• It causes profound disorganization of the blood.

• Adynamia characterizes all conditions.

• Lividity, stupor, and malignancy are key features.

• It causes hemorrhagic and ulcerative mucous membranes.

• It leads to profound prostration and exhaustion.

• General torpor and sluggishness of vital functions.

• It causes rapid sinking of vital forces.

• A tendency to septic conditions.

• The patient has great sensitivity to atmospheric influences.

• Symptoms are remarkably similar to malignant scarlatina.

• There are offensive discharges.

• It causes low fever states.

• It leads to low types of eruptive diseases.

• It causes diphtheria-like states.

• It causes follicular tonsillitis.

• It can be used for Streptococcus infections.

• Useful in Hæmorrhagic diathesis.

•

• The patient is semi-conscious, delirious.

• Stupor with muttering.

• Confusion, the patient is unable to think clearly.

• Apprehension and anxiety, especially about health.

• Irritability and restlessness.

• Apathy and indifference to surroundings.

• Loss of memory.

• Difficulty concentrating.

• Mental dullness.

•

• Conditions characterized by livid or purpled skin appearances.

• Rash comes out in patches, slowly appearing.

• Low, adynamic disease forms with extreme prostration, torpor, and vomiting.

• #

• The patient has headache, dull and heavy, with confusion.

• The patient has vertigo, especially on rising or moving.

• The eyes are dull and lackluster.

• The pupils are dilated or sluggish.

• There are heavy, drooping eyelids (ptosis).

• Redness and inflammation of the conjunctiva.

• There are noises in the ears, ringing or buzzing (tinnitus).

• Offensive discharge from the ears (otorrhea).

• The patient has impaired hearing.

• Thin, copious, ichorous, bloody nasal discharge.

• The nose is swollen and painful.

• Ulceration of the nasal septum.

• The face is dusky, dark as mahogany, and hot.

• The face is swollen and edematous.

• Bluish or purplish discoloration of the face.

• The expression shows anxiety and suffering.

• The throat is swollen, purple, livid.

• The throat is ulcerated with a grayish-white exudate.

• Difficulty swallowing (dysphagia).

• Offensive breath (halitosis).

• It can be used for Follicular tonsillitis with marked prostration.

• The throat feels constricted.

• Difficult and labored breathing (dyspnea).

• Rapid, shallow respiration.

• Cough, dry and hacking, or with bloody expectoration.

• Feeling of oppression in the chest.

• Rattling in the chest.

• A weak, rapid, and irregular pulse.

• Hypotension (low blood pressure).

• There are palpitations, especially with anxiety.

• Cyanosis.

• Air hunger.

• Cardiac weakness.

•

• Diarrhea, dysentery, and great weakness.

• The stools are dark, offensive, and bloody.

• Abdominal pain and cramping.

• Nausea and vomiting.

• Loss of appetite.

• The abdomen is distended and tender.

• Burning in the stomach.

• Tenesmus.

• Intestinal ulceration.

• Scanty, dark urine.

• Albuminuria (protein in the urine).

• Frequent urination with burning.

• Involuntary urination.

• Reduced libido.

• Impotence.

• Testicular pain.

• Ovarian pain.

• Weakness and heaviness of the limbs.

• Coldness and numbness of the extremities.

• Trembling of the hands and feet.

• Pain in the joints and muscles.

• There are petechiae (small, red spots) on the skin.

• Stiffness.

• Paralysis.

•

• There are petechiae.

• The skin is mottled.

• There are ulcers, especially in throat and nose.

• Offensive perspiration.

• Restless sleep.

• Sleeplessness.

• There are dreams of death or disease.

• Coma.

•

• Neck tender, and very much swollen.

• Night

• Motion

• Warmth (aggravates the feverish state)

• Lying down (breathing difficulties)

• Pressure

• Damp weather.

• #

• Cool air

• Rest

• Open air.

•

• Compare: Ammon carb; Bapt; Arn; Mur ac; Lach; Rhus; Ars; Crot-h; Nit-ac.

• Antidotes: Arnica, Camphor.

• Similar Remedies: Baptisia tinctoria (similar septic state), Rhus toxicodendron (skin eruptions, typhoid state), Lachesis mutus (lividity, throat affections), Arsenicum album (prostration, offensive discharges).

• Useful in Scarlatina.

• Useful in Diphtheria.

• Useful in Septicemia.

• Useful in Tonsillitis.

• Useful in Typhoid fever.

• at the onset of disease.

• #

• Fullness everywhere.

• Sensation of electric current passing from head into limbs.

• Low fever with stupor or indifference with sighing.

• Nervous, sensitive persons.

• Bilious temperament.

• Stout and robust individuals.

