.^ \ X''^ Cornell University Library arV19399 Homoeopathic therapeutics in ophthaimolo 3 1924 031 257 110 olin.anx The original of tinis bool< is in tine Cornell University Library. There are no known copyright restrictions in the United States on the use of the text. http://www.archive.org/details/cu31924031257110 Homoeopathic Therapeutics IN Ophthalmology BY JOHN L. MOFFAT, B.S., M.D., 0. et A. Chir. President, 1902, Homoeopathic Medical Society of the State of New York; Vice-President, 1905 and 1908, American Homoeopathic Ophthalmological, Otological and I/aryngological Society; Ophthalmic Surgeon, 1894-1911, Cumberland Street Hospital, New York; Contributor to the Ameri- can Encyclopedia and Dictionary of Ophthalmology. , PHILADBtPHIA BOERICKE & TAFBI, 1916 9 COPYRIGHTED I916 BOQRICKS & TASBI, DEDICATED TO MY BKOTHBK EDGAR V. MOFFAT, A.M.,M.D.,0. etA. Chir. OF Orange, N. J. PREFACE. Ophthalmological literature is increasing so rapidly, as are the advances in pathology, sur- gery, physiology and anatomy, that books on those subjects soon become behind the times. Hence monographs are among the most valuable elements of an up to date library, largely because they do not waste shelf room by the repetition deemed essential in text books or by the neces- sity of retaining a book only a portion of which remains up to date. For this reason, and because it is generally recognized now that many eye cases require for their cure constitutional, internal, medication rather than or supplemented by local or surgical treatment, the author has confined himself to the facts of our homoeopathic materia medica, the pathogenetic symptoms of drugs and clinical ex- perience of their curative action. These will be of practical value generations hence, as they are now and have been for generations in the past. The systematic arrangement of the materia medica will facilitate ready reference. Drug characteristics are given because with their aid a much more successful prescription may be made. VI PREFACE. This book is small, the remedies comparatively few, because only reliable indications have been given. Quality has been preferred to quantity. To most of the remedies in out materia medica have there been attributed one or more eye symptoms but, as yet, without confirmation. To include these would but serve to confuse the reader and impair his confidence. The following pages are offered to the oph- thahnologists who, in increasing numbers, are turning to homoeopathy for therapeutic help. But play fair, please. l5o not condemn homoe- opathy if your experiments in empiricism fail. Choosing a remedy from the repertory for a dis- ease or a symptom is empiricism, not homoe- opathy! Make sincere efforts at individualiza- tion and symptom-similarity. A succession of remedies as indicated may be necessary for a cure, as the rungs of a ladder have to be sur- mounted successively. And failure is more apt to mean a shortcoming on the part of the pre- scriber than of homceopatfiy. Homoeopathic prescribing is .not easy; it is the long way around. But, oh, the joy of a really homceopathic cure! That is to be experienced to be appreciated. With such personal notes as each owner may make of new symptoms, verifications and clinical results clearly attributable to the single remedy PREFACE. VH it is hoped that this volume may become a cher:- ished handbook throughout the owner's practice and even (as is the case with more than one book in the author's own library) for a second generation. Ithaca, N. Y., 1916. TABLE OF CONTENTS. CHAPTER I. PAGE. Hahnemann i CHAPTER n. Homoeopathy 4, 17 The Psora Theory 9 The Dose 9 Individualization 13 Verifications 14 A Model Qinical Report iS CHAPTER in. Materia Medica 21 CHAPTER IV. Repertory 126 Clinical Index 126 Objective Sjrmptoms 136 Subjective Symptoms I43 Vision IS3 Aggravations IS8 Ameliorations 160 Conditions 161 Characteristics 163 Homoeopathic Therapeutics IN Ophthalmology, CHAPTER I. HAHNEMANN. Hofrat Samuel Hahnemann (1755-1843), M. D., Erlangen, 1779, should be — eventually will be — classed with Hippocrates. As Hippo- crates brought diseases within the category of classifiable phenomena, so Hahnemann brought drug action within the category of scientific phenomena. He was the first to parallel me- dicinal with pathognomonic effects, artificial drug diseases with actual human disease, and scien- tifically, systematically, to study the action of drugs upon the human body. Hahnemann demonstrated that drugs produce in the healthy body diseases like natural diseases except that the drug disease ceases when the drug is stopped. Hahnemann was not the first to declare that likes may be cured with likes (Hippocrates enunciated this) nor was he the first to try the 2 HOMCEOPATHY IN OPHTHALMOLOGY. effect of drugs upon the healthy — Stoerck did this in 1760 — and Haller was the first to sug- gest that if we wish to know the action of drugs they should be administered separately. But to Hahnemann is due the credit of creating and building up a therapeutic system of cure by symptom-similarity based upon drug provings on the healthy. He alone possessed the requisite medical, chemical and literary knowledge, the scientific insight and thoroughness, the perse- verance and the intellect to grasp the subject in mass and detail, that were necessary for the de- velopment of what had been but a vague idea in the minds of others. A master of ancient literature and of nine lan- guages (besides a smattering of Chaldaic), Hahnemann was a prominent chemist and phy- sician, well known beyond the borders of his own country for his masterly translations and discoveries in chemistry; he possessed distin- guished friends and patients of high position in the medical profession and among the reigning nobility. Ahead of his times, a pioneer in sani- tation and in the humane treatment of insanity,* he became so disgusted with the errors, uncer- tainties, confusion and failures of medicine that he gave up practice shortly after his marriage ♦Antedating Pinel. HAHNEMANN. 3 and supported his family by translating; later he resumed practice when far enough advanced to do so homoeopathically. In 1790, while translating CuUen's Materia Medica, he was led to experiment upon himself with Peruvian bark, to study its effects upon a person in health, and demonstrated that it could produce the same phenomena (symptoms) as those of ague, which disease it had a repu- tation of curing. This led to testing other drugs upon himself and many friends; he veri- fied his observations by ransacking the materia medica for recorded experiments and the whole history of poisoning. Six years were thus spent and then he published in the leading medical periodical of the day* his "Essay on a New Principle for Discovering the Curative Power of Drugs." The necessity of preparing his own medicines incited the enmity of the pharmacists, who formed a very powerful g^ild. Then the phy- sicians turned a cold shoulder upon his reforms and ostracised him. Finally he moved to Paris where he enjoyed an immense lucrative practice and > died in 1843, ^^^ oi honors, at the age of eighty-eight. ♦Hufeland's Journal der praktischen Areeneikunde und Wundareeneikunst, lygS, Vol. II, parts 3 and 4. CHAPTER II. HOMCEOPATHY. Hahnemann taught that all cases of constitu- tional disease that are curable with medicine will be cured by the administration of that which has the power to cause similar symptoms in the healthy body — homeopathy* He also recog- nized two other methods of medicinal treatment : antipathy^ the palliative method of symptom- contrariety, and allopathy, symptom-dissimilar- ity, the digressive or eliminative method. But these are not so satisfactory; they are not scien- tific or tiioroughly curative. The latter par- ticularly is based upon the interpretation of the observed phenomena. Facts are permanent and speak for themselves ; their explanations will necessarily change with our conceptions of pathology. While emphasizing that theory and explana- tion are entirely secondary in importance to ob^ served facts, Hahnemann proffered a vitalistic explanation of how the homoeopathic remedy *"Organon of Rational Healing;" first published in 1810. His fifth edition appeared in 1833; this has been translated 15 times (21 editions) into French, English, Russian, Spanish, Italian, Hungarian and Swedish, and in 1913 a new translation of the first edition was pub- lished in "Everyman's Library." HOMCEOPATHY. 