Arnica Montana Arnica Montana - The Essential Features Index 1.

Arnica Montana - The Essential Features The following is a full and exact copy of Arnica Montana contained in Materia Medica Viva, Volume 1. Please note that you are not allowed to copy this page to your website. Check our copying policy for details. Arnica Montana ARNICA MONTANA:Doronicum plantaginis folio alternum, Doronicum oppositifolium, Doronicum Austriacum quartum Ptarmica montana English: Mountain arnica, Leopard's bane, German Leopard's bane, Mountain tobacco. French: Amique des montagnes, Arnique, Arnica, Tabac des Vosges, Betoine des Montagnes. German: Amika, Wohi-verleih, Woverley, Fallkraut, Luzianskraut. Italian: Arnica Dutch: Amika, Val-kruid, Groot Luciaen-kruid Swedish: Fibler Spanish: Arnica, Tobaco de Montana Natural order: Corymbiferae, Compositae, Senecionidae. Family: Jussieu [vegetable substance] Syngenesia polygamia superflua. L. Mode of preparation: We use the roots, flowers and leaves. Before using the flowers we should clean them of the eggs [musca arnicae] of a peculiar parasitic insect which infests this plant, called Arnica, a species of Staphylinus. We prepare the powder of the root by making three attenuations by trituration or dissolve it in twenty parts of alcohol to make the tincture. Arnica is a perennial plant; we gather the fresh plant when it flowers in July and August and use it to make a tincture. For the fresh plant, we express the juice of the whole plant and then mix it with equal parts of alcohol to make the tincture. We must be careful not to expose the root of this plant too long in air because it loses a portion of its strength, but powdered root may be kept for long periods in well stopped bottles. THE ESSENTIAL FEATURES The main theme of Arnica symptomatology revolves around a deep traumatic experience upon the physical or emotional or mental body. A traumatic experience of the human organism resulting from injuries, falls, blows, concussions, fright, fear, financial loss, etc. The experience leaves the person with a tremendous fear of coming into physical contact with anything which is hard or penetrating. The whole of the symptomatology

develops around this basic fear: Do not touch me, do not come too close to me, physically or emotionally and most of all do not penetrate me, physically or metaphorically. The traumatic experience in Arnica is such that the person is left with a feeling of having been wounded deeply, and of the affected parts being so sensitive after the wounding that the idea of somebody touching them is unbearable. They can become and act almost paranoically in this respect. From this experience a defensive attitude develops that is then quite understandable. The symptomatology develops in different stages or degrees. We see in the first stages of pathology an aggressive reaction, where the tendency of the individual is to "attack" in order subconsciously to prevent a "too close contact". The patient is easily irritated, aggressive, quarrelsome. He will appear to be fighting with everybody and everything, very opinionated, obstinate and sometimes irrascible and irrational.

This is a 24 minute-long video from one of Prof Vithoulkas' live courses at Alonissos, where he describes the materia medica of Arnica, intersting cases of Arnica, and common misconceptions about its uses. For viewing you'll need Macromedia's Flash and a fast internet connection. You can find more videos by prof G. Vithoulkas on our Homeopathy Video Courses page. The irritability and anger lead to cursing, after which the Arnica patient becomes really furious. He is contradictory, nothing pleases him; he wants certain things and later on pushes them away. In this stage Arnica may also become capricious, not knowing what he wants, unable to tolerate anything which is disagreable and shouts unreasonably. We shall have difficulty in differentiating this case from Nux-., Angust. or from Cina. Arnica does not accept anybody's authority (Caust.) and thinks that he knows better than anybody else (Sulph. or Ars.). He boasts and brags frequently (Plat). He is dicatorial, (Lyc) domineering, dogmatic, despotic and talks with an air of being superior or in command. Similar to Platina. The above is a provocative, aggressive attitude that we see in these first stages of Arnica's defensive state. Yet later on in its pathology we will see a completely different picture, a state of passiveness, extreme touchiness (Angustura) and sensitivity. In this passive stage we see that the patient becomes morose, taciturn, wants to be left alone, does not want to talk to anybody. He becomes irritated if he has to give an answer, he seems to want to avoid human contact (much like Natr-mur). If somebody tries to console or pacify him, he will react aggressively. It seems that there is an analogy between the sensitivity of his psyche which cannot withstand the closeness of a contact and the pain felt by his physical body on being touched. Even the idea that somebody may come too close to him is painful. Arnica does not wish to talk to, or to be approached by others on account of this mental, emotional or physical soreness. He may take a walk in the open air and live with his phantasies, and once back from such a walk, he will want to continue to live with the emotions he had on the walk, without talking to

anybody: he wishes only to be silent. Arnica cases are people who may appear to be social, but are so only on a superficial level. They are "loners", doubtless due to their fear that others may hurt their feelings on coming into close contact with them. They may be compared to wounded animals that want to hide and stay away from any contact. They develop an aversion to sympathy or compassion. An important point that has to be understood in their symptomatology is that they feel "bruised" all-over and therefore even the thought that something or somebody can touch or even worse penetrate their "bruised" bodies is absolutely unbearable. That is why Arnica is the main remedy when women have an insane fear of being raped. This fear is so great that they think about it all the time, the thought that they may be raped brings on a shudder, they cannot even bear to hear the mere word "rape". The problem is that they cannot tolerate to have anything penetrating their body. Women can reach such an extreme state that the logistics of using tampons during menses, the act of insertion into the vagina, take on the proportions of a whole operation. They will sit in a particular position and try for "hours" to insert a tampon so that they may not be hurt. It is mostly the abhorrance of the idea of penetration that causes the problem rather than actual pain. During the sexual act the Arnica woman may be so fearful during the time of insertion that the man may be put off by the overexaggerated reactions. So strong is the fear of penetration that women can abstain completely from sexual intercourse, not from lack of interest but from fear of penetration. The idea of something foreign entering their body is intolerable. There seems to be a tightness of the vaginal muscles; the walls of the vagina feel extremely sensitive and actually painful to the slightest touch. It may appear also, after many years of abstinance from any sexual contact, that the walls of the vagina are "sticking together". The woman has the impression that the vaginal walls are so tight that they have stuck together. These examples are indicative of the peculiar sensitivities of Arnica. In view of these facts it is now easy to understand the different symptoms as they appear in the repertory such as: "Fear of others approaching him, lest he be touched. Has fear, apprehension, dread of being struck by those coming towards him, etc". The idea of causation because of a "blunt" shock runs through the remedy and affects the mental condition as well. The symptomatology of Arnica will develop after a mental shock such as fright, anger, fury, loss of fortune, overexertion etc. It is my opinion that, in the near future, we will see proof of the existence of areas in the human brain concerned with the "instinctual mental defences" of humans. These would open and close automatically once fear or shock are over. In our contemporary society however, once these areas are triggered by a fright (mental shock), they remain in a state of permanent "excitability", that is to say, open. The person thus suffers chronically as though there were a repetition of the frightful experience every day. Why this should happen is not a question that we are in a position to answer today in detail. I have given some suggestions on this point in my book "A New Model of Health". The fact remains that, in today's world, people suffer far more frequently and easily from mental symptomatology than was the case in the past. As the mental pathology travels deeper, we get severe anxiety states that originate from such shocks or overexertions. There is fear and anxiety that could be called hypochondriacal.

In the Arnica anxiety states it seems that fear goes quickly into the subconscious mind and emerges every night during sleep in the form of a crisis, often several times a night. The symptomatology is similar to that of Aconite, Argentum nitricum or Lachesis and you will have to make a differential diagnosis. There is a tremendous fear of imminent death during the night, on waking up from sleep, which is triggered by a feeling that something is wrong with the heart. These states appear especially after an accident. There is a kind of cardiac distress, an anguish that originates from the heart region, a feeling that the heart will give in suddenly and he will die instantly. The idea of dying instantly is characteristic of Arnica. Kent describes the state beautifully: "Horrors in the night. He frequently rouses up in the night, grasps at the heart, has the appearence of great horror, fears that some dreadful thing will happen. A sudden fear of death comes on at this time, he grasps at the heart, and thinks he is going to die suddenly. He is full of dreadful anguish, but finally comes to himself, lies down and goes off in to a sleep of terror, jumps up again with the fear of sudden death and says: "Send for the doctor at once". The fear of death is very much exaggerated if he is alone. From such an experience his whole organism is affected, there is a horror that overtakes the patient and there are congestions that affect mostly the upper part of the spine. He becomes forgetful, absent minded, cannot concentrate, loses all interest in his work, reads something and forgets immediately what he has just read, does not remember if he has just turned off the gas and goes back to check it etc.. Oversensitive, cannot bear pain. Restless because of pain and soreness. Then we have a mental picture of Arnica which is characteristic during high fever, in serious diseases like typhus, malaria, scarlet fever, when the eruption does not appear, or in brain damage from extravasation of blood due to a concussion, or in subarachnoid haemorrhages, in apoplexy etc. In such instances there is a profound prostration followed by delirium and finally stupor, unconsciousness and coma. Stupor with involuntary discharges of stool and urine. During such states the Arnica case may see delusions, imaginations, or hallucinations. He may imagine the following: high walls and buildings falling upon him; that he is about to be arrested; that he visits a churchyard; that he is holding a council; that he is seeing a mutilated corpse, black images and phantoms. He dwells upon seeing these images and phantoms; he sees black forms of spectres, ghosts and spirits when dreaming; has fantastic visions. Arnica will have constant muttering in brain damage (Lach.) and delirium like delirium tremens. Arnica cases may also have delusions that they are well while in a severe precarious condition, close to death. They may look at the doctor and say "I do not need you, I am well", refusing to take the medicine. Eventually the Arnica case may go into a semi-comatose state, from which, though he can be aroused and answers correctly if he is asked a question, as soon as he finishes the sentence or even before finishing it, he falls back into a stupor. This is a grand characteristic of Arnica and the remedy will definitely be indicated if the pathology is similar to the ones described above. If he becomes unconscious he will lie there as if he

were dead. In the aftermath of a brain haemorrhage, and after the severe symptoms have subsided, we may observe an indifference, an apathy. Has dullness, sluggishness, difficulty of thinking and comprehending, torpor after dreams. He is in a state where he does not take notice of his surroundings, in a dreamy state. Talks loudly in his sleep. Makes loud speeches in his sleep. Arnica will prove to be a very helpful remedy for alcoholism as it contains the peculiarities of it in its symptomatology. It is important for the student of Homeopathy to understand that the symptomatology that is described above for the different stages of pathology occurs predominantly, though not exclusively, in the particular stage described here. Similar or identical symptomatology occurring in the acute conditions can appear in the chronic conditions as well, and vice-versa. What the student is required to perceive is the remedy's underlying trend and its characteristics Children Arnica children are capricious, sensitive to pain, with a tendency to shriek every time their mother touches their hands or legs. They shout in their sleep with a weeping, tearful mood, especially after eating, or after coughing. In their fevers they look like Belladona with hot heads and cold bodies. Child cries before whooping cough attack. Angry and irritable from coughing. Shrieking, screaming, shouting aggravate their cough. Generalities As we said in the beginning this remedy will be indicated primarily when there is an injury that has resulted from a blow upon the organism with a blunt instrument. If the result of such a blow is a bruised, sore feeling all over the body then the remedy is Arnica. But if the same kind of feeling has resulted from another cause like the overexertion of an organ, or a strain, or an acute disease, Arnica could still be prescribed with success. If the injury has resulted in lysis of the continuation of the tissues and blood flows freely Arnica is not indicated any more. You have to have the significant characteristic where a part or the whole body is bruised, as if it had been beaten badly and is black all over. Arnica produces a restless state due to the soreness, to the bruised feeling, that is much like Rhus-tox. Kent again describes the restlessness with his characteristic vivacity: "If you watch an Arnica patient in order to get the external manifestations of his state, you will see him turning and moving. You will at once ask yourself why he is restless and if you compare remedies in your mind, you will say, He is like Rhus-tox, he stays in a place for a little while and then he moves. No matter if he is only semi-conscious, you will see him make a little turn, part way over, and then a little further over, and so on, until he is over on the other side.. Then he commences again, and will shift a little and a little, and so he turns from side to side. The question is why does he move so, why is he restless? It is an important matter to solve.

