooth back of right eye-tooth feels
elongated and sore. º Gums discolored. º (Gums and cheeks swollen.). º
Tongue coated white ; and mouth dry, taste bad ; and taste slimy, without
loss of appetite ; T. white ; T. coated yellowish-gray ; T. red at tip, coated,
white anteriorly, yellowish-white posteriorly ; T. more natural after eating ;

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sticking posteriorly ; T. more natural after eating ; sticking posteriorly and in

centre of T., agg. touch of food and drink, but when not eating or drinking
the part feels burnt, numb and stiff. º Mouth dry in morning. º Taste dry to
all solid food as if it contained neither juice nor strength, he likes warm
liquid food best ; T. rising into mouth in afternoon, taking away his
appetite ; earthy ; pasty ; of iron constantly ; (sourish in morning) ; bad on
rising ; improved in morning by drinking cold water.
Throat :- º Rising of phlegm. º Pain on swallowing, with heat in fauces and
stiffness and pain in cervical muscles on movement. º Soreness, not painful
when eating ; S., with dullness and heaviness all day ; (with roughness and
hoarseness). º Constriction. º Choking. º Sensation of a lump below left
tonsil, painful during empty swallowing, amel. when eating and drinking. º
(Sensation of a plug when not swallowing.). º Tickling with dry cough, then
a spoonful of bright blood came up. º Burning, with eructations of acrid gas.
º (On swallowing pain in œsophagus and soreness as after the bursting of a
blister.).
Clinical :- º Goitre, with protruding eyes, palpitation and nervousness.
Stomach :- º º Appetite great ; in evening ; diminished ; little, especially for
meat ; can eat only bread and butter, meat disagrees with him ; even when
she has A. she can eat but little, she is immediately full and the food
oppresses her. º Anorexia, dislike for all food (China) ; A. without bad
taste or thirst ; A. for he always feels full, but drinks are relished. º Thirst
after the day sleep ; T. after dinner, for he knows not what ; T. at 3 P.M.
between the chill and fever ; in evening, then heat and sweat ; unquenchable,
in evening. º Adipsia.
º Eructations ; constant, as soon as she eats (Ant. cr., Phos., etc.) ; of food
after eating, without nausea ; acrid ; acrid and burning ; foul. º Nausea on
rising ; N. in forenoon ; at 8 P.M., with flushes over whole body as before
sweat ; at night, with diarrhœa ; after eating ; before and after eating ; when
walking, and head inclined to right ; with vertigo ; in throat, ending in
eructation. º Heaving like the nausea of disgust, when eating. º Vomiting of
food after midnight, then aversion to food and dread of open air ; V. of
food immediately after eating (Lyc., Puls.) ; V. before midnight, agg. when
lying, especially on left side ; on eating, having the taste of iron, or else of
clear, frothy water ; of mucus and water every morning and after eating, a
kind of waterbrash, water runs out of her mouth and her throat feels drawn
together ; sour and acrid ; profuse, on taking acids and beer.
º Distention in regions of S. and abdomen ; in epigastric region. º Spasm. º
Cramplike pain. º Pain ; in pit ; in pit at 2 P.M. ; after every meal ; after
eating meat ; after drinking ; in pit on touch. º Feeling as of a hard body or
of undigested food, then burning and acrid eructation. º Oppression
whenever she eats. º Painful contraction of everything at pit at 6 A.M. in bed,
then spasmodic cough, with mucous expectoration. º Tension ; in epigastric
region, with rumbling, becoming pressure, heaviness and griping, extending
over abdomen, agg. morning and evening, at times with nausea. º Feeling as
if he would vomit, without nausea. º Feeling as if something rose in it.

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º Heaviness in pit. º Fulness ; as if he would eructate after walking, amel.

after eating. º Drawing in epigastric region. º Discomfort after every meal ;
D., amel. after dinner, with bitter eructations smelling like foul eggs. º
Occasional uneasiness in left extremity. º Heartburn ; in evening after
sourish beer. º Burning after eating ; B., amel. after eructations ; in epigastric
region, also with fulness ; with indigestion ; with cramplike pain in splenic
region ; with general unpleasant feeling, being febrile symptoms, with
soreness and languor of limbs, indigestion and eructations, the heat in S.
agg. before eating, amel. after eating ; upward from pit during exercise, like
apprehension, she must lie down. º Sensation extending through œsophagus.
º All sensations are at the cardiac extremity and in splenic region.
Clinical :- º The patients may have ravenous hunger but the appetite
sometimes vanishes and there is absolute disgust for food ; the attempt to
eat brings on diarrhœa ; there is frequently sinking in stomach ; food
cannot be taken on account of the diarrhœa which follows ; there is often
soreness of the walls of the abdomen.