5 cures. Observing that nature, at times, cures by the advent of a stronger simila/r disease, Hahnemann asserted that homoeopathy is the natural way to cure: that the drug disease, if similar in its manifestations (symptoms), carries off the patient's disease with it as it passes off; hence the name homoeopathy from, o/xotov homoion, like or similar, and wojos pathos, dis- ease or affection. He perceived that we can have actual knowledge only of phenomena (facts) ; that we can recognize disease only by its phe- nomena (its symptoms, subjective and objec- tive), that hence the essential similarity between a diseased condition and its remedy is its symptom-similarity. A demand having arisen for an official defini- tion of homoeopathy, the American Institute of Homoeopathy considered the matter, but post- poned it for conference with a World's Congress of Homoeopathy. In the meanwhile the follow- ing is submitted for consideration.* The subject is too complex to be covered with a simple single definition. There are various ways in which drugs may be similar to diseases ; there may be other similarities than those of *J. L. Moffat, Journal of the American Institute of Homceopathy, April, 1915. 6 HOMCEOPATHY IN OPHTHALMOLOGY. symptoms between patient and drug, but they can not be relied upon for a cure. 1. Homoeopathy is a law* of medicinal thera- peutics, cure through symptom-similarity, and is formulated Similia 'Similibus Curentur — "let likes be treated with likes" — ^upon the under- standing that by "likes" is here meant symptom- similarity. Hahnemann, an excellent Latin scholar, knew what he meant to say and was indignant at his followers for changing his curentur to "curan- tur." This Latin phrase formulates the way to se- lect the curative remedy. It expresses the re- lation, symptom-similarity, between two series of observed facts : (a) the facts of disease — all that we can ascertain about the sick patient, and (b) the facts of the remedy — all the subjective and objective symptoms that the remedy has been found to cause in the healthy body. 2. Homoeopathy is a scienti- fict expression of relationship *"Law— the uniform occurrence of natural phenomena in the same way or order under the same conditions, so far as human knowledge goes; a formal statement of such uniformity in any given class of cases." — Standard Dictionary. t"Science — ^the formulation into law of correlations of observed facts." — Ibid. HOMCEOPATHY. 7 between the science of pathology on the one hand and the science of pharmacology on the other; it is unaffected by advances in knowl- edge of either of these sciences, except that thereby it may be ap- plied more exactly. Its application is an art J 3. Homoeopathy is a system of medicine limited, strictly speaking, to medicinal therapeu- tics, but extending throughout the practice of medicine and surgery wherever and whenever in- ternal medication is applicable. Based upon cure by symptom-similarity and upon individualiza- tion of patient, easel and remedy, it involves the single remedy, small dose, potentization, prov- ings, verifications, materia medica, pharmacology and a complete organization of societies, colleges, hospitals, etc., books and periodicals peculiar to but not necessarily limited to itself. President Joseph Ivimey Dowling, in his ad- dress to the American Homoeopathic Ophthal- mological, Otological and Laryngological So- ciety in 1914, defined homoeopathy as a theror- peutic drug specialty primarily governed by the tjames Krauss, M. D., Boston. Journal of the Ameri- can Institute of Homceopathy, March, 1913, p. 936 ; Aug., 1913, p. 158; Aug., 1914. P- 152. 8 HOMCBOPATHY IN OPHTHALMOLOGY. law of similia similibus curentur, and claimed Hahneman as "the father of all specialists" on account of his thoroughness and because homoe- opathy was the first specialty upon a scientific basis. Hahnemann stated plainly that every reason- able physician will first remove removable causes, that local mechanical conditions are to be treated surgically, that in dangerous emergencies anti- pathic and hygienic palliatives are permissible and useful. The second tenet of homoeopathy (a corollary of the first) is the single remedy. The scientific way to study drug action in dis- ease is to administer but one drug at a time. The scientific way to learn the action of a drug is to "prove"t it upon the healthy body with due precautions that the symptoms (subjective and objective) observed are properly attributable to the drug. It is well to supplement this with larger, lethal, doses to animals for the study of structural changes. The proper study of the pathogenetic effects of a drug requires many tThe best exposition of this, as yet, is the "Reprov- ing of Belladonna." A Test Drug-Proving of the American Homceopathic Ophthalmological, Otological and Laryngological Society. Howard P. Beixows, M. D., Director and Editor. Published by the Society, Boston. 1906. For sale by Boericke & Tafel. THE DOSE. 9 provings upon numerous people, both males and females, by administering it in varying doses. The same drug affects different parts of the body in different individuals; when a symptom occurs in two or more provers, or is repeated in one prover each time and only when the drug is taken, it carries more weight because it is then certainly more attributable to the drug. By the psora miasm Hahnemann meant a dys- crasia which is typified by that condition of the body in which the sarcoptes scabiei thrives. We all know that one individual is contaminated by the touch of a person or article carrying the itch insect while another escapes as if he or she were repugnant to the insect. Today Dr. Komdoerfer* offers lowered im- munity from hypothyroidism as the modern ex- planation of Hahnemann's much discussed and misunderstood "psora miasm;" he shows the identity of their symptoms. THE DOSE. The third tenet of homoeopathy is the small dose. Hahnemann found by experience that a *A Suggested Physiological Basis for Hahnemann's Psora Theory." August Komdoerfer, M. D., Philadel- phia. New England Medical Gazette, Apr., 1913, p. 170. lO HOMCEOPATHY IN OPHTHALMOLOGY. patient is particularly sensitive to the remedy when it is homcsopatliic to his or her condition, that too large a dose will aggravate the disease and may even precipitate death. Hence he di- minished his doses, but never to such extremes as did some of his followers. He wrote:* "Pure experiments and observation alone can solve the question of the dose. The doses are to be reduced so far that they will merely pro- duce an almost imperceptible homoeopathic ag- gravation, a slight intensification of the symp- toms, immediately after having been taken." Hahnemann taught the dual action of drugs (which the dominant school has but lately begun to teach). By this is meant, not reaction but, that opposite effects follow the adminis- tration of small as compared with large doses, both pathogenetically and therapeutically. The size of the dose must be left to the judgment of the prescriber because it has been found impos- sible to formulate definite rules for it. Some have said, "Give the smallest (the 'minimum') dose that will cure." The author feels that much harm would have been avoided if this had been put "Do not give so lar^e a dose as to im- pede the cure or do any harm." Constantine Hering advised that "the more accurately the *Organon, sections 278, 279, 280. THE DOSE. II remedy is selected, the closer and fuller its similarity, the higher should be the potency." The late Professor Henry M. Dearborn, M. D., taught and practiced : "in chronic diseases lower the attenuation, increase the dose, until some ef- fect be noticed, for better or worse, then give smaller doses, higher attenuations, or stop the remedy as improvement progresses. This, of course, when one is satisfied that the right rem- edy has been selected." The dose will vary according to whetiier we wish a chemic, mechanic or dynamic effect, also with the drug and the susceptibility of the pa- tient. The patient should be cured "tuto, cito et jucunde." The small dose obviates disturbing the stomach and does not upset the patient or set up a drug condition which is later to be combatted ; when a potency acts it is usually more prompt and more thorough than are large doses. Di- lution and trituration increase the points of sur- face contact andl thus more than compensate for lessened quantity of drug; possibly, vdth better knowledge of ionization and radio energy some other explanation may be added to this. The small dose is no longer derided; Sir Almoth E. Wright has put an end to that by demonstrating the opsonic effect of the i/ioo,oooth of a milli- gram of tuberculin. Burrett and others in this 12 HOMCEOPATHY IN OPHTHALMOLOGY. country have shown by laboratory experimenta- tion that homoeopathic remedies excite