We notice the awful anxiety of the Arsenicum patient that keeps him moving all the time. We notice the painful uneasiness felt all over the body with the Rhus-tox patient so he cannot keep still. The Arnica patient is so sore that he can lie on one part only a little while, and then he must get off that part or to the other side. So if we ask him,"why do you move so?" he will tell us that the bed feels hard. That is one way of telling that the body is sore The soreness increases the longer he lies, and becomes so great that he is forced to move. With Rhus- tox the uneasiness passes off after moving, and with Arnica the soreness passes off if he gets to a new place." We may find the symptom of lameness, soreness, of feeling bruised and the feeling that the bed is hard, full of bumps, in any chronic disease requiring Arnica but especially in rheumatic or arthritic conditions. Aggravation of pains in the evening and night in bed, from movement and from noise. Aggravation from lying on a hard bed. Damp cold aggravates Amelioration when lying with head in a low position. Clonic convulsions from commotion of the brain; Clonic convulsions after drugs; Clonic convulsions from head injuries. Trembling alternating with convulsive movements of limbs. Traumatic clonic convulsions that have tetanic rigidity. Twitchings as from electricity. Epilepsy after injuries to the head. If you see a case after pregnancy where the recovery is slow with a lot of symptomatology, especially if the labour was very strenuous for the woman, then Arnica will probably take the consequences and bring a speedy recovery. Neonatorum asphyxia. General weakness resulting from injuries. After every stool he must lie down. Asphyxia after injuries. Ailments from using the catheter. Trembling on exertion. Fainting from shock in injury; from pain in heart; after perspiration. Faintness, fainting in angina pectoris; during fever. Tendency to hemorrhages. The blood vessels seem to be relaxed and extravasation of blood is easy. Internally there is easy bleeding of the mucous membranes. Parts that are inflamed bleed. Hemorrhage is watery mixed with clots. Body is cold while the head is hot. Has sore, bruised pain in spots. Sensation of deadness in the bruised part (injuries). Feels numbness externally in the bruised part. Numbness of parts, suffering in bruised parts. Pulse is faster than the heartbeat. Perspiration stains the linen red. Vertigo Vertigo from injuries to the head. Vertigo while reading too long. As if high objects leaned forward and would fall on him. Objects seem to turn in a circle while walking. Giddiness on getting up after sleep, on moving the head or in walking. Vertigo on closing the eyes. Vertigo in old age. Head Arnica is full of headaches, especially if dating from a blow on the head or after a fall or

an injury that caused concussion. It must be appreciated that the constitutional types of Arnica will develop such headaches very easily, as this remedy is exceptionally sensitive to the effects of blows or falls where a concussion results in chronic symptoms, whereas in other constitutional remedies we do not see such sensitivity. The headaches of Arnica are characterised by angiokinetic disturbances where we observe heat or coldness in different parts or spots of the head. Whenever a headache is accompanied by such concomitants as coldness or heat in spots or parts think of Arnica. Also if you see contrasts in body temperature like: "burning headache while the body is cold". Headache which feels as if a knife was cutting, darting and stabbing the head followed by a sensation of coldness. Aggravation of headache in forehead, above eyes, from the heat of a stove. Head feels cold and chilly after breakfast. Head is cold and chilly internally. Vertex of head is icy cold. Feels coldness and chillness on his forehead, as if a cold finger were touching him in certain small spots. Heat in head during cough. Has stitching headache in forehead, during chill. Heat in head while lying down. Head is hot face is red while body is cold. Heat in spots on vertex. Headache during nerspiration. In all these examples we observe the angiokinetic nature of the headaches. Another characteristic of headaches is their extreme sensitiveness to any kind of touch or motion and the feeling that there is a nail going through the head. "Brain feels sensitive from brushing of the hair. Pain as if a nail was driven into the brain, feels as if a nail was imbedded in the temples. Sore, bruised headache, sensitive to pressure and sneezing. Headache worse coughing. Contraction of the brow brings on headache in forehead, above the eyes." The Arnica headaches that come mostly in the morning after waking and last up to 10 a m sometimes in the afternoon from 3 to 8 P.M. are stunning, stupefying. Many of the headaches of Arnica are located above the root of the nose or in the frontal eminence. Headache alternating with prolapse of the anus. Arnica is one of the remedies we have to think of in cerebral haemorrhages. Peculiar symptoms of the head are: Bores head in pillow during sleep. Jerking of the head during sleep. Great desire to scratch anything especially the head. Must bend head backwards while walking. Pain as if head were distended from within outwards. Stitches in left frontal eminence with a sensation as if extravasation of blood had taken place. Sensation of contraction and constriction! on head and forehead. Crackling sensation on side of head. Sensation as of a lump or a tumor on the head. Eye In the eye we have a real picture of what is taking place in the mucus membranes of this remedy under pressure. We see the sensitivity of the vascular system and its tendency to break down and let the blood ooze out. So we see: Ecchymosis of the eye from coughing. Ecchymosis of the lids with swelling. Retinal hemorrhage. Bleeding eyelids. Redness in eye after injuries. Acute inflammation after injuries. Another characteristic is an aggravation of the eye condition from heat. So we see: heat brings on iritis. Warmth brings on stitching pain in eye. Warmth aggravated eye pain. Walking in open air ameliorates pain in eyes. Exerting the eyes causes problems. Sore, bruised, tender pain in eye after doing close

work. Eyes feel tired after sightseeing, seeing movies, etc. Chronic pain in the eye from a blow. Has staring gaze on waking. Right eye protrudes and looks bigger than the left. Cataract from contusion; after operation. Eyes are painful at night in bed. Tearing pain Ir> eye is aggravated when person is in bed. Has diplopia on looking downward. Diplopia from hemorrhage of retina; from injuries; from paralysis of muscles. Has flickering vision while reading; while writing. Sees black spots. Ear In the ears we have results of injuries to the head with many times an impairment upon the hearing. Hearing is diminished or lost from concussions; the right ear is more affected. Pain in ears from injuries to the head. Has acute hearing during chill. Has noises in the ear caused by rush of blood to the head. His own voice seems distant to him. Redness about the ear. Pressing pain which begins in the left ear and then goes over to the right ear. Suppurative inflammation with bleeding. Cartilages of ears are sore, as if bruised. Nose In the nose we have mainly symptoms indicating again the tendency of the remedy for easy bleeding and ecchymosis. Epistaxis from a blow, with every fit of coughing, during typhoid fever, from washing face. Epistaxis from blowing the nose in the morning, from exertion, from straining at stool. Blood is dark. A great characteristic here is that the tip of nose is cold. Though the environment is warm the nose feels cold to the touch. The nose is cold on one side while the other side is hot. Formication, tingling in the nose. Violent sneezing from overiifting. Paroxysmal pain in root of nose. Burning, smarting pain in margins. Face Again here we notice the circulatory disturbances of the remedy: Face and hands are cold on one side while the other side is hot. The nose is cold on one side. Sensation of burning heat on lips. Face is red while body is cold. Heat flushes in the face in the evening. Red discoloration of face while shivering. Red swelling of the face. Black and blue spots on face. Tingling of cheeks and lips. Picks his lips. Eruptions under nose. Pimples on upper lip. Pimples inside nose. Pustules inside nose. Herpes with spasmodic cough. Erratic erysipelas on face. Pain in face is aggravated while lying on affected side, from noise, from yawning, from a jar. Has trembling of lower lip. Paralysis of right side of face. Mouth In the mouth we have a great offensiveness with a characteristic taste like that of rotten eggs especially in the morning. This taste is very characteristic of Arnica and we shall see it in eructations as well. Anyhow the smell is offensive, putrid, especially in intermittent fever. Bitter taste in mouth during apyrexia. Mouth has a sickening odor. Arnica could be indicated after dental work only if the person has really received a shock through it and is in great pain or distress. It is not to be given routinely after any Hental work. Still we will require certain conditions like: Toothache after filling has been

ut in Toothache that feels as if teeth are sprained. Toothache that feels as though oots of the teeth were scraped by a knife. We can however keep in mind the peculiar svmptom of having toothache after a concussion. This is a great keynote. Another keynote is toothache while eating dinner which is ameliorated after the dinner. Stooping ameliorates toothache. Other kinds of toothaches are: Pressing toothache as if blood were forced into them. Toothache feels as if roots were scraped with a knife. Stitching, stinging toothache in upper right. Pain in teeth with swelling of the cheeks and tingling in the gums. Pain in gums while chewing. Profuse bleeding of gums after extraction of teeth. Gums are sore after extraction of teeth. Sense of pulsation in gums. A crawling sensation in gums. Tongue is brown in the center with white and moist sides. Tongue dry, very dark, almost black. Stitching pain in root of tongue. Salivation during sleep Throat Some peculiar symptoms of the throat are: Sensation of food lodging in throat. Gurgling in esophagus when drinking. Bitter mucus in throat. Pain in throat during menses. Has stinging pain when not swallowing. Swelling of soft palate. Stomach The great keynote in the stomach is: Eructations in early morning that smell like spoiled eggs. Eructations bitter after anger. Eructations of mucus. Retching at night. Empty eructations during nausea. Pain in stomach extending over abdomen. Has pressing pain, as from a weight, in stomach - extending to neck. Other peculiarities are: Stomach tension in the morning, in bed. Sensation of ball rolling in stomach. Disordered stomach from mental exertion. Indigestion after mental exertion. Stomach pain from strain. Stomach pain before cough attack. Pain in stomach extends transversely. Pressing pain in stomach, as from a weight, extending to neck. Feeling of a lump in the back part of stomach. Gurgling when drinking. Aversion to brandy and whisky in habitual drinkers. Aversion to broth, to meat, to milk. Aversion to meat in soup. Loathing of food with a feeling as if stomach is full. Desires vinegar. Constant desire to drink but does not know what as all drinks seem to her offensive. Vomiting from movements of fetus. Vomiting of dark clotted blood; of milk. Abdomen We can say in general that in every pathological condition or activity (pregnancy) that is centered in the abdomen we shall see this peculiar tenderness, soreness, bruised feeling, a great sensitivity with aversion to being touched. There is pain with every cough, with every step or jar. The movements of the fetus are felt intensely and keep the woman awake the whole night. Movements of the fetus cause nausea and vomiting. A keynote of Arnica in the abdomen is a feeling of sore, bruised, tenderness in the inguinal region that forces the patient to walk in a bent position. It has the same sore bruised tenderness in the abdomen during stool. Dull pain in inguinal region on coughing. In inflammatory conditions of the abdomen, liver, intenstines, appendix etc

there is a lot of tympanitic distension with frequent urging for stool with prostration, uneasiness and great sensitivity. Distension of abdomen after supper. Anxiety felt in the hypochondria. Twitching and jerking in hypogastrium. Abdomen has crusts; scales; vesicles. Rectum Offensiveness is a great characteristic of Arnica: Offensive flatus that smells like spoiled eggs. Stool extremely offensive. Has diarrhea after injuries, after emotional upheavals. Diarrhea the whole night. Involuntary stool at night during sleep. Obstinate constipation where the rectum feels loaded with stool but feces are expelled with great difficulty. Pressure in rectum while standing. Stool fermented, like brown yeast, undigested, bloody, with mucus. Black watery stools with black vomit. Urinary organs Arnica is one of the main remedies for retention of urine after exertion, after injuries like concussion of the brain or a violent accident. Suppression of urine from concussion of spinal column. Inflammation of bladder after injuries. Some of the labor after-effects could be: Dribbling of urine [by drops] after labor. Involuntary urination after labor. Has dribbling of urine, night and day after labor. Involuntary urination while running. Retention of urine in chill; during colic. Chilliness after urination. Ineffectual urging to urinate during chill. Itching sensation in anterior part of urethra. Brown sediment in urine. Urine is black like ink. Male genitalia Arnica in the first stages seem to overexcite the sexual passion in men and to make the rson qUiCkly aroused sexually while at the same time taking away the power to hold erection for some time. The overexcitation can bring on an easy and premature ejaculation, so much so that an orgasm can take place even in the stage of carressing and kissing. For the same reason we find daytime seminal emissions and also nightly seminal emissions which come too easily. Eventually we may find impotency. Sexual erections in morning after waking. Erections without erotic thoughts It has been observed to increase the sexual passion in an old man with continuous erections. Aching pain in testes. Inflammation and swelling of testes from contusion. Hard swelling of penis. Bluish red swelling of penis. Hydrocele caused by a bruise. Painful swelling of the spermatic cord, with shooting in the testes, extending to the abdomen. Has eruptions on scrotum that look like blotches. Erysipelatous inflammation of scrotum. Pimples on penis, prepuce. Blotches on scrotum. Hematocele Female genitalia As we have described already Arnica patients have tremendous sensitivity and tenderness in their sexual organs; they do not want to be touched there, they feel extremely painful and therefore prefer to avoid coition. The idea that the penis will enter their body is unbearable. Tremendous fear of rape for this reason. The soreness and tenderness in ovaries is so great that it is aggravated by walking.

Arnica is frequently indicated in all stages of pregnancy, during labor if the pains though severe are ineffectual. During pregnancy if the mother experiences pain or vomiting from the movements of the fetus, or if the fetus lies in an abnormal position, for instance crosswise, in asphyxia in a newborn infant where the baby comes out bluish red and you may feel that it will not survive, especially after a laborious labor. After labor where there is slow recovery from pregnancy and its consequences, if she has pains after instrumental delivery, if there is great haemorrhage after parturition. During the time of nursing if she has after-pains when nursing child or if there is pain in uterus while nursing the child. Alternation of uterine with mind symptoms. Threatened abortion from injuries, falls, shocks. Metrorrhagia after coition; after concussions. Walks bent over in prolapse of uterus. Shocks from copious menses. Foamy menses. Hot menses. Chest Shooting stitching pains on both sides of chest that prevents breathing is a great keynote for Arnica. Stitching pain when walking, aggravated by sneezing. Pressure ameliorates this pain but also pressing aggravates a kind of sore, bruised pain in chest. He has to hold the chest with both hands during cough to prevent pain, much like Bryonia. Has bruised, sore pain in chest upon respiration. Pain, as from a sprain, is aggravated by deep breathing. Inflammation in mammae from bruises. Induration of right mammae. Inflammation of nipples. Costal cartilages feels sore and bruised. Arnica is one of the main remedies for a heart enfract as well as for angina pectoris or other cardiac problems. The peculiarities of this remedy in this respect are expressed through the following symptoms: Angina pectoris with pain extending to the elbow of left arm. Has stitching pain in heart with fainting. Has sore, bruised pain in region of heart. Heart strain from violent exertion. Palpitation during anger. Icy coldness of heart during chill. Constriction, tension tightness of chest after eating. Touch aggravates constriction, tension, tightness in chest. Grasping sensation in heart. Cardiac dropsy with distressing dyspnea. Red perspiration. Offensive perspiration. Tickling cough in the morning after rising. Cough at night during sleep without been awakened. Cough begins one hour after going to sleep. Respiration Asphyxia in newborn infant where they can come out bluish-red and you may feel they are not going to survive, especially after a laborious labor. Children who are coughing after they had been weeping and sobbing because of some ungratified caprice or because they were refused something they wanted. Children cry in whooping cough as they feel that an attack is coming. It is interesting that in Arnica like in Cuprum there is a definite effect of the mind or emotions upon the respiratory system where we see : Cough from mental exertion or from grief or from lamenting. Coughing causes blood shot eyes or epistaxis. Dry morning cough which is loose in the evening. Dry, tickling cough coming from low