Abdomen :- º Distention ; and hardness ; without flatulent symptoms. º

Rumbling ; all day, with pain in small of back and kidneys and soreness in
urethra on urinating ; at 1.30 A.M., with gurgling ; in evening, with soreness
and feeling as before stool ; amel. after a copious stool, with griping, taste
dryness of fauces and nausea ; with soreness ; with gurgling as before
diarrhœa, but stool normal ; with headache ; waking with griping, fulness
and tension, amel. emission of flatus and copious stool, so that the colic was
distressing only when sitting up. º Noisy flatulence. º Discharge of flatus ;
frequent and offensive, after rising in morning. º Movement as before
diarrhœa, but stool natural.
º Sticking. º Sharp pain ; and bearing down in uterus, with aching below it. º
Pain ; in morning after rising, agg. eating, amel. stool ; after midnight, then
diarrhœa ; at 2.30 A.M., and urging to stool, stool free, loose, with griping,
cutting and straining, nausea, disagreeable taste, amel. drinking cold water,
at 6 A.M., another loose, brownish-yellow stool, with colic before and
straining during stool ; in attacks, waking him, amel. emission of flatus and
profuse stool ; flatulent, and emission of flatus ; paroxysmal drawing P. ;
bearing down, in morning, as before menses ; contractive, and in back. º
Soreness as if beaten or as after purgatives, on touch and on coughing. º
Distress, agg. in epigastric region, increasing to a pain on touch, amel.
walking. º Discomfort increasing to a sick feeling, with bitter foul
eructations and griping, then copious, for the most part liquid stool. º
Tension. º Warmth, agg. in epigastric region, amel. walking, with pressure,
tension and griping in abdomen ; heat rising from A. after sleeping an hour
before midnight, mouth dry and a bad vapor and putrid taste rise into his
mouth.
º Sharp pain in upper A. and pit of stomach. º Pressure just below stomach
as soon as she eats or drinks. º Flatus in right, side when riding in a carriage,
soon passing off. º Iron pain in left side. º Fulness in hypochondria. º
Shooting in left hypochondrium. º Cramplike sensation in splenic region. º
Pain in liver ; in right hypochondrium ; in splenic region, with heaviness. º

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Flatus in lower A., incarcerated in left side, and copious emissions by mouth
and anus. º Rumbling and gurgling in transverse colon, agg. in cæcum. º
Pain in lower A. º Weight in lower A., agg. walking.
Rectum and Anus :- º Protrusion of large hæmorrhoids. º Violent
hæmorrhoidal flux. º Ascarides are passed with the slimy stool, itching and
gnawing in R. º Spasm of R. º Tearing in R. ; in anus, with hard stool,
urging, then frothy stool, with loud flatus, then three watery, almost odorless
stools, then griping in pit of stomach, but relief of the full feeling in
hypochondria ; frequent U. with burning in anus and pain in back on
moving. º Straining at stool all day ; S., with and after stool.
Clinical :- º Bleeding piles, with itching and gnawing. º Ascarides, with
itching, unnatural appetite, flushed face, etc.

Stool :- º º Watery, with flatulence, and frequent, more frequent after

taking food or water (Coloc., Crot. t.) ; W. and sudden, without pain or
smell ; W. and profuse, with cutting in abdomen. º Diarrhœa ; frequent ;
violent ; with nervous spasmodic pain in abdomen, back and anus. º
Constipation ; and hæmorrhoids which cause pain in going to stool ; S. only
every two or three days, frequent urging, S. dry, dark green. º Hard and
small ; with pressing and tearing through anus ; of small hard pieces, with
straining, at first brown, then greenish or greenish-black, only once a day
was there a copious soft S. ; hard and delayed ; hard greenish and black,
afterwards copious pasty stools ; partly hard, copious, generally delayed,
greenish or greenish-black ; hard and soft on alternate days. º Black. º
Yellow. º Odorless. º Mucus and sometimes blood with the S. º Scanty.
Clinical :- º Diarrhœa, especially containing undigested food, (China),
as a rule painless, recurring particularly when eating or drinking especially
apt to recur at night ; with the diarrhœa there is generally unnatural
hunger, with easy flushing of the face, great paleness, weakness and
exhausting sweats. º Chronic diarrhœa, gushing, watery, painless, agg.
night, with coldness of the body and great prostration. º Diarrhœa in
teething children, stools undigested, with flushed face, sometimes
associated with vomiting, both diarrhœa and vomiting coming on
immediately after taking nourishment.