the de- velopment or. the activity of the natural im- munizing elements in the body, such as raising the opsonic index. Is not this a twentieth cen- tury way of saying, with Hahnemann, that ho- moeopathy follows nature in its method of cure? Some weight should be given to the fact that many homoeopathic physicians have come to re- ly on "high potencies" because they have had better success with them than when practicing allopathically, empirically or with tinctures and massive doses. While the homoeopathic remedy is usually ad- ministered by mouth and rarely by olfaction, it may be applied locally and at times can best be given hypodermatically. Broadly speaking, the homoeopathic prescrip- tion is usually based upon the drug's secondary symptoms, while the dominant school adminis- ters a remedy for its primary effect. Belladonna, in large dose, is mydriatic; mydriasis, when not due to atropin or belladonna, is one of the im- portant indications for the administration, ho- moeopathically, of belladonna — the accompanying condition is best met with a smaller dose than one which would dilate the pupil if administered internally. INDIVIDUALIZATION. I3 A fundamental principle of homoeopathic practice is individualization — individualization of patient, of case and of remedy. It is the pa- tient who is sick and is to be restored to health, not the disease that is to be combatted and cured. Diagnosis is essential for intelligent therapeu- tics, but the symptoms of most importance in making the diagnosis are not the most important ones in selecting the remedy. This is because the generic symptoms, while classifying disease, are not particular enough to characterize the in- dividual case of illness. So-called physiological prescribing points out a class of remedies but fails to indicate which one isf to be chosen. For this, reliance must be placed upon the peculiar symptoms — ^those peculiar to the case ; they may be unexplainable and apparently trifling. Among these are the modalities — conditions of aggra- vation and amelioration, of time, location, etc. Mental symptoms are very important for the selection of the remedy and, as a class, subjec- tive are more valuable than objective symptoms when prescribing. There are varying degrees of similarity; the more complete the similarity the more satisfac- tory will be the cure. While the most brilliant homoeopathic cures have been constitutional, the principle is often applicable in apparently local 14 HOMCEOPATHY IN OPHTHALMOLOGY, troubles with but few symptoms. A remedy is often given, with gratifying result, upon only three or four "characteristic" symptoms ; it often relieves one phase of a disease which may be in- curable or which may require a succession of remedies or other treatment for its cure. Years ago an intelligent patient, blind from cerebral tumor, suffered intensely with sudden sharp agonizing neuralgic pains in the head — requiring morphine. The after-effects of this were such that she would beg me (until the next attack) to give her anything but that drug. One day prunus spinosa (if I remember aright) seemed called for by the bursting character of the pain. A single dose — ^pellets medicated with the tincture — stopped the pain, not only for a longer while, but much more promptly and com- pletely than did morphine. But alas, that lost its effect and the case pursued the usual sad course. VERIFICATIONS. Verifications — cures of symptoms under the homoeopathic law — form an essential part of homoeopathic literature, provided they are prop- erly reported. Every clinical report should be so clear and full that the reader or hearer will agree with the reporter in the diagnosis and will concede that the cure or relief claimed is properly A MODEL CLINICAL REPORT. IS attributable to the remedy (or treatment, what- ever that was) and to nothing else. Care should be taken to mention all adjuvant treatment and other change in environment, the duration of the symptoms or disease and also the promptness, completeness and permanence of relief. Its value will be increased by indicating the symptoms which led to the selection of the remedy. The following may be considered A MODEL CLINICAL REPORT. "Rhus toxicodendron for panophthalmitis fol- lowing cataract extraction.* James L., age 67, mature cataract of right eye. A preliminary iridectomy had been made three weeks previ- ously, healing nicely with no complications. The extraction was made under usual precautions with no untoward results. "The second day after the operation on dress- ing the wound noticed the lids decidedly red, swollen and puiFy. Examination of the eye showed profuse lacrimation with an edematous chemosis. The wound had been closed and an- terior chamber re-established, but there was no- ticed a slight haziness along the line of the in- cision. Atropin i per cent, was instilled, the dressing re-applied, an ice bag ordered laid on the side of tiie eye and rhus toxicodendron 3x was given. ♦Arthur B. Norton, M. D., New York. Trans. Ameri- can Homoeopathic Ophthahnological, Otological and Laryngological Society, 1904, p. 185. l6 HOMCEOPATHY IN OPHTHALMOLOGY. "The following' day the eye looked very much worse. The swelling of the lids had increased and was somewhat harder. The chemosis was decidedly worse, denser and less edematous. The haziness of the cornea at the .line of incision had extended and there was commencing hypopion. There was quite severe pain in the eye and head, much worse during the night. The eye looked bad; panophthalmitis was diagnosed and an un- favorable prognosis given. The same treatment was continued, except that the rhus was given five drops of tincture in one-half glass of water, a teaspoonful every hour. "I certainly thought the eye was lost, as the change for the worse in 24 hours with the pa- tient taking rhus all the time was decided. As the remedy seemed indicated, and as it always has been my sheet-anchor in panophthalmitis, it was continued but given lower. The next day no change for the worse; as far as I could judge the eye had held its own, and the remedy was con- tinued. "Two days later there was without doubt marked improvement: the aqueous was clearer, the chemosis not so great, and the pain was less. From this time on liie case steadily progressed, the chemosis disappearing, the cornea clearing, and the eye went on to perfect recovery with no loss of vision. "I believe that the change to the tincture saved this eye; it was steadily progressing under the potency and began to respond only after the tincture was used. I have noticed this same ac- tion since, and now always use rhus tox. in the tincture in water for panophthalmitis." HOMCEOPATHY. V] The curative remedy for a giv«n case of iritis will be found not by depending upon the diag- nostic symptoms — ^belladonna, bryonia, mer- curius, spigelia and each of more than twenty other drugs may cause these — ^but that one must be chosen which has the characteristic, individual- izing symptoms presented by the individual case ; sometimes it may be a remedy that has never been known to cause or cure iritis and the s3rmptoms pointing out the remedy will probably be else- where than in the eye. If the patient is rheumatic, irritable, constip- ated, aggravated by heat and motion, is worse in the morning, has soreness in, around and behind the eyeball, with sticking pains in the eyes — ^bry- onia will cure, whether the pathological condition be muscular or an iritis. But the mercurius patient presents an entirely different picture : he is worse at night after going to bed and in damp weather, the eyes are partic- ularly sensitive to the fire-lig'ht and heat, light of the gas, etc., he has night sweats, nocturnal pains in different parts of the body, metallic taste in the mouth, the tongue is flabby and indented, there may be a diarrhoea — ^all or most of these symptoms in addition to those of iritis proper. Spigelia, usually classed as a neuralgia rem- edy, has repeatedly made brilliant cures of iritis when indicated by the totality of sjrmptoms, char- l8 HOMCEOPATHY IN OPHTHALMOLOGY, acterized usually by neuralgic pains radiating from the eye through the temple, face and head. It makes, sometimes, just the difference be- tween success and failure — ^the quality of the medicine used. Strange to say, a shockingly large number of doctors buy the cheapest — ^not the best — ^medicines that they can, or dare. They risk the patient's life or health upon the effect of an inferior preparation. Cheap medicines are necessarily inferior. Tinctures prepared by a re- liable homoeopathic pharmacy are acknowledgedly better than any others, and so with the tritura- tions. Surely it would be unfair to condemn homoeopathy because of failure with medicine which was not made according to the directions or with the care of the homoeopathic pharma- copoeia 1 Even after the lapse of a hundred years our provings are still incomplete; they should be brought up to date with the use of modern in- struments of precision. This will be done event- ually, but the amount of work involved will be enormous. The best books for studying the homoeopathic materia medica are: Farrington's Lectures on Materia Medica, Kent's Lectures on Materia Medica, and Hughes' Pharmacodynamics. Some object to the last named that it teaches organo- therapy and pathological drug action rather than HOMCEOPATHY. I9 strict homoeopathy. The classical work on ho- moeopathy applied to ophthalmology has been Norton's "Ophthalmic Diseases and Therapeu- tics."