down in trachea. Noise aggravates cough. Spasmodic cough with facial herpes. Whooping cough in the evening until midnight. Hoarseness worse from exertion, or from exposure to cold and wet. Asthmatic respiration from fatty degeneration of the heart. Difficult respiration after anger; cough with heart affections; irregular respiration while standing. Expectoration glairy. Blackish expectoration with lumps in center. Bloody expectoration at night. Hemorrhage that's coagulated and dark. Hemorrhage after exertion. Hemorrhage is frothy and foaming in character. Inflammation of lungs approaching paralysis Back There is a sore bruised pain all over back, patient is weak and tired, wants to lie down yet bed feels too hard. There is a weakness of the muscles of the neck and the head tends to fall backwards. It is of course indicated in injuries of the spine. Has sensation of sore bruised pain during shivering. Important modalities are: Stitching, shooting back pain on breathing; when inspiring; on walking. Pain in the lumbar region while lying. Pain in the lumbar region extending upwards made worse on stooping. Stitching, shooting pain extending to knees. Has back pain on retaining urine. Back pain in cervical region when sneezing. Back pain in sacral region extending to groin during menses; extending down legs to great toe. Involuntary jerking pain when pressing on dorsal vertebrae. Back spasms while nursing Extremities Again we must stress here that in Arnica we may find the hands or the legs cold while the head and the face are hot. There is coldness of hands with internal heat of the whole body. Pain in extremities before chill. Thigh is cold in the morning. The extremities feel sore and bruised especially when in contact with the bed. Pains of the joints, especially wrists and ankles after injuries. Feels pain as if the wrist is dislocated. Tearing, sticking pain in wrist. Cracking in wrist. It feels as if wrist is dislocated when in motion. Has pain in ankle when in motion. Pain in joints of toes. Foot feels heavy after walking. Drawing pain is felt in the hip while sitting with the thigh extended. Lower limbs feel as if they are sprained. Tearing pain in hand is ameliorated by letting arm hang down. Arnica affects the peripheral nervous system causing a lot of peculiar symptoms such as: Sensation of paralysis in joints. Paralysis of shoulder while walking. Sudden twitching of extremities. Twitching of the inner side of the thigh near genitals. Twitching of second finger. Shaking of extremities after faintness. Has shuddering of the shoulder and thigh shivering. Convulsive motions alternating with trembling of the body. Painful jerking of the ulnar side of the hand. Painful jerking of the shoulder. Weakness in upper limbs when taking hold of something. Weakness in the foot while walking in open air. Perspiration of inner side of upper limbs. Painful and symmetrical eruptions are the characteristics of Arnica on the extremities together with the ecchymosis:

Varices on lower limbs during pregnancy. Varicose tumors of the leg. Has blue spots on thigh. Has blue marks on thigh; yellow marks on thigh. Carbuncles on the thigh. Painful eruptions. Painful eczema on fingers. Painful eruption on the knee; Erysipelatous inflammation of foot. Sleep We see much of the excitation of arnica in their sleep. Sleeplessness for two or three hours until midnight, during climacteric period. Has sleeplessness because bed feels too hard. Has sleeplessness from painful motion of fetus; from mental and physical overfatigue. Wakes in the morning from the heat. Wakes during night with head hot and is afraid to go back to sleep because is scared that he will have a brain stroke. Wakes with soreness. In Arnica we see a lot of vivid anxious dreams or nightmares: of being buried alive; of suffocation; of funerals; of graves; of mutilated bodies; of black dogs; of black animals; black cats; of black forms; of lightning. Has repeating dreams. Dreams seem true on waking. Sleepiness in cholera infantum. In brain stroke we observe a very restless sleep with much drowsiness. He answers a question and during answering is falling back to sleep. His head is hot and the face flushed. Bores head into pillow Talking in his sleep. Involuntary stool or urine in sleep. Fever Has continued, petechial fever, typhus, typhoid, with foul breath. Violent congestion of the head, with body cold. Fever is accompanied by chill from uncovering. Chilliness on slightest movement of the bed-clothes; from putting hands out of bed. Chilliness on the side on which he is lying. Chilly with heat and redness of one cheek. Feels burning heat in one spot which is cold to the touch. Vomiting during fever. Fever in affected parts. Fever comes in paroxysms, is changing. Fever occurring at night, 4 A.M. without chill. Before the fever there is a dragging sensation in all the bones. Sour perspiration at night. Musty odor. Stains the linen red. Skin Ecchymosis, black and blue spots is of course the great characteristic, but also crops of small boils can be considered a keynote. Symmetrical skin eruptions. Acne indurata that are symmetric in distribution. Green spots on skin. Blackish spots. Shiny, hot and hard swelling of the parts that are affected. Ulcers with bruised pain. Dirty ulcers. Ulcers have mottled areola. Skin is mottled during chill Small pimples. Purpura miliaris. CLINICAL Skin Abscess. Bed sores. Boils. Bruises. Carbuncles. Ecchymosis. Excoriations. Sore nipples. Stings. Wounds. Muscular system Back pains. Paralysis. Lumbago. Rheumatism. Sprain. Exhaustion.

Nervous system Apoplexy. Brain haemorrhage. Chorea. Headache. Meningitis. Paralysis. Gastrointestinal system Fetid breath. Diabetes. Disorders of taste. Thirst. Hematemesis. Respiratory system Bronchitis. Chest affections. Pleurodynia. Nose affections. Whooping cough. Circulatory system Pyemia. Heart affections. Urogenital system Dysentery. Impotence. Labor. Miscarriage. Hematuria. General Purpura. Splenalgia. Traumatic fever. Tumors. Sore nipples. CAUSATION Mechanical injuries. Traumatic experiences on all levels physical, emotional or mental, fright, fear, financial loss, etc. RELATIONSHIPS It is complementary to: Aconitum napellus, Ipecacuanha, Veratrum album, Hypericum and Rhus toxicodendron. It is followed well by: Aconitum napellus, Apis mellifica, Arsenicum album, Baryta muriatica, Berberis vulgaris, Belladonna, Bryonia, Cactus grandiflorus, Calcarea carbonica, China officinalis, Chamomilla, Calendula, Conium, Curare, Hepar, Ipecacuanha, Nux, Phosphorus,Ledum, Pulsatilla, Psorinum, Rhus toxicodendron, Ruta, Sulphur and Veratrum album. It follows well: Aconite, Apis mellifica, Ipecacuanha and Veratrum album. ANTIDOTES It antidotes Ammonium carbonicum, China, Cicuta, Ferrum, Ignatia, Ipecacuanha and Senega. It is antidoted by: Camphor, Ipecacuanha, Coffee, Aconite, Arsenicum, China, Ignatia. Alcoholic stimulants, wine and coffee are inimical to it. DOSAGE Arnica should be given in the highest potencies especially in conditions arising from traumatic experiences. CASES 1. In a case of whooping-cough, in a boy five years old, with light complexion, sandy

hair, and sanguinous temperament. The paroxysms were attended with a great deal of "whooping" and bleeding of the nose; the eyes were blood-shot. A single dose of three pellets of Arnica montana, was given in the evening, and he never whooped afterwards. He coughed occasionally for a few days, but in the course of a week, he was entirely well. There was but the one dose given. 2. Effects of a blow, Concussio Cerebri. - A. C, a boy three years old, of lymphaticsanguine temperament. The child had been healthy at birth and remained so till a year ago, when he was found paralytic on one side, without any known cause or previous illness, as reported. Under the use of blisters and leeches he had recovered in three months and seemed well up to the present time, except that the affected limb seemed smaller and colder than the other. A fortnight ago he received a violent blow on the nose and soon after was seized with headache, fever and sickness, which have continued since. His present symptoms are, He complains constantly of pain in the head, great heat in the head. In the morning coldness and shivering, followed about 2 P.M. by heat and dryness of the skin all over the body, not succeeded by perspiration. The heat continues during the greater part of the night, attended with great thirst, sleeplessness, restlessness and sickness and towards morning he falls into a heavy sleep with sonorous breathing. No appetite - foul tongue and breath. Does not pass urine during the day, but at night passes a considerable quantity of strong smelling, high colored urine. Nothing remarkable was observed in the state of the pupil. The first symptom, "pain in the head," is too indefinite to lay any stress on; the next, heat in the head, is of more importance and is one of the characteristic symptoms of Arnica. The shivering in the morning and forenoon, followed by heat without perspiration, the heat with thirst and restlessnes and sleeplessness, and the heavy sleep with loud breathing, are quite homeopathic to the action of Arnica. Also the foul tongue and breath, and likewise in a marked manner the dysuria. The Arnica being then perfectly homeopathic, both in respect to the etiological condition and the existing affection, was accordingly administered in the 6th dilution [billionth], to be taken night and morning. The result was, that in a few days the child was perfectly relieved from all the above symptoms. Cases 1 - 2: The Journal of Homeopathic Clinics, Edited by C. Hering, M.D. and H. N. Martin, M.D., Philadelphia, 1869. 3. ... A stout, strong young man was helped into the room almost bent double with severe pain. He worked for the Union Transfer Company, handling trunks and a trunk had fallen off the delivery truck, the corner of it striking him in the left lower ribs. His face was drawn with pain and he could not help groaning. I put a dose of Arnica 2C. on his tongue, gave him three or four to take home with instructions to put one in 1/4 glass water and take a teaspoonful every 15 minutes for four doses. This group was to be repeated in two hours and again in four hours if necessary. I charged him to come back anyway on next clinic date, three days later. At that time he burst into the room demanding to know the name of that stuff. I told him it was Arnica. Then he told me

excitedly that by the time he was half way home, he could straighten up and breathe much easier and by night the pain was about gone; none since. He had taken two groups of doses but no more. 4. A neurasthenic young lady consulted me for fatigue of the vocal organs in the upper register. There was a suspicion on my part of hysterical paralysis of the vocal cords. Repeated examination did not confirm this view and my treatment was in vain for ten days. I then had her sing the scales and vocal exercises to me. I immediately perceived that on account of deficient voice culture, she was compelled to strain her voice in singing the upper register. On consulting her teacher my opinion was corroborated. 1 gave her Arnica a dose every day for three days and requested her also to take a similar dose after each lesson. In the five months which have elapsed there has been no new attack of fatigue of the voice... 5. Male, aged 17. First, second and third toes of left foot crushed. Amputation performed. Three unhealthy ulcers remained. Great pain at night, preventing sleep. No improvement in three months from Bichloride of Mercury, Creolin, Balsam of Peru, Ichthyol, Calendula and Aluminum acetate externally; Hepar sulph., Nux vom., Silica and Calendula internally, and Morphine hypodermically, prescribed by attending surgeon and his assistants. Re-amputation was considered by the surgeon, a man of great ability in his field. When called in the case I prescribed Arnica 30th, internally and a dilute Arnica dressing, externally, on the following characteristic indications: Great soreness with fear of being struck by those approaching the bed. He improved at once, slept the first night after receiving the remedy and was completely cured in nineteen days. 6. Mr. H. Right nostril bleeds on washing face, and sometimes when straining at stool. Arnica m.m. [Fincke] one dose, cured at once... 7. A man living twenty-five miles in the country was taken suddenly with unconsciousness. He does not remember getting out of bed, or eating breakfast. Left the table and went out to a wagon. He leaned his head upon a trunk-rack for a moment, then suddenly straightened himself up and fell backward in a perfectly rigid state, striking his head upon the hard ground. He came to his senses about noon and was brought home. I saw him in the evening. He complained of terrible pain throughout the back of the head, and all through the brain, of a bruised character. I gave him Arnica cm, one dose, and nothing else. The next morning the pain was all gone from the back of the head. He was ever so much better, only had slight pain in the frontal region. Next day entirely well. I have no reason for reporting the case further than for the potency used. One dose did the work. I want to put it on record for the benefit of the weak and not let it die an ignominious death in the dark. 8. An officer, some 30 years old, came to see me February, 1892. He had been ill since October, 1891, when his right inguinal gland had swollen suddenly and began to suppurate. In his garrison the military surgeon had made an incision, but the gland did not stop suppurating and though the skin closed again, there was a fistula left and after every long walk, more pus came out and the irritation of the gland was shown by pains all through the right leg. The officer could do no service and was practically an invalid.