Urinary Organs :- º Pain in bladder. º Urging ; constant, with pain in liver,

chest and kidneys ; with tickling in urethra extending to neck of bladder ;
beginning with tickling in navicular fossa, obliging frequent micturition with
tenesmus recti in evening. º Involuntary micturition agg. by day (Bell.) ; at
night (Puls.) ; slight, when standing. º Frequent micturition. º (Gonorrhœa)
mucous discharge from urethra after a chill. º Soreness of urethra on
urinating. º Tickling in urethra in afternoon, agg. in fossa navicularis with
urging ; T. in urethra on beginning to urinate, gradually extending along the
whole urethra, afterwards with frequent urging without increase of urine. º
(Burning in urethra on urinating.). º Urine copious, with prostration and
nervousness ; C. wine-yellow or reddish, sp. gr. rose from 1005 to 1025,
reaction acid. º Turbid U. º Dark yellow U. º Blood-red charged with
blood-corpuscles. º Light-colored U. with whitish sediment. º Sediment in
U. ; profuse, mucous.

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Clinical :- º Involuntary micturition, especially during the day, the child

wets himself even while walking ; also nocturnal enuresis.

Sexual Organs :- º Tickling of glans between 8 and 9 A.M. and 6 and 7

P.M., with warmth and irresistible desire to urinate, when the urine reached
the glans distressing pulsation, which continued after micturition, with
increasing tenesmus vesicæ, the distress amel. rapidly drinking much water
and compression of glans with the finger. º Erections. º Emissions ;
nocturnal.
º Prolapsus of vagina during pregnancy. º Pain in vagina during coition. º
Less dryness in vagina on beginning coition and more pleasure in it. º A
previously painless white discharge became painful as if the parts were raw.
º Leucorrhœa like whey, causing (at first) smarting and soreness. º
Discharge of stringy mucus from uterus before menses, with sensation in
abdomen as during menses. º Sticking shooting in uterus. º Pain near mouth
of uterus when lying. º Abortion. º Sterility without abortion. º Menses
delayed ; one day, scanty, watery with cutting in abdomen. º Menses
intermit for two or three days. º Metrorrhagia. º Menorrhagia, pale, increased
by least movement. º Menses copious.
Clinical :- º Great sensitiveness of the vagina to coition (Sep, Bell.,
Plat.). º Suppressed menses, with hæmorrhage from other parts, lungs,
nose, rectum. º Menses excessively profuse and prolonged, with great
debility, flushed face. º After severe uterine hæmorrhages, Fer. may be
indicated by great coldness of the skin and bloating by the gastric
symptoms, by the prostration and headache. º In anæmic women when the
menses are very pale, watery and acrid, with great prostration. º During
anæmia or chlorosis calling for Fer. there is apt to be milky and acrid
leucorrhœa.

Respiratory Organs :- º Contraction of glottis in evening in bed, with rush

of blood to head, burning externally on neck, and between scapulæ and on
upper part of body generally cold feet and in the morning sweat. º Pain in
larynx provoking cough and hawking, agg. pressure, in morning on waking,
but at noon giving place to a similar sensation behind upper third of
sternum, and on hawking and coughing expectoration of frothy, tenacious
mucus, mixed with black blood, frequently till 4 P.M. º Tickling in trachea,
causing frequent cough, agg. inspiration. º Voice almost extinct, utterance
difficult and panting. º Hoarseness, with rough sensation in larynx.
º º Cough agg. moving ; C. all day and after lying down ; at night. º Dry
cough with sensation as if she could not get air ; dry C. in evening after
lying down, but expectoration on waking. º Coughing up blood in morning
on rising ; at night then increased dyspnœa ; while suckling the child. º
Hæmoptysis. º Expectoration scanty, thin, frothy, with streaks of blood ; E.
of bloody mucus by hacking. º Copious purulent E. in morning (with putrid
taste) ; on waking, and greenish, with sickly taste ; copious, purulent, white
E. after coughing, agg. smoking tobacco and drinking brandy.
º º Dyspnœa ; and oppression of chest as from pressure of a hand (Chin.
s., Phos.) ; after midnight, so that he must sit up in bed ; generally, in