* Homoeopathy is not organotherapy, yet some remedies do undoubtedly manifest a selective ac- tion upon certain organs or tissues: e. g., bella- donna, duboisia, gelsemium, mercurius corrosi- vus, phosphorus, each may cause congestion or inflammation of the fundus even when intro- duced into tiie stomach or some other part of the system remote from the eye. It is impossible to memorize the homoeopathic materia medica, nor all the symptoms of any one of our leading remedies; recourse must be had to repertories followed by consultation of the ma- teria medica. It is because of this difficulty that the majority of oculists who believe in homoe- opathy feel that they do not have time — from the stress of work and demands of other phases of medical study — ^to apply it properly in their daily practice. As a matter of fact very many so-called homoeopathic prescriptions are but empirical; e. g., bryonia given "for iritis" on the recom- mendation of a fellow practitioner might happen to be a stumbled upon, empirical, cure so far as ♦Third edition, 1902. Boericke & Tafel, Philadel- phia. 20 HOMCEOPATHY IN OPHTHALMOLOGY. the prescriber is concerned, but (unless due to other treatment or the vis medicatrix naturae) the symptoms, either unnoted or unappreciated, would show the cure to be really although un- wittingly a homoeopathic one. Needless to say it would be more scientific, more certain, and the doctor would have learned more if it had been given because of its symptom-similarity. It is a well established fact that the oculist finds him- self well repaid for conscientious study of the homoeopathic materia medica. A prescription is homoeopathic only when the medicine is selected, and because it is selected, upon the homoeopathic principle, whether con- sciously or unconsciously. The official definition of the homoeopathic phy- sician is: "One who adds to his knowledge of medicine a special knowledge of homoeopathic therapeutics and observes the law of Similia. All that pertains to the great field of medicine is his by tradition, by inheritance, by right." The homoeopathic practitioner is a specialist, some are exclusivists. CHAPTER III. MATERIA MEDICA. ACETIC ACID— Acet. ac. HCjHgOa. Objective. — Eyes sunken, surrounded by dark circles. Lacrimation. Clinical. — Has proved of value in croupous conjunctivitis (not diphtheritic) with closely ad- herent, tough, dense, yellowish-white false mem- brane which leaves no scars and does not pene- trate deeply. The lids are red, edematous, the upper hangs down over the lower, and at no time are they rigidly infiltrated. ACONITUM NAPELLUS— Aeon. Wolf's Bane. Monk's Hood. Objective. — Lids red, swollen, hard, especially the upper; < morning. Edges sore, inflamed. Chemosis. Conjunctiva intensely hyperamic and edematous, mostly toward the inner canthus. Lacrimation slight, if any. Subjective. — Eyes hum, feel dry, sensitive to air. Much aching and heat. Intense burning shooting pains. Pressure upon upper lids, as if 22 HOMCEOPATHY IN OPHTHALMOLOGY. the ball were pushed into the orbit, causing a bruised pain in the eye. Itching; smarting; < evening. The ball, especially the upper half, sensitive if moved ; < looking down or turning the eyes ; the ball feels enlarged, as if protruding, making the lids tense; feels as if it would be forced out of the orbit, > stooping. Eyes feel swollen. Feel as if sand were in them. Photo- phobia. Vision. — As through a veil; difficult to dis- tinguish faces. Sparks before the eyes; flicker- ing. Characteristics. — The aconite patient is char- acterized by great anxiety, fear, restlessness and thirst. First stage of inflammation, or trauma of cornea, conjunctiva, sclera, lids. Clinical. — The routine remedy with foreign bodies, wounds, operations, and for neuralgia from exposure to a cold dry ztmvd. AGARICUS MUSCARIUS— Agar. Bug Agaric. Amanita mushroom. Objective. — Twitches in or of the lids; con- tracted palpebral fissure without swelling. Very little appearance of inflammation. Twitching of (in) the ball, often painful while reading, < left. Myosis. Subjective. — Biting, itching, jerking in the lids MATERIA MEDICA. 23 and brow. Aching and pressure in the ball, it is sensitive to touch ; burning wnd itching; stitches. Eyes feel very weak. Vision. — Dim, as in a mist, with flickering. Reading difficult, as type seems to move, to swim. Yellow spots when looking at white. "Vibrating spectra." Muscse volitantes. Short sighted. All objects look blue. Clinical. — Particularly useful in asthenopia from prolonged strain; weakness, fibrillar spasms. ALLIUM CEPA— See Cepa. ALOE SOCOTRINA— Aloe. Aloes. Subjective. — Heaviness, with frontal ache and nausea. During frontal headache has to make eyes small, which relieves. Pain deep w orbits, as if in muscles, < right. Vision. — ^Yellow rings move before the eyes. Characteristics. — Heaviness, of eyes, head, back, abdomen. Clinical. — Reflex from or accompanying uterine or bowel congestion or inflammation. ALUMINA— Alum. Aluminum hydrate. Al(OH)3. Objective. — ^Upper lids seem to hang as if para- lyzed, < left. Lids twitch, < right upper; ag- 3 24 HOMCEOPATHY IN OPHTHALMOLOGY. glutinated on waking. Squinting. Conjunctiva red, inflamed, < right, < evening. Subjective, — Burning and dryness ; in the even- ing ; < on looking up. Pressure, heaviness, dif- ficult to open the eyes. Itching in the canthi. Photophobia. Vision, — Dim, as through a fog, or as if hairs or feathers were before the eyes; witii sensa- tion as though the lids would adhere at the cor- ners. < evening. Characteristics, — ^Paralysis of motor nerves. Is one of the leading remedies for locomotor ataxia. Clinical. — Chronic granular or follicular con- junctivitis with dryness and loss of power in the lids. ANTIMONIUM CRUDUM— Ant. cr. Antimonium sulphid. SbjSj. Objective, — Lids red, inflamed, excoriated; ag- glutinated. Outer canthi sore. Subjective, — Itching. Soreness. Photophobia. CharacteriBtics. — Acts on mucous membranes, depression and excessive secretion. Cross, "devilish" children, and older persons. Tongue coated very thick white. Alternate constipation and diarrhoea. Clinical.— Blepharitis, and scrofulous ophthal- MATERIA MEDICA. 25 mia, with pustules on face, or cornea, or con- junctiva. ANTIMONIUM TARTARICUM— Ant. t. Potassium Antimonyl Tartrate. Tartar emetic. 2K(SbO)QH^06+H20. Objective. — Eyes squint. Eyes fixed and turned upward. Surrounded by blue rings and lying deep in their sockets. Swollen. Bloodshot. Mydriasis. Sclera yellow. Subjective. — Pressure on eyes. Burning in evening. Burning in right inner canthus, with biting and redness of conjunctiva. Electric stitches in inner canthi, with pressure in eyes. Sudden tensive pain in upper part of right ball. Bruised feeling in eyeball, < touch. Eyes weak. Inclined to press lids tightly together. Lids dif- ficult to move. Vision. — Flickering; < rising from seat, with vision as through a veil and vertigo. Sparks. Vanishing of vision. Characteristics. — Profound depression, of heart, pulse and temperature. Rapid tissue waste. Nausea, vomiting. Children fretful. Loose cough with rattling in the chest but com- paratively little expectoration. Clinical. — Phlyctenular ophthalmia. Herpes of the conjunctiva. Photophobia. 