Having had homeopathic treatment in his boyhood, he came to see me on the 11th of February. I gave Arnica 30, because I heard that the initial irritation of the gland had started after a very long military march. After nine days the gland could be palpated and the cicatrix, which was deep in the flesh, could softly be massaged. This was done up till the 27th of the same month and then I dismissed the patient with some Arnica in his pocket, to take in case of need. When I saw him ten months later on his Christmas leave, he told me that from the 5th of March he had done service all the time. 9. A student of twenty-one had been struck full in the left eye with a tennis ball. He came to me an hour after the accident. I found ecchymosis extending to the peri-orbital region, which was tumid and painful. One drop of 2% cocaine made it possible to examine the eye, which was photophobic and lachrymating abundantly. The upper and lower lids were swollen and painful. The lower palpebral conjunctiva had been torn and there was widespread ecchymosis. There was much circumcomeal injection and the superficial layer of the cornea had been torn. The corneal wound involved the whole of the pupillary area, forming flakes which could easily be detached. The patient felt smarting pain and a very unpleasant sensation of scratching under the eyelids. The anterior chamber was normal, tension good, pupil reacting well; examination of the fundus showed nothing in particular. Sight normal. Treatment: Bathing with sterilized water and a few drops of Calendula [mother tincture]; then a damp, aseptic, occlusive bandage with a few drops of mother tincture of Arnica; and to be taken internally, Arnica 10M [Skinner], one dose. Twenty-four hours later the cornea was glossy and the epithelium had already healed. The patient had slept perfectly well, and after four days of occlusive, sterilized, daily bandages soaked in a little Arnica, all the symptoms disappeared and the patient was completely cured... 10. Some years ago a doctor wrote for help. He had had distressing breathlessness after running 80 yards [a month previously]. Heart had continued weak, with slight pain, and pulse slow. Awoke in the night with oppression of chest, anxiety and fear. Can't run up stairs without breathlessness. Legs heavy - head fuzzy. Heart-sounds normal; weak: no heart disease. "Heart's weakness suggests early death, yet calm and not anxious." Arnica was sent, and he wrote, "Arnica had the desired effect. All symptoms went within 48 hours. I'm all right now." 11. We are often perplexed by those paralytic conditions that come into our offices from time to time. In January 1926 one of our real estate men, who had been apparently always in good health, came into my office dragging his left foot. I noticed too that his left arm swung rather helplessly, the left eyelid was closed, and he had it suspended by a little strip of adhesive plaster. His tongue seemed to be pretty thick, he was unable to articulate distinctly, the muscles of the pharynx functioned backward so that when he attempted to swallow the food it would regurgitate through the nose; that was especially true with drink. Solid foods he could not swallow. He was a man sixty-five years of age and my first thought when he came in was, "Well he belongs to that overworked class that naturally drifts into these paralytic conditions." In talking with him a little while, I really forgot the significant feature of the trouble, as we often do. I prescribed for him Causticum, but as days and weeks went by, results were negative. He thought he was doing fairly well, but I did not think so. The latter part of February, his sister, an old friend, came into my office and asked me if this man had

ever told me about his accident. "No." Then she told me herself, and she repeated later on, that on the Christmas previous, his son-in-law, who had become demented, was taken into his home, as he was unable to support his family. They had two little girls. On of the little girls did something that displeased him on Christmas day and he took the child by the shoulders, lifted her up and bounced her down on the floor as hard as he could. This old grandfather objected to such procedure. The son-in-law is a very robust man, and he struck Mr. Wolfe on the right mastoid, knocked him down and the old man lay unconscious for an hour and a half, and after he was able to get up, these things came on. I was very glad to know that. In the latter part of March, I think it was, when I got the secret of the matter, I gave that man a dose of Arnica 10M. In about ten days he reported feeling a little better. I let him rest, I think something like thirty days, on that one dose of medicine. Then I repeated my remedy when I saw that the symptoms were about at a standstill and he bobbed up again and began to improve quite rapidly so that I dismissed him practically cured in April. He was so that he could eat solid food, he could drink without regurgitating through the nose, he could keep his left eye open and instead of dragging his left foot he walked very well. Last summer, after a year's absence he came into my office walking like a soldier. "Good morning, Dr. Dienst, I came in to let you see how I could walk," and he has walked that way ever since, for I saw him the other day on the street, feeling fine, attending to his work and with his left eyelid, his left foot and his tongue all normal... 12. Mrs. S., 48, corpulent, of healthy appearance, states that in the last six years she has suffered twice from uterine hemorrhage. During the last three months she has had small hemorrhages for a day after every intercourse with her husband. But now it happens not only after such acts, but also from slight pressure at evacuation; she is not costive and her kidneys function normally. The hemorrhage is of bright red color and sometimes slightly coagulated; it is accompanied by pain in knees and hands. Examination with speculum shows nothing abnormal in vagina nor on cervix. The remedy selection is based on the cause occasioned by sexual intercourse and pressure at stool and we know that both involve slight traumatism or force. It is clear that in this case every slight effort produces the hemorrhage. Consequently we thought of Arnica montana and it was given in the 6x potency, eight globules three times daily. On the second consultation the patient states that she has been free from the hemorrhage for six days. Gave placebo. Here we see confirmed all we have heard and experience in our practice that the bad effects of force almost always fall under the action of this grand remedy and that its internal use generally shows its great therapeutic value in traumatism, even of the minimal sort. 13. Mrs. R. Y. complained of spitting blood, and during the consultation there was proof of it, thick and slightly foamy, red. It was easily ejected without cough. There was slight pain in chest, but much agitation and fear showed in her face. She was not nauseated, nor faint. Arnica 6x. every ten minutes was prescribed and complete rest ordered. Soon the cure was complete. 14. Mrs. J., 48, nurse. Diagnosis: Prepatellar bursitis on both knees for half a year.

Tincture of iodine, aluminum oxide had been used without result. Aspiration had helped only temporarily. Prescription: Arnica 30 every evening, seven globules to be sucked. Night knee-pack with dry arnica flowers. Course: After four weeks complete cure. Patient reports that her fear complex and cardiac weakness, which she had not mentioned previously, were very much improved, and her superintendent has remarked upon it too. It is to be regretted that she did not have the courage to report the homeopathic cure to her chief physician. 15. Mrs. S., aged 58 years, on March 6, 1913, had an operation for complete procidentia with ulcerated cervix, considered possibly malignant. Complete hysterectomy and appendectomy were done. Her recovery at the hospital was uneventful and she returned to her home after three weeks. It was following this that she became a patient of mine. Mental confusion began after being at home about one week. Desire to sleep nearly all the time; heavy unnatural sleep. Became indifferent to her surroundings, especially as to her personal appearance [naturally very neat.] Dazed at times; unable to remember what she had been doing at home. Physically, appeared stronger each day, which she laid to the relief from the mechanical condition that had existed previous to operation. Became childish, irritable, feelings easily hurt and especially so with her husband. When asked how she was, always said, "I feel fine!" Talked incoherently; began things and did not finish them. One day turned on the gas in her cooking range and then went away without lighting it. At another time went out on the street in night dress and kimono to a nearby store, returning a bag of coke, telling the storekeeper it would not bum. Dreamed of fire at night and wakened with a start. Head hot, especially occiput and feet cold. General aggravation in morning; in afternoon remembered some of her strange actions of the morning. April 24, 1913 - Became violent, rave, screamed, cried, threw herself violently on and off the bed. Talked incessantly; saw weird lights; devils, strange people, her dead children and numerous other things. Rubbed her hands and feet back and forth until they hurt, but could not stop herself. Was so much upset that a consultation of doctors was held, during the same afternoon and she was able then to give a fairly clear account of things, seeming to remember how she had acted in the morning. Usual afternoon amelioraton. During this time, I had prescribed Sulphur, Sepia and Natrum mur., with little, if any, result, the consulting doctor was an allopath and advised no medicine; simply rest, outdoor air, and happy occupation for her mind. So I was still left to prescribe any remedy I thought indicated. That evening, in thinking the case over again, it occurred to me strongly that the entire condition appeared to be the result of the operation and so I gave her Arnica 30th, three powders. April 25 - In the morning, showed a slight indication of excitement, but was easily quieted. From that time she steadily improved and has had no return of any such mental condition since... Margaret Tyler in her book Homeopathic drug pictures mentions some representative cases of arnica: (1) She was taken ill one night with stitching pains in the chest that made breathing a

proposition. Her husband tried to help her with various remedies probably Aconite, certainly Bryonia, but in vain. Then in a "Domestic Homeopathy" he discovered "batrd pleurisy" with its remedy arnica; and he gave her a feww globules. They were scarcely swallowed when, with a long sigh, and "that is the first breath I have been able to draw tonight!" she was fast asleep in a moment. (2) He was a doctor who wrote that for more than a month he had had distressing difficulty in breathing, since running eighty yards. He would wake at night with "oppression in chest anxiety and fear.""Heart weakness suggests early death.".he said, yet he was "calm and not anxious.." "legs heavy; head fuzzy; could not run upstairs. Heart sounds weak, but no disease." Arnica was suggested and he wrote back: "Arnica had the desired effect! All symptoms went within forty-eight hours I am all right now." (3) A doctor, overfatigued mentally and physically lost all interest in work. His usual selfconfidence disappeared, so that he began to doubt his prescriptions and wonder whether he had prescribed too much of this, or even the wrong medicine. He was never sure whether he shut the door or turned off the lights; had to go back and see. He was naturally keenly alert, and this change of mentality worried him. Arnica 1.000 put him right in a few days, restoring perfectly his memory and self-confidence. LECTURES ON HOM OPATHIC MATERIA MEDICA by JAMES TYLER KENT, A.M., M.D. Late Professor of Materia Medica in Hering College, Chicago. Presented by Dr Robert Sror Arnica Montana Mind: The Arnica patient is morose, wants to be let alone, does not want to be talked to, does not want to be approached. He does not want to be approached, both because he does not wish to enter into conversation, a mental state, and also because he does not wish to be touched on account of the great bodily soreness. These are the two most striking things in this medicine. Irritable, morose, sad, fearful, easily frightened, imagines all sorts of things, especially that he has heart disease, or that he will mortify, or that some deep-seated trouble is upon him. Full of nightmare, dreadful dreams, dreams of muddy water, robbers, etc. Horrors in the night. He frequently rouses up in the night, grasps at the heart, has the appearance of great horror, fears some dreadful thing will happen. A sudden fear of death comes on at this time, rousing him up in the night; he grasps at the heart, and thinks he is going to die suddenly. He is full of dreadful anguish, but finally he comes to himself, lies down and goes off into a sleep of terror, jumps up again with the fear of sudden death and says: "Send for a doctor at once." This is repeated night after night in persons Who are fairly well in the daytime, who have no sympathy because there seems to be no reality in their sickness, only a mental state. It is also seen in persons who have gone through a railroad accident, or through some shock, who are sore and bruised from injury. They rouse up in the night with a fear of sudden death, with an expression of terror; the horrors they really went through are repeated. This is similar to Opium, only

the Opium fear remains, even in the day time. Arnica dreams of it. When sick in bed afflicted with a zymotic disease, with violent fever, or with fever after an accident or injury, he becomes greatly prostrated, stupid and unconscious. He can be aroused and will answer a question correctly, but goes into a stupor, or be hesitates about a word and is unable to find correct words when trying to answer and goes back into the coma. When roused up, he looks at the doctor and says: "I do not want you; I did not send for you; I am not sick; I don't need a doctor." He will say this even when he is seriously ill. I have seen an Arnica patient lie back upon his pillow after emptying the stomach of a black fluid like blood, seriously ill, with the face mottled, in zymotic sickness or such as threaten malignant chill, that one would think he was almost going to die, look up and say: "I am not sick; I did not send for you; go home." Yet when in a state of health he was friendly, kind-hearted, knew me well, glad to shake hands with me; but now he is irritated at seeing me there and insists there is nothing the matter with him. Such is the "shock" state, almost a delirium. After finishing such a sentence he will lie down in a stupor, will lie in bed drawn up in a heap and merely groan when spoken to. He wants to be left alone, does not want to be bothered, does not want to be talked to. That state ushers in complaints after a shock that has shaken the whole system, that has disturbed the circulation. When a symptomatic typhoid is coming on, i.e., when an intermittent or remittent is taking on symptoms that are typhoid in character, when the tongue becomes shiny, and sordes appear about the teeth and lips, when there is sinking, and soreness all over the body, there are times when this mental state that I am describing will appear and the patient must have Arnica. Arnica will interrupt the progress and prevent a typhoid state. Arnica is sometimes suitable to the scarlet fever, when the eruption does not come out, in those severe forms when the body is dusky, mottled and covered with red spots; the patient is constantly turning and that mental state is coming on with moroseness, and stupidity. It is a wonderful remedy, a misunderstood remedy, a misused remedy, because it is almost limited to bruises. It is one, of sheet anchors in certain seasons, in the malarial valleys of the West, for intermittent fever In congestive chills, in those dreadful attacks with prostration, stupor, mottled skin, with congestion that comes on suddenly, with anxiety. The doctors know these fevers, they dread them, and can only cope with them by using such remedies as Arnica and Lachesis and other deep-acting medicines. It is not true that these patients must have Quinine. For many years I practiced among these cases, and I have seen numerous congestive chills and had no need for Quinine. I would rather have my repertory

and a few potencies than all the Quinine in the drug -stores. The sugar pills cure safely, permanently and gently, while the Quinine never cures, but suppresses, and there is nothing in the after history of that patient drugged with Quinine and Arsenic but congestion and violence so long as he lives. "Horror of instant death, with cardiac distress in night." From that it spreads on throughout the system, but hat horror of instant death is a striking feature and it comes on regardless of heart disease. A horror in the night when there is nothing to come upon the patient; a horrible congestion, which affects especially the cerebellum and upper part of the spinal cord. "Stupor with involuntary discharges." "Coma, insensibility." "Lies as if dead." There symptoms come in the low forms of disease, in the typhoid type of disease. Many of the remittent fevers, if badly treated, or permitted to run their course under bad nursing, will turn into a continued fever. While the true idiopathic typhoid comes on after many weeks of gradual decline, a symptomatic typhoid may come on suddenly, and it has symptoms of graver form than ordinary typhoid. The idiopathic typhoid will seldom kill and will generally run to a favourable termination, if the doctor stays at home. This remedy is full of delirium in these low types of fever, even delirium like delirium tremens. "Hopelessness; indifference." "Hypochondriacal anxiety, peevishness." "Fears being struck by those coming towards him." That is both bodily and mental. Physical state: Now, with this mental state thoroughly in mind, we are prepared to take up the general physical state, which has in all complaints, all over the body a feeling as if bruised. It is not strange that Arnica is used for bruises, but it is very foolish to put it on the outside and to rub it on in the form of the tincture. It produces in its pathogenesis mottled spots, like bruises. If you take Arnica internally, in large doses, you will have mottled spots, bluish spots, which become yellowish, due to ecchymoses, from extravasations of the smaller capillaries. This is, to a certain extent, what takes place in bruising. It is an extravasation of blood from the capillaries, and sometimes from the larger vessels. But all over the body he is sore and bruised, as if he had been beaten. If you watch an Arnica patient in order to get the external manifestations of his state, you will see him turning and moving. You will at once ask yourself, Why is he restless? and if you compare remedies in