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forenoon, often amel. when he walked a little, sometimes agg. when walking
in open air, with weariness of limbs ; from heaviness in left lung ; and slow
breathing, amel. by walking and talking or by constant reading or writing,
agg. when quiet and especially when lying, particularly in evening he must
take several breaths before he can fill the lungs. º Suffocation from
quivering and pulsation in stomach. º Asthma ; anxiety in pit of stomach,
impeding breathing. º Uneasy breathing from pain across chest. º Panting. º
Wheezing ; under sternum, with slight inclination to cough at night, amel.
after rising. º Mucous râles behind manubrium sterni.
Clinical :- º The very marked symptoms of Fer., of occasional
oppression of chest and difficult breathing, may be compared with those
of Phos. ; Fer. is certainly extremely useful when the chest symptoms
seem to occur from a kind of surging of blood to the chest, a not
infrequent symptom in persons whose circulation is feeble, in such case
there are oppression and dyspnœa. º It has been prescribed for asthma and
even for pneumonia, and it is very probable that Fer. has been overlooked
as a valuable remedy for inflammation of the thoracic organs, for it
certainly may be indicated when there is marked febrile excitement. º The
cough of Fer. is usually dry, spasmodic, and may be accompanied by
expectoration of blood, especially if there is the symptom of rush of blood
to the chest ; when blood is expectorated it is generally bright red and
associated with great weakness.

Chest :- º Consumption of lungs. º Sticking all over ; through lungs ; in side

under rib ; in right ; right side, with bruised feeling in neck ; in sternum at
night in bed ; in side during exercise ; wandering in breast. º Sticking
cutting. º Contractive cramp ; on moving, and coughing. º Pain ; agg. full
inspiration ; below sternum ; superiorly under sternum, with catarrh and
cough ; with sticking and tension between scapulæ and inability to move ;
and in liver ; in right side and in liver and kidneys, with constant desire to
urinate ; revival of an old P. in left lung. º Drawing pain ; and around heart. º
Heavy pain across upper, causing uneasy breathing ; heavy sore pain below
left nipple. º Bruised pain. º Pain in left clavicle as if it had fallen asleep. º
Oppression. º Tightness, with anxious asthma, agg. walking. º Fulness. º
Heaviness ; in upper part of left lung, making breathing difficult, with
soreness below clavicle and left nipple, preventing a long breath. º Rush of
blood with hot vapor out of windpipe, sweetish taste as of blood and
hæmoptysis. º Burning at upper part of sternum after coughing. º Sensation
of dryness and mucus, the D. amel. transiently by drinking.
Heart and Pulse :- º º Bruit de souffle now and then. º Tension in
præcordial region. º Rapid action of heart. º Palpitation, agg. movement. º
Pulse slow, diminished in fulness, with rise of tonus in walls of arteries and
rapid action of heart ; S. small, tense. º Tense. º Small, weak, sometimes
intermittent, sometimes uneven pulse. º Pulse scarcely perceptible.
Clinical :- º Palpitation, sensation of oppression about the heart,
sometimes with a full but soft pulse. º In anæmia we may have anæmic
murmur of the heart with palpitation.

Neck :- º Chronic glandular swelling. º Pain ; when lying on right side, and
in shoulder. º Drawing extending from nape into head, in which there are

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then shooting, roaring and rushing. º Soreness as if bruised. º Soreness and

stiffness ; and in occiput. º Stiffness, with coldness of hands and feet, agg.
hands.
Back :- º Tearing when sitting and lying ; between scapulæ when sitting,
agg. when walking. º Pain during menses. º Sticking in scapulæ if she works
a little with her hands. º Tension between scapulæ and in sternum,
preventing raising the arms, a kind of paralysis. º Sticklike jerks in sacrum
when walking, extending more towards the hips than upward, agg. after
sitting or standing, almost as if strained. º Pain in small of B. ; in kidney
region ; on each side of sacrum at its junction with the ossa innominata ; in
sacrum on rising from a seat. º Lumbago in left loin ; lumbago all night,
amel. rising. º Bruised pain in sacrum. º Soreness in small of B. on rising,
with rumbling in abdomen.
Clinical :- º Rheumatism of the back ; lumbago, amel. walking slowly,
as are most of the pains of Fer.