26 HOMCEOPATHY IN OPHTHALMOLOGY. APIS MELLIFICA— Apis. The Honey Bee. The tincture is made from the live honey bee, an4 is but little stronger than the 3x trituration of Apium virus, which is made by extracting and triturating the poison sac. Objective. — Lids much swollen, pde red edema. Upper one hangs like a sac. Con- junctiva inflamed, edematous, with dark red veins. Lacrimation; hot. Agglutination. Subjective. — Itching. Stinging, sha/rp piercing poms in and about the eyes. Burning, stinging which causes lacrimation. Soreness and smart- ing in the eyes, lid edges and canthi. Fullness. Photophobia. Eyes pain and are easily fatigued. Sensation of a foreign body. Vision. — Obscured, difKcult, with a whirling. Pain on using eyes. Characteristics. — Thirstless, even with fever, and drowsiness. Edema. Dropsy; skin waxy white. Clinical. — Erysipelas. Albuminuric retinitis. Useful in various forms of keratitis. Purulent edema. As a rule, temporary > from applying cold water. An extremely valuable remedy in in- flammatory affections of the eyes always char- acterized by serous exudation, edema and sudden piercing pains. MATERIA MEDICA. 27 ARGENTUM NITRICUM— Arg. n. Nitrate of Silver. AgNOg. Objective. — Eyes closed by swollen inflamed lids. Ocular and palpebral conjunctiva and caruncle intensely swollen, red and inflamed. Qusters of intensely red bloodvessels from in- ner canthus to cornea ; discharge profuse, bland, mucopurulent or of thick yellow pus. Cornea opaque, may be covered with conjunctival folds. Lacrimation. Subjective. — Photophobia and pain are intense. Heaviness over the eyes, which open with dif- ficulty. Boring above left eye. Infraorbital neu- ralgia. Burning, biting, itching in the eyes, par- ticularly in the canthi. Heat and pain in the ball, upon motion and touch ; aching pain deep in the eye, early in the morning. All symptoms < by heat. Vision. — Gray spots and serpent-like bodies move before the eyes. Sudden vanishing of sight from inability to maintain the focus. Characteristics. — Craving for, and aggrava- tion from, sweets. Much wind in stomach, also , in the bowels. Typically, the argentum nitricum patient is dark, thin, easily angered, often the more one tries to do for him the more disagree- able he becomes ; he is apprehensive, fearful. He is hurried, walks fast, does not undertake a thing 28 HOMCEOPATHY IN OPHTHALMOLOGY. lest he should not succeed. Very virulent oph- thalmia, the attack reaching in a few hours a condition that the Pulsatilla patient would take days to achieve. The discharge in both patients is thick and bland, and both are aggravated by heat; with argentum the heat from a stove is particularly unbearable. Clinical. — The great remedy, internally as well as locally, for ophthalmia neonatorum and gonor- rhceal ophthalmia. A valuable remedy for as- thenopia from masturbation. Early stages of acute granular conjunctivitis : the eyes may feel dry and bum when there is no real dryness ; the discharge may be only a few flakes of mucus; the palpebral conjunctiva looks like velvet. ARNICA MONTANA— Arn. Leopard's Bane. Undiluted tincture locally to the eye is some- times irritating; this has been attributed to an insect in the flower. Objective. — ^Eyes inflamed. Slight lacrimation. Subjective. — ^Margins of upper lids painful on motion, as if they were dry and a little sore. Feeling of heaviness in the eyes ; some burning, itching, photophobia. Cramp-like tearing or pressure in left brow. MATERIA MEDICA. 29 Characteristics. — ^A bruised sore feeling, and weariness. Clinical. — Arnica is the great remedy, locally and internally, to promote absorption of extrav- asated blood in the eye or any part of the body. It is the remedy for bruises. The tincture acts better locally when diluted to, say, 2 per cent, (a dram to 6 ounces of water). ARSENICUM ALBUM— Ars. White Arsenic. Arsenious Acid. A. Oxid. AS2O3. Objective. — Lids edematous, swollen (usually noninflammatory and painless). Edematous lids firmly closed and look as if distended with air. Conjunctiva, palpebral or ocular, inflamed. Burning, acrid lacrimation making the lids and cheeks red and sore. Subjective. — Severe burning, or burning pain, in the eyes, in the lid edges. Eyes feel dry as if rubbed by the lids. Feeling of sand, obliging him to, rub the eyes, in the evening. Eyes hot, with burning sore pain in the balls and a feeling as though they had no room in the orbit. Pulsa- tive throbbing in the eyes and with every pulsa- tion a stitch; after midnight. Suborbital pain, left, with pricking as with needles. Ciliary neu- ralgia, fine burning pains. Photophobia. Characteristics. — Great restlessness OMd anx- 30 HOMCEOPATHY IN OPHTHALMOLOGY. iety, with weakness, prostration, and thirst for very frequent small drinks. < after midnight, i a. m. Burning pains. Emaciation. Generally > by warm applications. Anguish. Despair. Dread of death. Clinical. — Puify below the eyes. Corneal ul- cer. Scrofulous ophthalmia. Chronic trachoma. Keratitis. Iritis. Disseminate choroiditis. Hy- perthyroidism. ASAFETIDA— Asa. SubJectiTC. — Severe boring (bone) poms above the brows; > 631 pressure. Troublesome dry- ness. Periodic burning in the eyes and pressing together of the lids, as if overcome by sleep. Burning pain in the ball from within outward. Throbbing pain at night, > by pressure. Characteristics. — ^The action is most marked on the nervous system; has been valuable in mer- curial and scrofulous affections of the bones and skin. The pains, > by rest and by pressure (re- verse of aurum), are usually throbbing, beating, boring or burning in, over or around the eye; often intermittent ; they extend from within out- ward.' Clinical. — Ciliary neuralgia. Syphilitic iritis. Hysterical persons. MATERIA MEDICA. 3 1 AURUM METALLICUM— Aur. met. Gold. Au. Objective. — Eyes protrude. Constant lacrima- tion. Morning agglutination. Subjective. — Feeling of sand. Heat; when looking; as if blood pressed upon optic nerve. Feeling of weakness and pressure. Pressive pain in right eye, from above downward or inward, < during motion. Burning in lids, in inner can- thi, with stitching, drawing and itching. Vision. — Tension making vision difficult; < fixing eyes, > closing them, with diminished vision. Vision double, and one object is seen mixed with another, with tension in eyes. Up- per hemianopsia: upper half of the field invisible. Vision indistinct, as through a black veil. Characteristics. — Melancholy. Despair. Self condemnation. Suicidal. Mental anguish, with precordial distress. Hyperemia, fullness of the bloodvessels. AURUM MURIATICUM— Aur. mur. Chlorid of Gold. Auric chlorid. AuClj. As is the case with some other metallic rem- edies, the symptoms of the metal and its chlorid are so much the same that some give the metal when prescribing a high attenuation and its salt in the larger dose or lower potency. 32 HOMOEOPATHY IN OPHTHALMOLOGY. Objective. — Redness and swelling of the lids. Redness of the sclera. Eyes very red and angry looking. Morning agglutination. Constant lacrimation. Subjective. — ^Photophobia. Burning, stitching, drawing and itching in lids and inner canthus. Heat in the eye when looking. Feeling of sand. Pressive pain (right) above downward, also from without inward, < touch or pressure. Bones around the eye feel bruised. Pains boring and < at night. Vision, — Hemianopsia, upper half of the Held seems covered with a black body. Diplopia. Sees things double, mixed up, with violent ten- sion in the ey«s. Vision indistinct, as through a veil. Characteristics. — The aurum patient is men- tally depressed, very blue, irritable, sensitive to noise, usually with swollen cervical glands. Pains seem to be deep in the bone. Eye sensitive to touch. Clinical. — ^Aurum is one of the principal syphi- litico-mercurial remedies. For trachoma with, or without, pannus there is no remedy more use- ful. Usually < morning and > by application of cold water. Interstitial, ulcerous or vascular keratitis; iritis and kerato-iritis, particularly after abuse of mercury, or if syphilitic or due to MATERIA MEDICA. 33 hereditary syphilis. Aurum is almost specific for exudative chorio-retinitis and exudations into the vitreous. BADIAGA— Bad. Fresh Water Sponge. Objective. — Bluish purple margins of lids. Scrofulous inflammation with hardening of the Meibomian glands. Subjective. — ^Headache extending into the eye- balls. Slight aching pains in posterior portion of both eyeballs and in the temples, with head- ache, from 2 p. m. till 7 a. m. Left eyeball quite sore, even when closing it tightly. Severe inter- mittent pain in the back of the eyeball. Characteristics. — Lymphatic glands large and hard. Clinical. — Has been useful in exophthalmic goiter, scrofulous ophthalmia, ocular neuralgia. BARYTA CARBONICA— Bar. c. Barium carbonate. BaCOg. Objective. — Red conjunctiva, swollen lids and dryness of the eyes. Subjective. — Photophobia. Eyes itch. Vision. — ^Light dazzles and hurts the eyes, with fiery spots in the dark. "Gauze" before the eyes in the morning and after a meal. Weakness of sight. 34 HOMCEOPATHY IN OPHTHALMOLOGY. CharaoteristicB.