your mind, you will say, He is like Rhus tox.; he stays in a place a little while and then he moves. No matter if he is only semi-conscious; you will see him make a little turn, part way over, and then a little further over, and so on until he is over on the other side. Then he commences again, and he will shift a little and a little, and so he turns from side to side. The question is, why does he move so, why is he restless? It is an important matter to solve. We notice the awful anxiety of the Arsenicum patient that keeps him moving all the time. We notice the painful uneasiness felt all over the body with the Rhus patient so that he cannot keep still. The Arnica patient is so sore that he can lie on one part only a little while, and then he must get off that part or to the other side. So if we ask him, "Why do you move so?" he will tell us that the bed feels hard. That is one way of telling that the body is sore. A more intelligent individual will say it is because he is so sore and feels as if bruised and beaten, and he wants to get into a new place. Soreness: This state of soreness is present if it be a symptomatic typhoid, an intermittent fever, a remittent fever, or after an injury when he is really bruised all over. You get the same continual uneasiness and motion, moving every minute. He moves and thinks that now he will be comfortable, but he is comfortable only for a second. The soreness increases the longer he lies, and becomes so great that he is forced to move. With Rhus tox. the longer he lies the more restless he grows and the more he aches, until he feels as if he will fly if he does not move. With Rhus tox. the uneasiness passes off after moving, and with Arnica the soreness passes off if he gets into a new place. With Arsenicum you see him moving about and look wild, and he is anxious, and this anxiety forces him to move, and he gets no rest, for he keeps going. The Rhus tox. and Arnica patients get better from every little motion. The Arnica patient bleeds easily; his blood vessels seem to be relaxed, and extravasation is easy. Blue spots come easily upon the skin, and internally the mucous membranes bleed easily. The parts that are inflamed bleed. He is subject to catarrhal conditions, and if he has a cough he bleeds easily. The mucus that is hawked out of the chest and throat is streaked with blood, or dotted with tiny pin-head blood clots. His urine contains blood and there is bleeding from the various orifices of the body. There is not sufficient tone in the fibres of the vessel to hold the blood within the vessel walls and they ooze. All over the body there is a lameness, and soreness, and a feeling as if bruised; a rheumatic lameness; the joints are swollen, sore and lame. If an acute disease

becomes more severe, we shall find the mental symptoms as described, and there will be an increasing soreness in the muscles. Arnica is very suitable for that sore, bruised condition of the body, therefore Arnica is a very important remedy in injuries, bruises and shocks, injuries of joints, injury of the back with lameness and soreness. In such conditions Arnica becomes one of the first remedies, and unless there are general decided symptoms calling for other remedies it should be the first remedy. Arnica will very often take all the soreness out of a sprained ankle and permit him in a few days to go walking about, to the surprise of everybody. The black and blue appearance of sprained joints will go away in a surprisingly short time, the soreness will disappear, and he will be able to manipulate that joint with surprising ease. I have seen a sprained ankle when it was black and blue, so swollen that the shoe could not be put on, but after a dose of Arnica, the swelling disappeared in an astonishing way, the discoloration faded out and the patient was able to stand on the foot. No such result can be obtained with the use of Arnica lotion externally. A high potency of Arnica is most satisfactory in bruises, and when no decided contraindication is present Arnica is the first remedy; but for the weakness of tendons that follows such a condition Arnica is not always sufficient, and the Rhus tox. is its natural follower. If the weakness and tenderness remain in the joints, follow the Rhus with Calcarea. One will not, of course, give these remedies all on the same day, and not in the same glass, but will wait until all the good has been gotten out of the Arnica before following with Rhus. It is quite a common thing for aching and restlessness and weakness to come into a part that has been injured, and Rhus is then a suitable remedy; and it is quite common for a joint that has been badly treated to remain sore and weak, and then Calcarea comes in as a natural follower of the Rhus tox. and then we have to resort to Causticum, Staphysagria, and other remedies, because of some peculiar feature in the case, but these remedies are all related more or less to Arnica, Rhus and Calcarea. For another class of injuries compare Ledum and Hypericum. Arnica is useful in some chronic cases; especially in old cases of gout. It is quite a common thing for old cases of gout to rouse up into a new soreness of joints, with great sensitiveness. You will see the old grandfather sit off in a corner of the room, and if he sees little Johnnie running towards him, he will say: "Oh, do keep away, keep away." Give him a dose of Arnica and he will let Johnnie run all over him. He does not want to be touched or approached; he feels that anything that is coming towards him is going to hurt him. He is extremely sensitive, his joints are sore and tender, and he is afraid they will be hurt.

This medicine has erysipelatous inflammation. If you have an erysipelas of the face with the mental state described, with soreness, and sort bruised feeling allover the body, you need not wait longer before prescribing Arnica. The sore, bruised feeling all over the body, and the mental state, would decide in favor of Arnica against any medicine. In inflammation of the kidneys and bladder, of the liver, and even in pneumonia, the mental state and the sore, bruised feeling all over the body would enable you to do astonishing work in such cases, even though Arnica has never produced pneumonia. It has all there is of the rusty expectoration, with all the soreness of the chest and catarrhal state, the coughing and gagging, and sore, bruised feeling all over the body, and then add to this the condition of stupor and the mental state that belongs to the inflammatory condition of any organ and is especially strong in this medicine. We do not have to worry about any particular fineness of diagnosis to settle upon Arnica. Arnica has aversion to meat, broth and milk. There is great thirst at particular times, for instance, during the chill of intermittent fever he has thirst, while at other times he is thirstless. "Vomiting of dark-red coagula, mouth bitter; general soreness." Vomiting of black, inky substances. Arnica is a useful remedy in inflammatory conditions of the abdomen, liver, intestines, with tumefaction tympanites, prostration, tendency to uneasiness, and so sore that he cannot be touched. This state also comes with typhoid. Do not forget the symptoms of Arnica in appendicitis. You do not need to run for the surgeon for every case of appendicitis if you know Bryonia, Rhus tox., Belladonna, Arnica and similar remedies. The homoeopathic remedy will cure these cases, and, if you know it, you need never run after the surgeon in appendicitis except in recurrent attacks. If you do not know your remedies, you will succumb to the prevailing notion that it is necessary to open the abdomen and remove the appendix. It is only deplorable ignorance that causes appendicitis to be surrendered to the knife. Offensiveness is a feature of Arnica; there is offensiveness of the eructations, and the flatus. The stool is horribly offensive. "Nightly diarrhea." "Stool involuntary during sleep." "Stools of undigested food, purulent; bloody slimy, mucus: Dark blood, very foetid stool. Here we see the tendency to oozing from the mucous membranes. Black watery stools with black vomit. "Retention of urine from exertion,"

from overwork, from injury, from concussion of the brain, from some violent accident. The urine is brown, or inky, dark. "Piercing pains as from knives plunged into the kidneys." "Urine very acid, with increase of specific gravity." Pregnancy: Another feature of Arnica occurs in pregnant women. The extreme sensitiveness, soreness or tenderness throughout the whole body is especially felt in the abdominal viscera, in the uterus and pelvic region. Sensitiveness to the motion of the foetus sore and bruised; the motions of the foetus are very painful and keep her awake all night. Arnica will remove that soreness and she will not distinguish the motion of the foetus It is not an increased motion of the foetus, but that she is sensitive to it. "Constant dribbling of urine after labor." A general feature also of the remedy is that the body is cold and the head hot; the whole body and the extremities are cold, but the head feels hot. This is a marked condition in sudden congestive attacks, in congestive chill and congestive intermittent fevers. This, sometimes, is the very beginning of a severe attack when there has been almost no warning except a night or two of bad dreams and distress, fearfulness and stupefaction, with soreness in the body. If he comes out, of this, an increased soreness in the body comes on, which grows worse and worse until he is sore and bruised all over. Children: Children going into severe attacks of infantile fever may threaten convulsions, the head is hot and the body cold. Most physicians will think of Belladonna, which has such cold extremities and such a hot head. Do not forget Arnica, especially in those children who seem to have an aversion to being touched, and scream out every time the mother takes bold of the leg or arm. Look into the history a little and you will see that this is a soreness, and if you strip the child you may observe dusky spots, which give an added indication of Arnica. This is a whooping-cough remedy; you can easily conjure up what the indications are for whooping-cough; aggravation from touch, sore, bruised condition, spasmodic cough with expectoration of blood, or dark blood-streaked mucus, or little tiny pin-head dots all through the mucus. Vomiting of food with black mucus. The mental state of the child can easily be imagined. The child is cross and fretful. "Cough excited by cries in children when accompanied by anger and tossing about." "Paroxysms of cough at night." "Whooping cough; child cries before paroxysms as though in fear of soreness." You can easily apply that which we have seen in the remedy to the various diseases that come on. Stitching pains in whooping cough, pleuritic pains with catarrh of the chest, with pneumonia or pleurisy, inflammatory conditions.

It has also more lingering complaints, "fatty degeneration of the heart." Stitches in the cardiac region, stitches from left to right. "Weary, bruised, sore, great weakness, must lie down, yet bed feels too hard." It will be well to read over all these symptoms; there are numerous particulars in the remedy, many little symptoms that are of great interest. It follows well after Aconite and is complementary to Aconite, Ipeca and Veratrum.

HOM

OPATHIC MATERIA MEDICA

by William BOERICKE, M.D.
Presented by Mdi-T

ARNICA MONTANA
Leopard's Bane (ARNICA) Produces conditions upon the system quite similar to those resulting from injuries, falls, blows, contusions. Tinnitus aurium. Putrid phenomena. Septic conditions; prophylactic of pus infection. Apoplexy, red, full face. It is especially suited to cases when any injury, however remote, seems to have caused the present trouble. After traumatic injuries, overuse of any organ, strains. Arnica is disposed to cerebral congestion. Acts best in plethoric, feebly in debilitated with impoverished blood, cardiac dropsy with dyspn a. A muscular tonic. Traumatism of grief, remorse or sudden realization of financial loss. Limbs and body ache as if beaten; joints as if sprained. Bed feels too hard. Marked effect on the blood. Affects the venous system inducing stasis. Echymosis and hmorrhages. Relaxed blood vessels, black and blue spots. Tendency to hmorrhage and low-fever states. Tendency to tissue degeneration, septic conditions, abscesses that do not mature. Sore, lame, bruised feeling. Neuralgias originating in disturbances of pneumo-gastric. Rheumatism of muscular and tendinous tissue, especially of back and shoulders. Aversion to tobacco. Influenza. Thrombosis. Hematocele.

Mind.--Fears touch, or the approach of anyone. Unconscious; when spoken to answers correctly, but relapses. Indifference; inability to perform continuous active work; morose, delirious. Nervous; cannot bear pain; whole body oversensitive. Says there is nothing the matter with him. Wants to be let alone. Agoraphobia (fear of space). After mental strain or shock. Head.--Hot, with cold body; confused; sensitiveness of brain, with sharp, pinching pains. Scalp feels contracted. Cold spot on forehead. Chronic vertigo; objects whirl about especially when walking. Eyes.--Diplopia from traumatism, muscular paralysis, retinal hmorrhage. Bruised, sore feeling in eyes after close work. Must keep eyes open. Dizzy on closing them. Feel tired and weary after sight-seeing, moving pictures, etc. Ears.--Noises in ear caused by rush of blood to the head. Shooting in and around ears. Blood from ears. Dullness of hearing after concussion. Pain in cartilages of ears as if bruised. Nose.--Bleeding after every fit of coughing, dark fluid blood. Nose feels sore; cold. Mouth.--Fetid breath. Dry and thirsty. Bitter taste (Colocy). Taste as from bad eggs. Soreness of gums after teeth extraction (Sepia). Empyma of maxillary sinus. Face.--Sunken; very red. Heat in lips. Herpes in face. Stomach.--Longing for vinegar. Distaste for milk and meat. Canine hunger. Vomiting of blood. Pain in stomach during eating. Repletion with loathing. Oppressive gases pass upward and downward. Pressure as from a stone. Feeling as if stomach were passing against spine. Fetid vomiting. Abdomen.--Stitches under false ribs. Distended; offensive flatus. Sharp thrusts through abdomen. Stool.--Straining of tenesmus in diarrh a. Offensive, brown, bloody, putrid, involuntary. Looks like brown yeast. Must lie down after every stool. Diarrh a of consumption; worse lying on left side. Dysenteric stools with muscular pains. Urine.--Retained from over-exertion. Dark brick-red sediment. Vesical tenesmus with very painful micturition.