Extremities :- º º Swelling of hands and legs up to knees. º Fingers and toes

drawn up with cramp and painful. º Pain in joints. º Pain from touch. º
Soreness, with languor and restlessness. º Heaviness ; and exhaustion ; and
general exhaustion. º Stiffness of fingers and toes.
Upper Extremities :- º Shoulder. º Creaking in right joint, with bruised
pain on touch, and shooting and tearing down through upper arm, inability
to raise the arm ; C. in joint and on touch bruised feeling. º Downward
shooting, and in arms, more severe than the shooting upward. º Shooting
and tearing from joint into upper arm and farther down, so that the arm
cannot be raised. º Boring passing down to finger-ends ; in right joint, agg.
at irregular intervals, passing down biceps to elbow, agg. motion, amel.
elbow. º Soreness in front part of right and in right arm ; S. on touch.
Arm :- º º Pinching in right deltoid (See Sang.). º Pain, amel. bending them
towards the chest, agg. motion and weight of bed-covers, with stiffness. º
Drawing, whereby it feels heavy and paralyzed. º Lameness of right, with
disinclination to move it, involuntarily assisting it with the left hand. º
Irresistible desire to move them ; at 2 A.M., then pain driving him out of bed.
º Stiffness ; with pain ; with soreness. º Fixed in an upright position, with
general trembling and chilliness.
º Sticking in left elbow ; in left wrist and back of hand, thumb most painful
when moving it. º Sprained pain in left wrist. º Swelling of hands, then
desquamation. º Trembling of hands in morning on trying to work ; in
evening, preventing sewing ; T. when writing, write better when writing
fast. º Soreness and stiffness of hands. º Numbness of hands, with swollen
sensation ; left nearly numb, right cold. º Cramp in fingers, with numbness. º
Pain in thumb on motion ; P. in fingers from shoulders ; rheumatic P. in
phalangeal joints of left hand. º Stiffness of right thumb, with pain on
motion.
Clinical :- º It seems to have an especial affinity for the deltoid just
above the insertion of the biceps, where there is pain causing inability to

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move the arm or fingers. º Severe muscular pain about the shoulder-joint,
extending to the elbow, particularly worse in left shoulder.

Lower Extremities :- º Weakness. º Tonic spasm of thigh and leg. º

Shooting and tearing from hip-joint down tibia, agg. in evening in bed he
must get up and walk, with bruised pain on touch ; a kind of paralysis,
shooting and tearing from hip-joint to tibia and sole (the ball is always
painful on touch as if bruised), by day he cannot step on account of pains,
which, however, diminish when he walks, agg. in evening after lying down,
so that he must get up and walk till midnight. º Paralytic pain in thigh when
sitting, after sitting crouched for some time she has to stretch the feet, the
pain agg. rising from her seat, amel. walking. º Distress in thighs during
menses. º Thighs feel as if asleep. º Numbness of thighs.
Knee :- º And ankles swollen and painful, agg. extending knee in bed. º
Contractive pain, and in ankles. º Pain as if overfatigued, so that he cannot
keep them still. º Weariness in hollows on rising from a seat, agg. beginning
to walk ; W. so that he sinks down.
Leg :- º Trembling, with bruised pain on walking. º Cramp in calf in
morning on rising ; cramp in calves when standing, amel. when walking. º
The varicose vein in left continued to extend downward, more painful to
touch. º Sensation in left as of a swollen vein, painful on touch, sometimes
inconvenient when walking. º Acute pain like the moving of screw through
right on walking. º Contractive pain in tibia and calf, like cramp, on
beginning to walk. º Bruised pain in morning in bed, amel. rising. º Painful
drawing. º Weakness of calves as if bruised.
Foot :- º Swollen to ankles. º Varicose veins. º Cramp in right ; C. amel.
pressing them against the footboard ; in soles ; frequent, in soles and toes ;
in evening ; first in left, drawing up the limb. º Shooting pricking in right
instep. º Pain in heel ; extending from right into thigh. º Soreness and
stiffness. º Has to take off the toots. º Weariness after eating. º Will not
support her. º Stiffness after resting from a walk.
Clinical :- º Rheumatic or neuralgic pain through the whole extent of
the lower limb, amel. moderate motion.