— This remedy affects nutrition profoundly: causes symptoms of malnutrition and consequent degenerative tissue changes; ir- ritates and depresses the cerebral and ganglionic nervous systems to a picture of mental and phy- sical decay; is particularly useful for glandular affections of the throat and neck. Clinical. — It has checked the advance of cataract. BELLADONNA— Bell. Deadly Nightshade. Objective. — Pupil dilated; sluggish, or im- mobile dilated. Eyes red; lid margins congested ; inflamed. Conjunctiva congested; inflamed. Lids droop; twitch; are puffy. On lids: stye, pimples, pustule. Eyes dry, no tears (or mucus and tears increased). Increased ocular tension. Fundus congested; discs congested, edge not dis- tinct; retina slightly hazy. Eyes protruding, bright, staring, swollen with red face; in constant motion. Muscle balance: at distance, esophoria pre- ponderatingly increased; near, esophoria in- creased. Subjective, — Photophobia. Eyes feel dry, stiff, < motion; burning heat. Pain, pressive, in or about or back of eyes ; sharp, neuralgic ach- MATERIA MEDICA. 35 ing, throbbing; comes on and passes off quickly. Eyes smart; itch; feel tired, weak, heavy; ten- der to pressure. Vision. — Dimj blurred; acuity decreased. Ac- commodative power impaired; near point for diamond type removed; vision best or only at distance. Letters blur while reading; must hold the paper farther away; could read only while the paper was kept in motion. Ever3rthing turned black ; blindness. > wiping the eyes ; > cover- ing either eye; near objects look smaller (when one eye is covered) . Consensual action of pupils diminished. Diplopia, laterally also vertically; vertical strokes of letters looked double; when writing a line looked doubled, the upper black and the lower red. Erythropsia; everything he looks at seems red. Halo around the (candle) light, partly colored, red predominating ; at times the light seems broken into rays. Photopsies, flashes, bright sparks. Flickering. Black spots and stripes before the eyes, when walking in open air, rapidly appearing and disappearing. Objects passing before the eyes have an undulat- ing motion. Objects appear crooked. Characteristics. — Belladonna is particularly useful, with the above symptoms, in patients with high blood pressure; sthenic congestion and inflammation. Mydriasis. Flushed face. Pains increase and decrease suddenly. 36 HOMCEOPATHY IN OPHTHALMOLOGY. Clinical. — Its use in inflammatory ocular dis- eases is more limited than is generally supposed. It has been most valuable in diseases of the fun- dus : hyperemia, inflammation of the choroid, es- pecially disseminate choroiditis; retinal hyper- esthesia, due to refraction or reflex irritation; hyperemia of the optic nerve and retina, either acute or chronic, particularly if dependent upon cerebral congestion. Is one of the chief remedies in optic neuritis, neuro-^etinitis, retinitis, retinitis hamorrhagica, has relieved iritis, idiopathic and post-operative plastic, early stages (dryness) of catarrhal conjunctivitis, erythema and erysipe- latous inflammation of the lids, the severe pains of glaucoma (do not give material doses here lest the condition be made worse), mydriasis from nervous headache, infraorbital neuralgia with red face and hot hands, amblyopia, amaurosis, paretic accommodative asthenopia, convulsive move- ments of the eyeball, and spasmodic strabismus, particularly with brain affections. BORAX— Borax. Sodium pyroborate. NajB^Oy+ioHjO. Objective. — Lashes turn, into and inflame the eye, especially at outer canthus where the lid margins are very sore. Lashes irr^^lar. Noc- turnal agglutination. Left inner canthus in- flamed. MATERIA MEDICA. 37 Vision. — Bright waves, moving now from right to left, now from above downward, mornings when writing. Characteristics. — Dread of downward motion. Clinical. — Marginal blepharitis. Madarosis. Entropion. Trichiasis. BOTHROPS LANCEOLATUS— Both. Yellow Viper. Vision. — Hemeralopia, day-blindness ; can scarcely see her way after sunrise. Aphasia. BRYONIA ALBA— Bry. White Bryony. Objective. — Puifiness of right upper lid ; morn- ing agglutination. Conjunctiva dark red and swollen. Lacrimation. Subjective. — Photophobia. Pressive pain above left eye. Pressure, inward, over left orbit into brain which changes to a pressure on the eye- ball from above downward. Pain deep in right orbit, < pressure on the ball. Drawing and heaviness in left upper lid. Very sensitive press- ing intermitting pain in left ball, especially vio- lent on moving the eye, with a feeling as if the eye became smaller and retracted in the orbit. 38 HOMOEOPATHY IN OPHTHALMOLOGY. Severe burning, with lacrimation, in right eye. Eye very sore, < moving it. Vision. — ^Dim. Every object appears covered with rainbow colors ; appearance of all the colors of the rainbow. Letters run together, on near vision. Characteristics. — < motion, < heat. Bry- onia's great sphere of usefulness is in diseases of the uveal tract in rheumatic subjects, aggra- vated by motion, and by warmth, and for serous inflammations with these aggravations. Clinical. — It is the first remedy thought of in rheumatic iritis — sharp shooting pains through the eye into the head, < motion, > pressure; or steady aching in posterior part of the eye ex- tending through to the occiput, < night and mo- tion. It has checked glaucoma and proven valu- able in serous iridochoroiditis and in ciliary neu- ralgia. CALCAREA CARBONICA— Calc. c. Calcium carbonate. CaCOg. Hahnemann prepared this from the inside of oyster shells, hence it is sometimes called cal- carea ostrearum. When calcarea alone is men- tioned the carbonate is meant. Objective. — Swelling and redness of the lids, MATERIA MEDICA. 39 with nightly agglutination. Lids hard, swollen, with dry scales. Upper lids twitch. Redness of the eyes. Eyes full of mucus. Acrid lacrima- tion. Subjective. — Pain like a foreign body in the eye, like sand. Sticking pains in the eyes. Itch- ing, burning and stitches, particularly in the lid margins and inner canthi. Pressure and itching in the eyes, > evenings. Vision. — ^Dim, after getting the head cold. Hemianopsia, only one side of objects visible, with dilated pupils. Halo around the light. Flickering, sparks, black spots. Characteristics. — Calcarea is the typical rem- edy for malnutrition in scrofulous, tubercular, rachitic subjects with indurated glands, par- ticularly if the trouble is caused by getting wet and cold or by working in water. Pot-bellied children who sweat profusely about the head. Fat blondes with enlarged indurated glands. Leucophlegmatic tempera/ment. The general con- dition is more important for the prescription than are the symptoms. Clinical. — Scrofulous ophthalmia; blepharitis; acute conjunctivitis either phlyctenular, pustular or purulent; keratitis — ^ulcerative, phlyctenular, pustular; corneal opacities; trachoma; ptery- gium ; asthenopia. 4 40 HOMCEOPATHY IN OPHTHALMOLOGY. CALCAREA HYPOPHOSPHOROSA— Calc. hy. Calcium hypophosphite. CaCPOj)^. Clinical. — ^This has proved to be a remedy of the first importance for severe abscess or ulcera- tion of the cornea, even sloughing or crescentic, when the vitality is too low to resist the disease. Sometimes there is complicating iritis or hy- popion. CALCAREA lODATA— Calc. iod. Calcium iodid. Calj. Clinical. — ^This salt is to be thought of in acute exacerbations of chronic "calcared' diseases; the patient is often thin with dark hair instead of blonde and fat. The ulcers and pustules, par- ticularly of the cornea, have intense pain, photo- phobia, lacrimation, lid spasms, and often acute inflammation of tonsils or other glands. The patient is very susceptible to cold, the eye inflam- mation is < by the least cold. Chronic bleph- aritis; erysipelatous or scrofulous inflamma- tion of the lids. Conical cornea and staphyloma have been checked. MATERIA MEDICA. 4I CALCAREA PHOSPHORICA— Calc. phos. Calcium orthophosphate. Cag(P04)2. Objective. — Eyes red. Injected streaks from canthi to cornea.* Subjective. — Photophobia, particularly in can- dle or gas light; can not read. Sensation of something" in the eye, felt if it is mentioned. Vision. — Photopsia. Glittering circles of light before the eyes. Clinical. — ^Valuable for parenchymatous kerat- itis in patients of a scrofulous diathesis, and in checking the progress of cataract. CALCAREA SULPHURICA— Calc. s. Calcium sulphate. CaSO^. Objective. — Very proftise, thick, very yellow, lumpy, pus or mucus. Hypopion. Haziness or ulceration of cornea; phlyctenular or pustular keratitis with enlarged cervical glands. Vision. — Hemianopsia. Clinical. — ^A great remedy for suppuration after the above described pus has obtained a vent. ♦Suggestive of a nasal origin or complication if ob- stinate. 