Female.--Bruised parts after labor. Violent after-pains. Uterine hmorrhage from mechanical injury after coition. Sore nipples. Mastitis from injury. Feeling as if f tus were lying crosswise. Respiratory.--Coughs depending on cardiac lesion, paroxysmal, at night, during sleep, worse exercise. Acute tonsillitis, swelling of soft palate and uvula. Pneumonia; approaching paralysis. Hoarseness from overuse of voice. Raw, sore feeling in morning. Cough produced by weeping and lamenting. Dry, from tickling low down in trachea. Bloody expectoration. Dyspn a with hmoptysis. All bones and cartilages of chest painful. Violent spasmodic cough, with facial herpes. Whooping cough, child cries before coughing. Pleurodynia (Ranunc; Cimicif). Heart.--Angina pectoris; pain especially severe in elbow of left arm. Stitches in heart. Pulse feeble and irregular. Cardiac dropsy with distressing dyspn a. Extremities distended, feel bruised and sore. Fatty heart and hypertrophy. Extremities.--Gout. Great fear of being touched or approached. Pain in back and limbs, as if bruised or beaten. Sprained and dislocated feeling. Soreness after overexertion. Everything on which he lies seems too hard. Deathly coldness of forearm. Cannot walk erect, on account of bruised pain in pelvic region. Rheumatism begins low down and works up (Ledum). Skin.--Black and blue. Itching, burning, eruption of small pimples. Crops of small boils (Ichthyol; Silica). Ecchymosis. Bed sores (Bovinine locally). Acne indurata, characterized by symmetry in distribution. Sleep.--Sleepless and restless when over tired. Comatose drowsiness; awakens with hot head; dreams of death, mutilated bodies, anxious and terrible. Horrors in the night. Involuntary stools during sleep. Fever.--Febrile symptoms closely related to typhoid. Shivering over whole body. Heat and redness of head, with coolness of rest of body. Internal heat; feet and hands cold. Nightly sour sweats. Modalities.--Worse, least touch; motion; rest; wine; damp cold. Better, lying down, or with head low. Relationship.--Antidotes: Camph.

Vitex trifolia.--Indian Arnica (Sprains and pains, headache in temples, pain in joints; pain in abdomen; pain in testicles). Complementary: Acon; Ipec. Compare: Acon; Bapt; Bellis; Hamam; Rhus; Hyperic. Dose.--Third to thirtieth potency. Locally, the tincture, but should never be applied hot or at all when abrasions or cuts are present. A DICTIONARY OF PRACTICAL

MATERIA MEDICA
By John Henry CLARKE, M.D.
Presented by Mdi-T

Arnica.
Arnica montana. Leopard's-bane. Fallkraut. N. O. Composit. Tincture of whole fresh plant. Tincture of root. Clinical. Abscess. Apoplexy. Back, pains in. Baldness. Bed-sores. Black-eye. Boils. Brain, affections of. Breath, fetid. Bronchitis. Bruises. Carbuncle. Chest, affections of. Chorea. Corns. Cramp. Diabetes. Diarrh a. Dysentery. Ecchymosis. Excoriations. Exhaustion. Eyes, affections of. Feet, sore. Hmatemesis. Hmaturia. Headache. Heart, affections of. Impotence. Labour. Lumbago. Meningitis. Mental alienation. Miscarriage. Nipples, sore. Nose, affections of. Paralysis. Pelvic hmatocele. Pleurodynia. Purpura. Pymia. Rheumatism. Splenalgia. Sprain. Stings. Suppuration. Taste, disorders of. Thirst. Traumatic fever. Tumours. Voice, affections of. Whooping-cough. Wounds. Yawning. Characteristics. Growing on the mountains, Arnica may be said to possess a native affinity to the effects of falls. As its German name, Fallkraut, attests, its value as a vulnerary has been known from remote times. It may be said to be the traumatic par excellence. Trauma in all its varieties and effects, recent and remote, is met by Arnica as by no other single drug, and the provings bring out the appropriateness of the remedy in the symptoms it causes. Tumours in many parts, following injury, have been cured by Arnica, including scirrhous tumours of the breast. Nervous affections as chorea after falls. It is suited to plethoric redfaced persons; "Arnica is particularly adapted to sanguine, plethoric persons, with lively complexions and disposed to cerebral

congestion. It acts but feebly on persons who are positively debilitated, with impoverished blood and soft flesh. This may be the reason why it is eaten with impunity by herbivorous animals as Linneus remarks" (Teste). It is suited to persons who are extremely sensitive to mechanical injuries, and who feel the effects of them long after; persons easily made train-sick or sea-sick. Patients complain that the bed is hard no matter how soft it may be. Arn. corresponds to the effects of violent cough or sneezing; the child cries before cough comes on (or with the cough) in whoopingcough. Chronic bronchitis when patients have bruised, weak aching in the chest, or great sensitiveness of the chest on exertion, or walking. Allied to wounds are hmorrhages, and Arnica causes and cures hmorrhages of many kinds: dilatation and rupture of small blood-vessels. Vomiting, coughing, purging, accompanied by streaks of blood in ejecta; extravasation of blood into the conjunctiva as in whooping-cough. Hmorrhages into the tissues of internal organs or the skin. An odd symptom of Arnica is "coldness of the nose." A case of facial (left) neuralgia, face swollen, dark red, very painful to touch, was cured with Arnica (radix), the guiding symptom being "cold nose." Patient had bitter taste; was very excitable, and < at night. Ussher notes that the local use of Arnica produced an extraordinary growth of hair on a limb. This suggested the use of an oil mixed with Arn. 1x in a case of baldness, which was followed with marked success. Arn. affects the left upper extremity and the right chest. There is a putridity in connection with Arnica excretions, as with Baptis., which it resembles in typhoid conditions: putrid breath; fetid sweat. With Arnica there is apt to be incessant passing of stool and urine in these states. Nash gives the following as "leaders": "Stupor, with involuntary discharge of fces and urine." "Fears being touched or struck by those coming near him." Putrid smell from mouth." "Bruised, sore feeling in uterine region; cannot walk erect." "While answering falls into a deep stupor before finishing." "Head alone, or face alone, hot; rest of body cool." "Many small boils, painful, one after another, extremely sore." "Suddenness" is a feature of Arn. pains and action. P. P. Wells relates a cure of double pleuropneumonia in a child with sudden stabbing pains on both sides of the chest almost preventing breathing. Arnica instantly caused a violent aggravation, the next instant relief was perfect, and the child fell asleep breathing naturally. I once ran a piece of wire into the tip of one of my fingers, causing paralysing pain. I applied Arn. 1x at once, and the pain was better instantly seeming to be wiped out from the point of injury up the arm. There is < in damp, cold weather with Arnica, which is included by Grauvogl among the remedies suited to the hydrogenoid constitution (comp. Baryt. c.). Motion and exertion <. (Bruised, aching sensation in chest on

walking.) > Lying down, and lying with head low; but < lying on left side. Arnica should not be used externally where there is broken skin. For torn and lacerated wounds Calendula must be used locally. Relations. Teste takes Arn. as the type of his first group, which includes Ledum, Crot. t., Fer. magnet., Rhus t., Spig. Compare: Abrot., Absinth., Calend., Chamom., Cina, Gnaphal., and other Composit. Complementary: Acon. Similar to: Acon., Am. c., Croton (swashing in abdomen), Arsen., Baptis. (typhoid states Bap. "feels ill," Arn. "feels well," resents being thought ill), Bell., Bry., Cham., Chi., Euphras., Calend., Hep., Hyper., Ham., Ipec., Led., Merc., Puls., Ran. scel., Rho., Ruta, Staph., Silic, Symph., Sul., Sul. ac., Verat. Follows well: Aco., Ipec., Verat., Apis. Followed well by: Aco., Ars., Bry., Ipec., Rhus t. Action aided by: Arsen. (dysentery and varicose veins). Injurious in: Bites of dogs or rabid or angry animals. Antidote to: Am. c., Chi., Cicut., Fer., Ign., Ipec., Seneg. Antidoted by: Camph., Ipec. (to massive doses); Coffee (headache); Aco., Ars., Chi., Ign., Ipec. (to potencies). Wine increases unpleasant effect of Arnica. Causations. Mechanical injuries. Fright or anger. Excessive venery (vaginitis in the female, impotence in the male). SYMPTOMS. 1. Mind. Hypochondriacal anxiety with fear of dying and disagreeable temper. Declines to answer any questions. Great agitation and anguish, with groans. Unfitness for exertion, and indifference to business. Apprehension and despair. Overexcitement and excessive moral sensibility. Great sensitiveness of the mind with anxiety and restlessness. Tendency to be frightened. Quarrelsome. Combative, quarrelsome humour. Tears. Shedding of tears and exclamations of rage. Opinionated. Foolish gaiety, levity, and mischievousness. Absence of ideas. Depression of spirits and absence of mind. Says there is nothing the matter with him (in typhoid fever, &c.). Abstraction and musing. Unconsciousness (like fainting after mechanical injuries). Delirium. 2. Head. Whirling giddiness with obscuration of the eyes, chiefly on getting up after sleeping, on moving the head, or in walking. Giddiness, with nausea; when moving and rising; better when lying. Vertigo when shutting eyes. Pressive pains in the head, principally in the forehead. Cramp-like compression in the

forehead as if the brain were contracted into a hard mass, chiefly when near the fire. Pain, as if a nail were driven into the brain. Dartings, pullings, and shootings in the head, principally in the temples. Incisive pain across the head. Cutting through the head, as with a knife, followed by a sensation of coldness. Stitches in the head, esp. in the temples and forehead. Effects from concussion on the brain. Pain in the head over one eye, with greenish vomiting (after a strain of the back). Heat and burning in the head, with absence of heat from the body. Burning and heat in the head, the rest of the body is cool (night and morning, < from motion, > when at rest). Heaviness and weakness of the head. Pains in the head, brought on, or aggravated by walking, ascending, meditating, and reading, as well as after a meal. Tingling at the top of the head. Immobility of the scalp. 3. Eyes. Pain, like excoriation, in the eyes and in the eyelids, with difficulty in moving them. Red, inflamed eyes. Inflammation of the eyes with suggillation after mechanical injuries. Burning in the eyes, and flowing of burning tears. Eyelids swollen, and with ecchymosis. Pupils contracted. Eyes dull, cloudy, and downcast. Eyes prominent, or half open. Fixed, anxious look. Obscuration of vision. 4. Ears. Pain, as of contusion in the ears. Acute pulling in the ears. Shootings in and behind the ears. Hardness of hearing, and buzzing before the ears; from blows. Blood from ears. 5. Nose. Pain, as of contusion in the nose. Tingling, in the nose. Nose swollen, with ecchymosis. Nasal hmorrhage. Ulcerated nostrils. Coryza, with burning in the nose. Cold nose (A. radix). 6. Face. Face pale and hollow, or yellow and bloated. Heat in the face without heat in the body. Hard swelling, shining redness and heat in one cheek, with throbbing pain. Puffing of cheeks on breathing. Tingling round the eyes, in the cheeks, and in the lips. Pustulous eruption on the face, chiefly round the eyes. Dryness, burning heat, swelling, and fissures in the lips. Ulceration of the corners of the mouth. Paralysis of the lower jaw. Painful swelling of the submaxillary glands, and of those of the neck. Trismus, with the mouth closed. 7. Teeth. Pain in the teeth, with swelling of the cheeks and tingling in the gums. Sensation of pulling in the teeth while

eating. Loosening and elongation of the teeth. Toothache after operation. 8. Mouth. Dryness of the mouth, with thirst. Saliva mixed with blood. Sensation of excoriation and itching on the tongue. Tongue dry, or with a white coating. Putrid smell from the mouth in the morning. 9. Throat. Sensation as if there were something hard in the throat. Deglutition hindered by a kind of nausea. Noise while swallowing. Burning in the throat, with uneasiness, as from internal heat. Bitter mucus in the throat. 10. Appetite. Taste putrid or bitter, or slimy. Bitter taste, esp. in the morning. Thirst for cold water, without fever. Longing for alcoholic drinks. Thirst for water, or desire to drink, with repugnance to all liquids. Loathing of food principally milk, meat, broth, and tobacco. Liking for vinegar. Want of appetite, and tongue loaded with a white or yellowish coating. (In the evening) immoderate appetite, with sensation of fulness and cramp-like pressure in the abdomen, immediately after a meal. Irritable and plaintive humour, after a meal in the evening. 11. Stomach. Frequent eructations, esp. in the morning, empty, bitter, putrid, as from rotten eggs. Belches after coughing. Rising of a bitter mucus or of salt water. Nausea, with inclination to vomit, chiefly in the morning. Nausea, and empty vomiturition. Retching even in the night, with pressure in the precordial region. Vomiting of coagulated blood, of a deep colour. After drinking (or eating), vomiting of what has been taken, often with a mixture of blood. Pressure, fulness, contraction, and cramp-like pain in the stomach and in the precordial region. Shootings in the pit of the stomach, with pressure extending to the back, and tightness of the chest. 12. Abdomen. Shootings in the region of the spleen, with difficulty of breathing. Pressure in the hepatic region. Abdomen hard and swollen, with pain of incisive excoriation in the sides, chiefly in the morning, mitigated by the emission of wind. Pain in the umbilical region when moving. Shocks across the abdomen. Pain, as of contusion, in the sides. Flatulence, having the smell of rotten eggs. Cutting, colicky pains in the abdomen. Colic with strangury. Tympanites. 13. Stool and Anus. Constipation, with ineffectual attempt to go to stool. Stools in the form of pap, of an acid odour. Flatus,

smelling like rotten eggs. Diarrh a, with tenesmus. Frequent, scanty, small, mucous stools. Involuntary stools, chiefly during the night; thin, brown, or white. Stools of undigested matter. Purulent, bloody stools. Hmorrhoids. Pressure in the rectum. Tenesmus. Thread-worms. 14. Urinary Organs. Tenesmus. Spasmodic retention of urine, with pressure in the bladder. Ineffectual attempts to make water. Involuntary emission of urine, at night in bed, and in the day, when running. Frequent micturition of pale urine. Urine of a brownish red, with sediment, of a brick colour. Emission of blood. 15. Male Sexual Organs. Bluish red swelling of the penis and of the scrotum. Inflammatory swelling of the testes (in consequence of contusion). Purple-red swelling of the penis and testicles, after mechanical injuries. Hydrocele. Painful swelling of the spermatic cord, with shooting in the testes, extending to the abdomen. Sexual desire increased, with erections, pollutions, and seminal emission on the slightest amorous excitement. Impotence from excess or abuse. 16. Female Sexual Organs. Discharge of blood from the uterus, between the periods, with nausea. Excoriation and ulceration of the breasts. Soreness of the parts after a severe labour. Violent after-pains. Erysipelatous inflammation of the mamm and nipples. Violent stitches in middle of l. breast. Vomiting of pregnancy. Threatened abortion from fall, &c. Feeling as if f tus were lying crosswise. Tumour of breast. 17. Respiratory Organs. Dry, short cough, produced by a titillation in the larynx. Cough at night during sleep. Paroxysm of cough, preceded by tears, and cough with children after having wept and sobbed from caprice and waywardness. Whoopingcough; child cries before the cough comes on; and after. Cough with bloodshot eyes, or nose-bleed. Even yawning provokes a cough. Cough with expectoration of blood; the blood is clear, frothy, mixed with coagulated masses and mucus. Even without cough there is expectoration of black, coagulated blood after every corporeal effort. Inability to eject the mucus; what the cough detaches is therefore swallowed. On coughing, shooting pains in the head, or a bruise-like pain in the chest. Breath fetid; short, and panting. Excessive difficulty of breathing. Cough worse in the evening till midnight, from motion, in the warm room, and after drinking.