• Pulse small and rapid.

•

• #

• Low-spirited; continually sighing.

• #

• Semi-conscious; cannot comprehend what is said.

• #

• Constant muttering delirium, with sleeplessness and restlessness.

• Forgets recent events; remembers them as belonging to another, or read about.

• Raging delirium with brilliant eyes.

• Depression.

• Severe headache, with dizziness, and red, hot face; cannot sit up.

• Dizzy when rising up.

• Dull, heavy pressing in forehead; disinclined to think or act.

• Darting pains through temples and occiput, with confusion of ideas.

• Head burning hot with piercing pains.

• Constant frontal headache of a neuralgic character.

• Paroxysmal headache with drowsiness during the day.

• Eyes suffused and congested.

• Startled look when aroused.

• Pupils dilated and sluggish.

• Photophobia.

• Conjunctivitis; smarting, aching, lachrymation, purulent discharge.

• Pain in ear when swallowing.

• Parotid gland sensitive and enlarged.

• Copious, thin, ichorous, and bloody discharge from nose.

• Nostrils congested.

• Nose dry; secretion suppressed.

• Coryza, with rawness in nostrils; sneezing.

• Loss of smell.

• Face sallow, jaundiced.

• Blue circles around eyes.

• Face red and hot, covered with a rash.

• Face mahogany-colored.

• Great prostration, and countenance indicative of much distress.

• Purplish face.

• Irregular spots on face.

• Lips swollen, cracked; ulcers near commissures.

• Teeth covered with sordes.

• Tearing in teeth (left) and face, < lying down, > walking about, and by external pressure.

• Tongue dry, parched, cracked.

• Tongue moist; furred white; tip and edges livid.

• Throat tender and sore on swallowing, or on admission of air.

• Sore throat on swallowing, hawks up a greenish purulent matter.

• #

• , with extreme prostration.

• Throat livid, almost purple; swollen; tonsils prominent, and studded with many deep, angry-looking ulcers, oozing a scanty, fetid discharge; external neck swollen and sensitive.

• Irritability of the throat, and hawking up of mucus; puruloid; hard white lumps.

• Thick, edematous and dry choky feeling in throat.

• Throat dry, rough and scrapy; < in morning.

• Breathing hurried, irregular, heavy.

• Cough deep, exhausting, dry, hacking: in violent fits, before retiring or on rising, until sputum is raised.

• Sputa: blood-mixed; yellow; bitter; < morning.

• Aphonia.

• Croupy choking.

• Stitching and aching in chest.

• Lungs sore and tender.

• Tired feeling in lungs, almost too much exertion to breathe.

• Burning in right lung; contracted feeling in left.

• Chest feels strapped; or as if air-cells stuck together.

• Rapid, small pulse, weak, frequent, and irregular.

• Dull pain and contracted feeling in region of base of heart and through centre of left lung.

• Vomits food speedily during the chill; suddenly and violently when sitting up; with stupor.

• Thirst for cold drinks; for brandy.

• Peculiar feeling of emptiness in stomach.

• Burning in stomach.

• Tenderness over liver region.

• Burning in bowels.

• Tympanites.

• Thin, watery, offensive diarrhea, passing involuntarily with the urine.

• Stools frequent, watery, forcibly expelled.

• Tapeworm.

• Scanty or suppressed urine passed unconsciously; acid.

• Sore on prepuce, looking like incipient chancre.

• Malignant puerperal fever.

• Vomiting of pregnancy.

• Scanty eruption with sore throat; of a bluish tint; livid; forehead and face of a purplish colour.

• Body and limbs covered with an irregular patchy eruption of a livid color disappearing on pressure, returning very slowly.

• Large blisters filled with dark serum.

• Eruptions of miliary rash in patches of dark, almost livid color; most on forehead and face.

• Drowsy, restless, soon passes into insensibility.

• Sitting up (vomiting, dizziness)

• Motion (staggering)

• Lying down (toothache)

• #

• Lying on the right side (bronchial affections)

• Walking about (toothache)

• External pressure (toothache)

•

• Clinical Applications: Acne, Cerebro-spinal meningitis, Chancre, Coryza, Diphtheria, Headache, Mumps, Puerperal fever, Rheumatic fever, Scarlatina, Syphilis, Typhoid fever, Typhus fever, Malignant and suppressed scarlatina.

• Botanical Relations: Ptelea and the Xanthoxyleae.

• Antidotes: Alcohol, Rhus tox., Nux vomica.

• Compare: Am. c., Arn., Arum tr., Aloe (dull frontal headache), Bap., Bry., Gels., Hyo., Lach., Nit. ac., Nux v., Phytol., Hydrocy. ac., Rhus t., Stram., Echin. a.