42 HOMCEOPATHY IN OPHTHALMOLOGY. CANNABIS SATIVA— Can. sat. Hemp. Clinical. — Parench3rmatous keratitis, cornea covered with bloodvessels; profuse lacrimation, intense photophobia. Acts best low. CARBO VEGETABILIS— C. veg. Vegetable Charcoal from birch or beech. Subjective. — Heavy weight seems to rest on the eyes, must make effort to distinguish letters when reading. Eyes weak and ache from over- work. Eyes bum. Itching in the lid margins and about the eyes. The eye muscles pain when looking up. Vision. — ^He became shortsighted after exert- ing the eye for awhile. Muscae volitantes. Characteristics. — ^A very valuable remedy when the blood is devitalized and the nervous system ex- hausted — as in scorbutus ; purpura, persistent pas- sive dark venous haemorrhages. Collapse: body cold, skin bluish, cold sweat on limbs, breath cool, pulse thready, intermittent — ^it has plucked many such patients from the jaws of death, but was then given in the 30th or 200th attenuation. Very characteristic symptoms are : violent, almost constant, eructations. Sour stomach; burning. Abdomen full of flatus, to bursting, with colic. MATERIA MEDICA. 43 < from the least food, > passing gas up or down. Burning pains in various places. Patient waritts to be fanned. Clinical. — Norton thinks this should be used in eye diseases. It has proved beneficial in asthen- opia, and he suggests its use for progressive my- opia with posterior staphyloma. CAUSTICUM— Caust. "Tinctura acris sine kali." A weak preparation of potassium hydrate of uncertain strengfth, introduced by Hahnemann ; it should therefore be made strictly according to his directions. Objective. — Pupils dilated. Visible twitches in lids, and left eyebrow. Eyes inflamed, lids red. Lacrimation, < in open air. Subjective. — Pressure as if sand were in the eyes. Dryness, photophobia, burning and sting- ing with the inflammation. Pressive pain in eyes, < by touch. Itching, specially in lids, dis- appears on rubbing. Itching in lower lid and its inner surface, with burning as soon as he touches or moves the eye. Biting and pressure in the ey«s, which seem heavy, witfi redness of the lid. Inclination to close the eyes, they close involun- tarily. Sensation of heaviness in upper lid as if he could not raise it easily, or as if it were stuck to the lower lid and could not easily be 44 HOMCEOPATHY IN OPHTHALMOLOGY. loosened. Opening the lids is difficult. Burn- ing and itching in the inner canthi. Photo- phobia with constant necessity to wink. Vision. — Flickering, like swarms of insects. Pfaotopsies, sparks, on winking, even on a bright day. Vision indistinct, 'dim, as though a thick cloud or veil were before the eyes ; transient ob- scuration on blowing the nose. Diplopia, par-- etic, < turning the eyes to the right. Characteristics. — ^The patient, while sensitive to cold and cold drinks, is better in rainy weather. Clinical. — This remedy has been credited with curing warts on the lid and brow, blepharitis > in fresh air and simple acute conjunctivitis. Many cases of cataract have been arrested and even improved. But the main sphere of action is peripheral paralysis of the muscles — levator palpabrae superioris, orbicularis, external rectus and ciliary muscle — in fact, any muscle if due to exposure to cold dry wind or if following diph- theria, Causticum is the principal remedy for ptosis and paretic aphonia (postdiphtheritic) ; it is not recommended in syphilitic cases. CEDRON— Ced. Simaba Cedron. Rattlesnake Bean. Subjective. — Severe shooting pain over the left eye. Pain across the eyes from temple to tem- MATERIA MEDICA. 45 pie. Severe pain in the eyeball, radiating pains all around the eye, shooting into nose. Scalding lacrimation. Characteristics. — Supraorbital neuralgia, peri- odic; more often over the left eye, may follow the branches of the supraorbital nerve into the head. The pains, usually sharp, may come and go suddenly ; < may be evening or lying down. Clock-like regularity. Clinical. — Particularly useful in tropical coun- tries, or for troubles in or from a damp warm marshy locality. Iritis, choroiditis, neuralgia as above. CEPA— Cepa. Allium Cepa. The Common Red Onion. Objective. — Lacrimation with coryza. Lacrima- tion, < left, with redness of the eyeball; not ex- coriating. < in evening, in warm room. Red- ness, < left. Subjective. — Biting, as if there were smoke un- der the upper lids, < night. Pain as if the eyes hung loose posteriorly on a string, could be bored into with the fingers and torn out. Burn- ing and smarting in the eyes as from smoke, wants to rub them. Stitches, left, in the morn- ing. > open air. Sensation as if something were under the lid. Sensitive to light. Vision. — Dazzling at distance and dim near by. Flickering and blindness. 46 HOMCEOPATHY IN OPHTHALMOLOGY. Clinical. — ^This remedy is unrivaled for acute fluent coryza, catarrhal conjunctivitis, profuse burning and smarting but not acrid coryza, with profuse watery very acrid discharge from the nose and usually sneezing. Ciliary newraigia after cataract extraction (give five drop doses of the tincture.^ — ^Liebold). This dosage relieved most promptly a case of iridochoroiditis. GHAMOMILLA— Cham. Chamomile. Objective. — Lids swollen in morning, ag- glutinated. Purulent mucus. Conjunctiva swol- len and dark red. Lacrimation. Subjective. — Intense photophobia. Heat, burn- ing in the eyes. Stitches in the orbital region and soreness in the canthi. Pressure in the or- bital region; in the eyes; sensation in the eye- ball as if compressed from all sides. Vision. — Momentarily obscured with the last mentioned s3rmptom. Characteristics. — The keynote of chamomilla is excessive sensitiveness, the nerves seem bare, on edge. Pains, sensations are unbearable; hence 'irritable, cross, peevish. Clinical. — Has been used, internally and locally, for conjunctivitis, and scrofulous oph- thalmia, relieving suffering although some other remedy will be necessary for the cure. MATERIA MEDICA. 47 CHELIDONIUM MAJUS— Chel. Celandine. Objective. — Sclera looks dirty yellow. Lids twitch; margins red and swollen. Lacrimation. Subjective. — Neuralgic pain above right eye, y- evening, when reading by artificial light; ach- ing or pain in balU when looking up or moving the eyes. Sharp piercing stitching pains ; tearing pain in and about the eyes. Left eye, pressive pain which seems to press down the upper lid. Vision. — Dimness. Blackness with sensation of fainting. A blinding spot, lacrimation on looking at it. Characteristics. — Chelidonium acts principally on the liver: congestion, inflammation, jaundice; its characteristic symptom is constant pain in or under the lower corner of the right scapula. CHINA— China. Cinchona Officinalis. C. Calisaya. Peruvian Bark. Objective. — Whites of eyes yellow. Lacrima- tion. Subjective. — Pressure in eyes. Photophobia. Motion of eyes painful with sensation of me- chanical hindrance. Crawling pain in eyes and inner surface of lids, with lacrimation. Neural- gic pains in or about the eyes. 48 HOMCEOPATHY IN OPHTHALMOLOGY. Vision. — ^Dim. Characteristics. — ^Anaemia. Nervous erythism with debility. Vertigo. Clinical. — Nyctalopia from anaemia. Not often called for in ocular therapeutics except when for consequences of loss of vital ftuids, or of mal- aria. Neuralgia. Leucocythaemia. There may be periodicity. Loss of tone. CHININUM ARSENICOSUM— Chin. ars. Quinine Arsenite. (CjjoH24NsjOj)sH8AsjOj3HjO. Clinical. — Has proved useful in scrofulous ophthalmia, < after midnight, till 3 a. m. ; kera- titis; corneal ulcer, gushing hot tears, intense photophobia, spasm of orbicularis ; flickering be- fore left eye with pain and lacrimation, in hemi- crania. Weariness. General prostration. CHININUM MURIATICUM— Chin. m. Quinine muriate. Q. hydrochlorate. CjoHj^NaO^HCLaHjO. Clinical. — This, in appreciable doses, has con- trolled severe neuralgic pains occurring in iritis; if the pains are intense and intermittent and there be malaria it has also benefitted the dis- ease. Favorable results have been observed in trachoma, with or without pannus, and corneal ulcer witfi iritis. MATERIA MEDICA. 49 CHININUM SULPHURICUM— Chin. s. Quinine Sulphate. (C^aH.