18. Chest. Respiration short, panting, difficult, and anxious. Rattling in the chest. Oppression of the chest and difficulty of breathing. Respiration frequently slow and deep. Shootings in the chest and sides, with difficulty of respiration, aggravated by coughing, but breathing deeply, and by movement; better from external pressure. Pain, as of a bruise and of compression in the chest. Burning or rawness in the chest. Sensation of soreness of the ribs. Stitches in the chest (l.), aggravated from a dry cough, with oppression of breathing; < from motion, > from external pressure. 19. Heart. Beating, and palpitation of the heart. Pain from liver up through l. chest and down l. arm, veins of hands swollen, purplish; sudden pain as if heart squeezed or had got a shock (angina pectoris). Heart strained; irritable; stitches in; from l. to r. Painful pricking in the heart, with fainting fits. 20. Neck and Back. Weakness of the muscles of the neck; the head falls backwards. Painful swelling of the glands of the neck. Pains, as from a bruise, and of dislocation in the back, in the chest, and the loins. Tingling in the back. Great soreness of the back. Dragging-down pain and sense of weight in loins. 22. Upper Limbs. Pain, as if from fatigue, and crawlings in the arms and in the hands. Pain, as of dislocation, in the joints of the arms and hands. Tingling, in the arms. Sensation of soreness of the arms. Sensation as if the joints of the arms and wrists were sprained. Darting in the arm. Veins in the hands swollen, with full and strong pulse. Want of strength in the hands on grasping anything. Cramps in the fingers. 23. Lower Limbs. Pains, as from fatigue or from dislocation, or acute drawing in the different parts of the lower limbs. Painful paralytic weakness in the joints, chiefly of the hip and knee. Want of strength in the knee, with failing of the joint when walking. Tension in the knee, as from contraction of the tendons. Pale swelling in the knee. Sensation of soreness in the legs. Inflammatory erysipelatous swelling of the feet with pain, and aggravation of the pain by movement. Hot, painful, hard, and shining swelling of the great toes. Tingling in the legs and feet. 24. Generalities. Tearing, drawing in outer parts. Pricking, from without, inward. Pressing in inner parts. Tingling in outer parts. Acute drawing, crawling, pricking, or paralytic pains, and sensation as from a bruise in the limbs and the joints, as well as in the injured parts. Pain, as if sprained in outer parts, and in the

joints. Pains, as of dislocation. Rheumatic and arthritic pains. Restlessness in the diseased parts, which causes them to be constantly in motion. Aggravation of pains in the evening and at night, as well as from movement, and even from noise. Unsettled pains, which pass rapidly from one joint to the other. Soreness of the whole body, with tingling. Stiffness of the limbs after exertion. Muscular jerking. Stiffness and weariness of all the limbs. Sensation of agitation and trembling in the body, as if all the vessels were throbbing. Extreme sensibility of the whole body, chiefly of the joints and of the skin. Over-sensitiveness of the whole body. Bleeding of internal and external parts (vomiting of blood). Ebullition of the blood, and congestion in the head, with heat and burning in the upper parts of the body; and cold, or coolness, in the lower parts. Fainting fits, with loss of consciousness, in consequence of mechanical injuries. Convulsions, traumatic trismus and tetanus. General prostration of strength. Paralytic state (on the l. side) in consequence of apoplexy. Dropsy of inner parts. 25. Skin. Hot, hard, and shining swelling of the parts affected. Stings of insects; snake-bites. Red, bluish, and yellowish spots, as if from contutions. Black and blue spots on the body. Yellow-green spots, caused either by a bruise or by disease. Bed sores; blue mortification. Miliary eruption. Petechi. Many small boils, or blood-boils; one after another, extremely sore. 26. Sleep. Great drowsiness during the day, without being able to sleep. Inclination to sleep, early in the evening. Comatose drowsiness with delirium. Wakens at night with a hot head, and is afraid to sleep for fear of its recurrence. Anxious dreams about animals. Sleep not refreshing and full of anxious and terrible dreams, and waking with starts and frights. Dreams of death, of mutilated bodies, of unbraiding, of indecision. During sleep, groans, talking, snoring, involuntary stools and urine. Giddiness on waking. 27. Fever. Pulse very variable, mostly hard, full and quick. Chilliness, internally, with external heat. Great chilliness, with heat and redness of one cheek. Chilliness of the side on which he lies. Head alone, or face alone, hot, rest of body cool. Shivering, principally in the evening, and sometimes with a sensation as if one were sprinkled with cold water. Heat in the evening or at night, with shivering on raising the bed-clothes, even slightly, and frequently with a pain in the back and in the limbs. Dry heat over the whole body, or only in the face and on

the back. Fever, with much thirst, even before the shiverings. Before the fever, dragging sensation in all the bones. Intermittent fever; chill in the morning or forenoon drawing pains in the bones before the fever; changes his position continually breath and perspiration offensive. During the apyrexia, pain in the stomach, want of appetite and loathing of animal food. Perspiration smelling sour or offensive sometimes cold. Typhus, putrid breath and stool. Nocturnal acid sweat.

ARNICA MONTANA
REGION: BLOOD. BLOOD-VESSELS. Nerves. Muscles. Digestive organs. WORSE: INJURIES: BRUISES. Shocks. Jarring. Labor. Overexertion. Sprains. TOUCH. After sleep. Motion. Old age. Alcohol. BETTER: Lying: Head low (Ver-v.). Outstretched. A very painful and offensive remedy. Progressive weakness. Has absorbent action. Shock: mental or physical. VERY PAINFUL BRUISED, SORENESS; all over; after the pains; of the bleeding part (Fer.), etc. Crushing pain. BED FEELS HARD, or full of lumps. As of a lump back of stomach, etc. Suddenly shifting joint (Colch.) or paralytic pains. FOUL; breath, taste, flatus, stool, etc. Typhoid. Sepsis. HMORRHAGIC TENDENCY; epistaxis, etc. Involuntary evacuations. .................... Nervous, sanguine temperament. FEARS; being struck or approached; sickness; instant death; on awaking, etc. Morose, repellant mood. Physically restless, but mentally prostrate or apathetic; says nothing ails him (Op.); reverse (Ars.) answers slowly, with an effort. Feels well, in dangerous cases. Brain feels tired. Vertigo; of old age. Bloodshot eyes. Ruddy, congested face. Apoplexy. Fevers. Bright

red, puffy fauces. Red stripe down center of tongue. Post-natal dropping. Catarrh of antrum. Eructations tasting of bad eggs. Anorexia by day, but canine hunger before midnight. Cramps from epigastrium down over bowels, then foul stools. Acrid, foamy, stools. Cutting in kidneys. Urine retained or dribbles; after labor. Must wait for urine to pass. After-pains; < suckling. Hoarseness; < exertion, colds, or getting wet. Coughs without waking, or cough causing cries. Heavy lower chest. Sore nipples. Arm pains, > hanging down. Heart-beat shakes whole body. Weakened heart muscle. Angina. Heart pains; left to right. Dusky, mottled skin. Every little hurt makes a black and blue spot. Petechi. Erysipelas. Symmetrical eruptions. Very sore acne or crops of small boils. Sopor; drops to sleep as he answers. Troublous or frightful dreams; awakes in terror. Coldness of part lain on. Thirst during chill. Hot head with cool body. Must uncover, but it chills him (reverse of Nux-v.). Complementary: Calc-c. Nat-s. Sul-ac. Related: Bells. Echi. Hyper. Rhus-t.

Arnica Montana.
Leopard's Bane (Compositae) Nervous women, sanguine plethoric persons, lively expression and very red face. For the bad effects resulting from mechanical injuries; even if received years ago. Especially adapted to those who remain long impressed by even slight mechanical injuries. Sore, lame, bruised feeling all through the body, as if beaten; traumatic affections of muscles. Mechanical injuries, especially with stupor from concussion; involuntary faeces and urine; After injuries with blunt instruments (Symph.). Compound fractures and their profuse suppuration (Calend.). Concussions and contusions, results of shock or injury; with laceration of soft parts; prevents suppuration and septic conditions and promotes absorption. Nervous, cannot bear pain; whole body over-sensitive (Cham., Coff., Ign.). Everything on which he lies seems too hard; complains constantly of it and keeps moving from place to place in search of a soft spot (the parts rested upon feel sore and bruised, Bap., Pyr.; must move continually to obtain relief from pain, Rhus). Heat of upper body; coldness of lower. The face or head and face alone is hot, the body cool. Unconsciousness; when spoken to answers correctly but unconsciousness and delirium at once return (falls asleep in the midst of a sentence, Bap.). Says there is nothing the matter with him. Meningitis after mechanical or traumatic injuries; from falls, concussions of brain, etc. When

suspecting exudation of blood, to facilitate absorption Hydrocephalus; deathly coldness in forearm of children (in diarrhoea, Brom.). Apoplexy; loss of consciousness, involuntary evacuation from bowels and bladder; in acute attack, controls haemorrhage and aids absorption; should be repeated and allowed to act for days or weeks unless symptoms call for another remedy. Conjunctival or retinal haemorrhage, with extravasation, form injuries or cough (Led., Nux.). Gout and rheumatism, with great fear of being touched or struck by persons coming near him. Cannot walk erect on account of a bruised sort of feeling in the pelvic region. Tendency to small, painful boils, one after another, extremely sore (small boils in crops, Sulph.). Paralysis (left-sided); pulse full strong; stertor, sighing, muttering. Belching; eructations; foul, putrid, like rotten eggs. Dysentery; with ischuria, fruitless urging; long interval between the stools. Constipation: rectum loaded, faeces will not come away; ribbon like stools from enlarged prostrate or retroverted uterus. Soreness of parts after labor; prevents post-partum haemorrhage and puerperal complications. Retention or incontinence of urine after labor (Op.). Relation. - Complementary: to, Acon., Hyper., Rhus. Similar: to, for soreness as if bruised, Bap., China, Phyt., Pyr., Rhus, Ruta, Staph. Arnica follows well: after, Acon., Apis., Ham., Ipec., Ver., is followed by Sul. ac. In ailments from spiritous liquors or from charcoal vapors, Arn. is often indicated (Am. c., Bov.). In spinal concussion, compare, Hyper. Aggravation. - At rest; when lying down; from wine. Amelioration. - From contact; motion (Rhus, Ruta).

How To Use The Repertory

by Glen Irving Bidwell Presented by Mdi-T Part II. Analysis of Forty Homoeopathic Remedies. These forty remedies will be far from the number required in all your cases, and the forty I have included in my list will contain, no doubt, some which you will never use in your individual work, while, on the other hand, some will be lacking which you find of daily use. Any list of so small a proportion of our vast materia

medica would necessarily be open to such criticism; but I think that by the arrangement of this list of remedies you will acquire by giving them a few minutes study each day - a working knowledge of the remedies you use. If it is possible for me to enable you to systemize these few remedies then I am sure that you will arrange those which you find most often indicated, but which absent from my list, so that you may then have a working knowledge of the remedies in which you are personally interested. Consistent use of the repertory leads us to the study of our remedies in a scientific, rational manner, from center to circumference, from the mind to skin, noting the effect of the drug upon the provers, as given in the pathogenesis, in the will, the intellect and responses to every environment, thus learning to observe the disordered patient rather than pathological changes in the organs or parts. In trying to have an image of a remedy in mind learn to keep an orderly general picture of its action as a whole, following these generalites through the particular manifestations as referred to parts rather than only a few so-called characteristics of the remedy for your daily use. Kent's Materia Medica has the remedies so arranged and their pathogenesis is so graphically portrayed that, after reading over a remedy in this book, a picture of the general action of the drug is left with you. The way I study a remedy and the kind of picture I try to carry in mind, for daily use, are illustrated by the following short study of one of our familiar remedies, Arnica.