Skin :- º Pale. º Icteric around eyes, lips and nails. º Dark herpetic spots on
dorsum of hand inflame and suppurate. º Round red itching spot on right
shoulder, which peels off like dust in the evening and night. º Peeling of like
dust from left hand. º (Scarlatina during desquamation corresponds to the
peeling of the skin.). º Burning pain when not touched, on dorsum of thumb,
of toes, etc., with smarting on light touch. º Itching in eyebrows ; of nose ;
above right knee, with sticking stabbing.
Sleep :- º Yawning in morning, stretching, and eyes fill with water ;
frequent Y. º Sleepiness ; after dinner at noon, with dullness and headache
over root of nose and inability to undertake mental employment ; in evening,
and thirst ; almost impossible to keep awake when reading. º Sleep in
afternoon ; apt to fall asleep when sitting ; falls asleep when sewing, she
must lie down, sleeps an hour and wakes with thirst and cramps in right foot.

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º Heavy sleep in morning till 9 A.M., from which he can scarcely rouse
himself. º Sound sleep, with unpleasant dreams.
º º Restless sleep ; and lying awake a long time, but not tired in the
morning ; and dreamy, with emission. º Anxious tossing about after
midnight. º Light sleep. º Late falling asleep. º Waking every hour and light
slumber ; repeated W. with quiet sleep only after 2 A.M. º Almost entire
sleeplessness, waking in quarter of an hour bathed in sweat, with prostration,
epigastric anxiety, feeling as if life were leaving her, then nervous
excitement. º Sleeps with half-open eyes. º Sleeps on her back, cannot sleep
on either side.
º º Dreams disturb sleep, weariness in morning on rising. º Vivid D., and
anxious. º Nightmare. º Unpleasant D. ; all night of friends and relatives
deceased. º D. of old friends, disturbing sleep ; of meeting old schoolmates,
of student life, etc. º D. that he is in battle, that he has fallen into the water,
etc. º Confused D.
Fever :- º Chilliness all day ; in morning, with headache ; in afternoon, so
that he must go to bed ; in afternoon, then fever ; in afternoon, then thirst,
must go to bed, then heat with sweat ; between 1 and 2 P.M. ; at 5 P.M., then
fever ; in evening, in bed ; then heat at 3 P.M., with sweat ; all day, agg.
afternoon, then feverish in evening, then chill after going to bed ; not amel.
sweat after rapid walking. º Creeping chill at noon ; C. chill beginning at 7
A.M., agg. in back. º Rigor in evening before sleep without external
coldness, chilliness all night ; (R., and during the chill his face got glowing
hot). º Chill in back. º Cold hands and feet ; and numb, not amel. walking
though there was sweat ; C. and stiff hands. º Cold feet ; on getting into bed,
lies awake some time ; all night, and numb ; with stiff fingers ; with heat of
head. º Toes cold and painful.
º Ebullition of blood by day and heat in evening, agg. hands. º Heat ; at 3
P.M. ; after the siesta ; with sweat at 8 P.M., after thirst ; after beer-soup, with
anxiety ; amel. at 7 P.M. ; without thirst ; in flushes, as if sweat would break
out ; internal, with external coolness and sensation as if the face were
swollen ; in body, with red cheeks, but the head was free ; in palms ; soles ;
(of face in morning.).
º Sweat ; by day when walking and sitting ; mornings ; in morning after
rising, relieving the head ; at night, with weariness ; frequent in slumber
about midnight ; on alternate days from daybreak till towards noon each
time preceded by headache ; during digestion, with anxiety ; of peculiar
odor.
Clinical :- º Fer. produces a decided type of fever and many symptoms
of chills and fever ; there is certainly general coldness, especially of the
extremities, though the head may be hot and the face red ; sometimes
there is persistent heat of the palms and soles ; there is also profuse sweat,
which is very debilitating. º It has been prescribed for protracted
intermittent fever, especially after the abuse of quinine, with swelling of
the spleen, general anæmia and dropsical swellings of the face or feet. º In
many cases of fever the Fer. patient feels worse while sweating (Merc.).

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