Arnica. The red strand running through this remedy is soreness. A general state of soreness throughout the whole body. The joints become sore, the periosteum is sore, the muscles are sore, and the soreness will continue until stiffness begins and we find the sore, stiff rheumatic pains of the Arnica patient. The soreness is manifest in the skin, so that there are black and blue marks. The soreness is so marked that pressure is painful and the parts lain on are sore, so sore that he wants to move, to change position frequently, for the longer he lies on a part the more sore and sensitive it becomes. He is stiff, so the motion is painful; still the bed is so hard, the parts so sore, that he must move. Therefore, when we see our Arnica

patient we must expect to find this soreness; if not, Arnica will not be the remedy. There is a general relaxation of the blood vessels in our Arnica patients, and this is manifest in the haemorrhages from various organs. In the subcutaneous tissues this is represented by extravasation of blood under the skin which results in black and blue spots. The Arnica state which is associated with or preceding many acute diseases is manifest by this weakened state of blood vessels, and the patient will wonder how she got so many black and blue marks; even the slightest bruise or pressure will result in this discoloration. Little injuries produce bleeding. On mucous surfaces these result in haemorrhages. Haemorrhages of bright red blood which soon clots. The blood of the Arnica state soon clots, as is manifest by the blood-streaked or blood-flecked sputa which will contain many clots. Arnica developed in its provers violent chills and fever; the fevers are a low, slow form that is associated with inflammation. From the results of the relaxed condition of the blood vessel all the organs of the body are prone to inflammations and haemorrhages; but with these haemorrhages we will have this general condition of soreness. With these conditions we have pains, and the general characteristic pains that call for Arnica are, crawling, pricking or paralytic pains as if joints are dislocated. Unsettled pains which shift from one part to another; tingling and tearing pains. With all these conditions are the bruised sore sensations, and a deep, profound disturbance of the economy which is manifest by weakness; great and profound prostration, fatigue and sleepiness. The countenance in these profound cases will be flushed and dark; there will be a besotted look, as if he was intoxicated, and he speaks and thinks with difficulty. Many cases of cerebral haemorrhage and the low forms of typhoid will present this typical Arnica picture, and unless these patients receive this remedy they will die. From this you will be led to look for Arnica in your septic condition, and it has many symptoms which correspond to septic processes, such as are associated with typhoid and scarlet fever and other low forms of diseases. In septic diseases of every sort we find our patients running into Arnica conditions.

Surgical septicaemia and blood changes due to surgical shock. Where arnica covers the condition of your patient it will do more to restore the antibacterial power of the blood than any number of vaccines. Arnica represents the surgical septic condition more closely than that of the puerperal type. (This latter condition corresponds more closely to Sulphur.) Wonderful is its action in preventing suppuration. A severe inflammation will be set up in an injury, a severe bruise upon the muscles, there will follow the pain and soreness and induration with final suppuration. A dose of Arnica in the beginning will prevent all this and quickly restore the part to normal. Bruises. This name at once makes you think of Arnica, and for this condition it has been applied externally by all schools and by all people. The external application is better than nothing, but the administration internally is best of all. It is not the bruise per se, that we can expect to relieve; that has happened and cannot be undone, but it is the resulting effects of the bruise that we wish to prevent and remove, and this came from the center from the internal structure and can best be overcome from the center by the internal action of the remedy. Injuries to the head, with the resulting nerve and brain symptoms, send the patient into an Arnica state, and they will need this remedy to bring about order no matter how long ago the injury took place. The resulting shock of surgical operations calls for Arnica, and this remedy is given in routine practice by the surgeons of our school. The symptoms following operations which Arnica will remove, are those which are producted by handling and bruising of the soft tissue and no others. That is the reason the results are so often disappointing. Those sharp cutting pains, the results of the needle or the knife, will never be removed by Arnica, but are rapidly dispersed by Staphisagria. Cuts and open wounds never call for Arnica, only as there are shock, bruises and contusions. Thus we have outlined the general action of our remedy, and these general conditions are always present in a greater or less degree in every case that calls for Arnica. Where there is no soreness never think of Arnica. The mental symptoms of Arnica are striking, and many of them are symptoms which you would expect to result from shock. Fear, excitement, emotion and horror stand out prominently. The fear that something awful is going to happen, that he is going to die instantly. This is marked and the patient has a horror of death and

of the unexpected. In many of the acute conditions we have an obstinate and irritable patient. He will want to fight with you and drive you from the room. This excessive irritability will often be followed by a delirium. Indifference, anxiety and hopelessness run through the mental state. In the low states we find a stupor. He is hard to arouse, and when you do wake him he will be confused and will not know where he is. Mental exertion, motion or physical exertion, all aggravate his condition. The pains in the head are pressive, cramp-like, darting and tingling, and are made worse by walking, ascending and mental exertion. There is nothing very distinctive about the particular symptoms of the head, but any pains or conditions that arise from injuries will lead one to think of Arnica. There is a peculiar symptom under this remedy which is associated with the eyes. He must keep his eyes open. They come open spontaneously, he cannot hold them closed himself. As soon as the eyes are closed he gets dizzy, things go round and it makes him sick. The pains of the nose are sore pains, as if bruised; much nosebleed when first blowing nose in the morning. The coryza of Arnica comes in the evening when going to sleep, but with this will be the general bruised condition, the soreness that will differentiate it from Nux or Pulsatilla. One of the keynotes of Arnica is manifest in the face; heat and redness of the face with coldness of the body. It seems as if the blood had left the body and gone to the head. The expression of the face is peculiar. We have a deep mahogany redness, with an intoxicated, besotted look; he looks as if his mental condition was benumbed; looks as if he was making an effort to find the right thing to say or do but cannot. He is stupid and looks it. In injuries about the face, especially about the eye and cheek bones, where the periosteum seems to have been injured, we find Arnica will remove the first effects, the superficial soreness, the black and blue condition; but after this has been done away with there will remain a soreness that appears to be in the bone itself. We could give Arnica indefinitely, and these symptoms would not disappear, but Hypericum will follow and remove them speedily. The general condition of Arnica is exhibited, in the mouth by soreness of the teeth. Soreness at the roots of the teeth, as if they we being pressed out. The gums bleed easily. Haemorrhages from the gums after extraction of the teeth. This is one of our leader in bleeders after teeth extraction. Soreness of the gums after extraction. This

remedy will do more to remove the soreness from the gums after extraction that all the mouth washes you ever heard of. (Sepia is another remedy which is useful in this condition, specially in the nervous women who have been made sick by having a few teeth extracted.) The mouth tastes bitter and like rotten eggs. This is from eructations, which are bitter and have the odor of spoiled eggs; this taste remains in the mouth and you can almost smell it on the breath; therefore, the books give "putrid smell from the mouth;" this as well as the eructations are worse in the morning. These eructations burn as they come up and cause a burning from the stomach to the fauces. With this large amount of gas in the stomach we have a loss of appetite. A loathing of food; even the sight of food is repulsive and nauseates. Meat, milk and broth are especially repugnant, and even his tobacco nauseates. Aversion to tobacco, to even the smell of tobacco smoke, stands high in this remedy. (What does a peculiar symptom like this mean and what weight shall we place on it. We cannot place all the ladies and others to whom tobacco may be offensive a dose or two of Arnica and make them lovers of the weed, but where a man has become a user of the weed, where the habit has become fixed so that his tobacco is a necessity, and then have some disturbance of his economy so effect him that what he desired and craved he now dislikes, and has such an aversion to it that even the odor is nauseating, we have what we are justified in calling a peculiar condition, and when this arises we will give it a prominent place in our symptom picture.) The generals are still with us when we study the effects of Arnica on the stomach. The sore, aching extending through to back. The stomach is so sore it feels as if it rubbed the spine, and as if the spine was made sore by this pressure. Pressing pains in the stomach; as it was pressed by the hand. This pressure continues until it seems to rise to the neck; then he feels nauseated and bitter water comes into the mouth. The stomach is so sore that everything seems to press against it as if the xiphoid process was pressed inward; as if a weight was on or in her stomach; as if a stone laid in the stomach. Nausea; retching; ineffectual retching; they retch and retch and try to vomit, and after straining for some time they vomit blood and bloody mucus. The blood will be dark and coagulated. After this the stomach will be more sore and burn. Inflammation of the liver and spleen often taken on Arnica symptoms. Shooting and stitches in the spleen and pressure as if from a stone in the liver are found under this remedy; with this condition we have a distended tympanitic abdomen with passage

of much foul flatus smelling like rotten eggs. The soreness and bruised sensations are stronger in all the abdominal symptoms. With a condition in the stomach and bowels which led to the above symptoms you would expect to have trouble with the stools; you would look for a diarrhoea, and under Arnica we find slimy, mucus stools; brown, fermented, like yeast; undigested; bloody; purulent; dark, bloody mucus; large fetid, faecal; yellow, offensive and sour. A peculiar stool symptom of Arnica is the involuntary stool during sleep. The rumbling and colic in the abdomen are relieved after stool. Another of the peculiar symptoms of this remedy is that the diarrhoea is aggravated, as well as the accompanying bowel symptoms, by lying on the left side. During the stool there is urging, tenesmus, sore bruised pain in abdomen; cutting in intestines; rumbling and pressure in abdomen. Tenesmus in rectum and bladder. After stool they are weak and prostrated and are obliged to lie down. From the low state that the Arnica patient represents we would look for its counterpart in typhoid, where its general soreness and weakness resemble Baptisia, Pyrogen, and Rhus; but where the general and characteristic symptoms of Arnica are present it will be curative in cases where vaccines and other remedies fail. The peculiar urine of Arnica is dark brown, with brick dust sediment; the urine is full of urates and uric acid that we find associated with rheumatic cases. From the general relaxed condition of the blood vessels we get bloody urine, haemorrhages from the bladder. "Urination involuntary when running" is peculiar to Arnica. The symptoms of Arnica referring to the female sexual organs are distinctive, here we find the character of the haemorrhage changed to a bright red flow mixed with clots. The flow feels hot as it passes the vulva. Menses are profuse, especially after a blow, a fall or a shock to the system. The general soreness is marked, and the pelvis is so sore it prevents her from walking erect. The uterus is sensitive, bleeds easily; discharges of blood between perios, with nausea. Bleeding after coition. Arnica is especially useful in nervous women who cannot stand pain. Not only for the resulting shock and effects of the bruising resulting from labor is Arnica useful, but it has a field of usefulness in changing the character of the labor pains. These pains

in your Arnica patient will be too feeble and irregular, resulting from fatigue of the muscular tissue. They do nothing, although so severe that they drive her to distraction. Feels sore and must often change her position. Vagina sore and sensitive so she does not want to be examined. Great soreness of the back during labor. Arnica high will often prevent afterpains. It will contract the blood vessels and prevent post-partum haemorrhages. Used in routine practice it does much to relieve the distressing after symptoms, both mental and physical, of labor. The cough of Arnica is dry and is caused from tickling in larynx and trachea; the cough is worse in evening until midnight, from motion, warm room and after drinking. The expectoration is scanty, difficult, of glairy mucus mixed with tiny clots of dark blood. The general soreness of the remedy is marked in the chest and is shown in whooping cough where the child will cry before the paroxysm. The coughing causes blood-shot eyes, nosebleed and expectoration of foaming blood. With the cough is a burning rawness of the chest, stitches in left chest, which are worse form motion and pressure. From the general soreness and bruised sensations in the muscles you would be led to think of your Arnica patient as a rheumatic patient, and such is the case. Arnica is full of bruised, paralytic, sore and stiff rheumatic pains. The joints ache and feel as if they were bruised. The soreness is so marked that the Arnica patient is full of fear; afraid he will be touched; afraid of jars; doesn't want you to come near for fear you will touch and hurt the sore joint or muscle. In the back we have violent pains in the spine, sore pains; spine feels as if it would not hold the weight of the body. Small of the back feels as if it had been beaten. Pressive pain between the scapulae. The rheumatic pains in the extremities are associated with heaviness. The legs are so heavy that it seems as if he could not lift them; this heaviness is due to the paralytic pains in the joints, and is constant both when at rest and in motion. Limbs are sensitive to concussions, as the jar of carriage or of walking. In the arms we have violent twitchings going from the shoulder to joints of middle finger. Crackings in wrist joints, worse in right, as if dislocated; drawing pains in wrist relieved by letting hand hang down. Pressing, tearing pains in fingers. Cramps in fingers of left hand. These tearing and drawing pains as if sprained are also found in the lower extremities. The hips feel as if sprained, with a pressive

drawing in the left hip, which is worse from extending the thigh when sitting. The tearing pain on right external malleolus and on dorsum of foot with drawing in outer half of foot is peculiar to Arnica. Gout in joint of great toe with redness; pain worse towards evening and from pressure. These pains as if bruised and sprained with discoloration are a picture of sprains and here the remedy administered internally will take the soreness and discoloration from the sprained ankle and remove the first effects of the sprain; those symptoms which remain after Arnica are usually amenable to Ruta and Rhus. The most severe action of the remedy on the nerves is the paralysis, the prostration, the general weakness and sinking of strength; so weak he can scarcely move a limb. The prostration and general sinking of strength corresponds to the low state found in typhoid and other zymotic fevers. The Arnica patient has many symptoms during sleep, those symptoms which resemble the stupor of apoplexy and the sleep symptoms of meningitis find their counterpart in Arnica. One of the peculiar sleep symptoms is that the patient will be sleepy all day but cannot sleep at night. Your Arnica patient is full of chills; chilly, with heat and redness of one cheek; head hot, body cold; internal chill with external heat; thirst during chill (resembling Eupatorium), he will drink and drink, becoming more chilly all the time, and will have the characteristic stomach symptoms, and finally vomit a bitter, sour fluid. Chilly on only one side of the body, and that of the side lain upon. Many of the intermittent symptoms closely resemble Eupatorium, but the general and stomach symptoms will allow you to differentiate in this disease. Remember the generals of this remedy and you will find its greatest usefulness after mechanical injuries, no matte what disease name you may give to the condition arising from this source. Arnica will help not only to remove the disease condition, but if given early will prevent many of the resultant symptoms of shock from appearing. Most of the particular symptoms of this remedy can be figured out by applying the general state of the remedy to all organs or parts of the body. Keep these in mind and you will see how often many symptoms or disease conditions can be removed by this remedy alone; given internally and without recourse to any adjuvants. If it has the generals of Arnica it is an Arnica case, and does not require Baptisia, Bryonia, Rhus or anything else to be curative.