^J lying down. Clinical. — Has been useful in strabismus and other eye troubles due to helminthiasis in chil- dren of a pale, sickly appearance with blue rings around the eyes ; also in asthenopia from refrac- tion anomalies or presbyopia. CINNABAR— Cinnab. Mercuric (red) sulphid. HgS. Objective. — ^R'edness of the whole eye. Subjective. — Pain from lacrimal duct through brow to ear or temple. Pains from inner to outer corner of eye in the bone around edge of orbit, usually above but sometimes below. Draw- ing sensation from right inner canthus across the malar bone to the ear. "Shooting pains in 52 HOMCBOPATHY IN OPHTHALMOLOGY. right inner canthus, with burning and itching. Aching soreness in the eyes, < evening. Weakness and sleepiness in the eyes about noon, scarcely could keep them open. Clinical. — ^An important remedy in blepharitis, conjunctivitis, keratitis, iritis and scleritis, even severe ulceration of the cornea, if accompanied by the characteristic pain through the brow or around the edges of the orbit ; this pain may vary in character and intensity, may be sharp or ach- ing and extend into the eye or head. It has been useful in syphilitic iritis with gummata. Pain, as with other mercury preparations, is < at night, usually < evening. Asthenopia. Ciliary neuralgia. CLEMATIS ERECTA— Clem. Virgin's Bower. Objective. — Myosis. Eyes red and glittering, hot and dry. Inflammation of the whites. Subjective. — Photophobia. Great sensitive- ness to cold air, light and bathing. Biting burn- ing in the eyes as if fire streamed out of them. Dryness and heat, compelling to close the lids. Smarting, rawness. Pain in middle of left eye- ball. Pressure in orbits on moving the; eyes. Clinical. — ^Has been useful in iritis, kerato- iritis ; scrofulous and mercurial affections. MATERIA MEDICA. 53 COCCULUS INDICUS— Coccul. Indian Cockle. Objective. — Myosis. Lids inflamed. Sclera red, cornea hazy. Subjective. — Bruised or pressive pains in eyes ; hard to open lids, < night. Pain in eyes as if torn out of the head. Vision. — Right hemianopsia : sees only left half of the line when reading. Characteristics. — ^A prostrating nausea. The cerebro-spinal system is debilitated. Clinical. — ^Asthenopic headaches, occiput and nape. Car sickness, sea sickness. COLCHICUM AUTUMNALE— Colch. Meadow Saffron. Objective. — Inflamed eyes. Lacrimation, < open air. Lids in constant motion. Subjective. — ^Violent tearing pains in the eyes. Characteristics. — The smell of food is very re- pugnant, even to nausea. Clinical. — Rheumatic gouty cases, particularly with debility ; in this case beware of large doses. COLOCYNTHIS— Coloc. Bitter Apple. Subjective. — Pains screwing, sharp, cutting, boring, > by pressure. 54 HOMCBOPATHY IN OPHTHALMOUXiY. Clinical. — Neuralgia. Useful also in control- ling the pains of iritis and glaucoma; there may be severe burning, sticking or cutting, ex- tending from the eye into the head and around the eye, or else an aching pain going back into the head, usually < on rest at night and on stooping, > lirm pressure and walking in a warm room. Sometimes there is on stooping a sen- sation as if the eye would fall out. COMOCLADIA DENTATA— Como. Guao. Bastard Brazil Wood. Subjective. — (Right) eye very painful, feeling much larger and more protruding than the left. < near a warm stove. Eyes feel heavy; as if something were pressing on top of the balls, mov- ing them downward and outward. < right. < motion. Eyeball aches terribly. CONIUM MACULATUM— Con. Poison Hemlock. Spotted Hemlock. Objective. — ^White of the eye yellow. Pupils dilated and sluggish. Lacrimation. Lids Aroap. Ptosis. Paresis of the extrinsic muscles. Subjective. — Intense photophobia with little or no redness. Weakness and dazzling of the eyes with giddiness and debility, specially of the arms MATERIA MEDICA. 55 and legs so that on trying to walk he staggers as if drunk. Pressure in the eyes, sleepy, while reading. Lids seem pressed down by a heavy weight. Burning in the eyes and lids. Smart- ing in the inner canthus, as from something cor- rosive. Vision. — Accommodation sluggish. Vision good for fixed objects, but when the object is put in motion there is a haze and dimness of vision with vertigo. Diplopia. Objects waver. Characteristics. — Conium is the first remedy when photophobia or pain is excessive and out of all proportion to the amount of trouble; the nerves are hyper esthetic, their terminal ■filaments (in the cornea) are exposed by superficial abra- sion. Dizziness > closing the eyes. Clinical. — One of the principal remedies for keratitis (ulcers, pustules) if the inflammation is superficial, involving only the epithelial layer, and caused by cold, trauma or scrofula. Hyper- esthesia of the retina frequently calls for this remedy. In one such case (cured) all colors ap- peared white; photophobia was most intense, but external and internal examination of the eye re- vealed nothing abnormal. CREOSOTUM— see Kreosotum. 5 56 HOMCEOPATHY IN OPHTHALMOLOGY. CROCUS SATIVUS— Croc. Saffron. Objective. — Mydriasis. Visible twitches in the lids ; upper lids. Must wink frequently. Subjective. — Excessive photophobia. Inclined to press the lids tightly togethef from time to time. Feeling in the eye^ as after violent weep- ing. Feeling as though water was constantly coming into the eyes, not when in the open air. After reading awhile, even during the day, eyes pain with sore burning and some dimness so that he was very frequently obliged to wink. Feel- ing as of biting smoke in the eyes. Vision. — The light seems dimmer than usual, as if obscured by a veil. Frequently has to wipe and wink the eyes as though a film of mucus were over them. Photopsies — sudden flashes like electric sparks. Characteristics. — Sensation as if somethmg were alive in the abdomen. Clinical. — ^Asthenopia. Ciliary neuralgia. Pos- terior sclerochoroiditis. And in other diseases: Pain in eye to top of head. Pain in left eye darting to the right. Sensation of a cold wind blowing across the eyes. Constant winking with the eyes suffused wilii tears. MATERIA MEDICA. 57 CROTALUS HORRIDUS— Crotal. Rattlesnake Venom. Objective. — Yellow color of the eyes. Blue rings around the eyes. Blood exudes from the eyes. Aqueous humor cloudy. Redness of the eyes. Lacrimation. Subjective. — Pressure above the eyes. Burn- ing in the eyes. Characteristics. — Like other snake poisons, dis- organizes the blood; acts primarily upon the cerebrospinal nerve centers. Ecchymosis. Clinical. — Crotalus is the great remedy for yel- low fever (argentum nitricum is only second to it). Is used in ophthalmology principally for intraocular hemorrhages, into the vitreous, but particularly for non-inflammatory retinal hcemor- rhages. CROTON TIGLIUM— Crot. tig. Croton Oil. Objective. — Conjunctivitis. Copious lacrima- tion. Lids edematous. Subjective. — ^Violent pains in the eyes. Sting- ing in the eyeball. Eyes feel drawn backward. Tensive pom above the right orbit. Clinical. — ^As might be expected from its ac- tion on the skin, croton oil is often of great ser- 58 HOMCEOPATHY IN OPHTHALMOLOGY. vice for vesicles and pustules on the eyeball or lids and in herpes zoster ophthalmicus. CYCLAMEN EUROPIUM— Cycl. Sow Bread. Objective. — Swelling of upper lids. Subjective. — Eyes burn; dryness and pressure. Vision. — Dim, and spots, < on waking. Dim vision as of smoke or fog. Flickering of various colors. Photopsia: sees countless stars; fiery specks, sparks, glittering needles. Flickering of tlie light, on trying to read. CharacteristicB. — Strabismus from menstrual or gastric irregularities. Chlorotic anaemic women ; torpid mind and body. DIGITALIS PURPUREA— Dig. Purple Fox Glove. Objective. — ^Mydriasis. Lid margins red, swollen and agglutinated in tihe morning. Subjective. — Slight photophobia. Vision. — Objects appear green or fellow. Muscae volitantes. While walking in the even- ing the upper part of the visual field seemed covered by a dark cloud. Clinical.^ — Has been used for detachment of the retina. MATERIA MEDICA. 59 DUBOISIA MYOPOROIDES— Dub. Cork Wood Tree. Objective. — Mydriasis. Vessels of the disc much enlarged and tortuous. Retinal veins di- lated and tortuous. Fundus very hypercBmic. Arteries of the retina diminished in size. Lids slightly edematous; morning agglutination. Subjective. — Pain over eyeball just beneath the brow. Sharp pain in upper part of eyeball. Eyes hot and dry ; feel tired as if overworked. Vision. — Paralysis of accommodation, sets in (from instillation) before the mydriasis and lasts longer. Characteristics. — Marked vertigo, particularly with pale face, not of gctstric origin. Duboisia may be differentiated from belladonna in that it has vertigo, is not spasmodic and does not have neuralgia. Clinical. — Duboisia is of the most value in retinal hyperemia with weak accommodation. True weakness of accommodation. Optic neu- i-itis and retinitis. Chronic hyperaemia of the palpebral conjunctiva. EUPATORIUM PERFOLIATUM— Eup. perf. Boneset. Subjective. — Photophobia. Great soreness of the eyeballs. 6o HOMCEOPATHY IN OPHTHALMOLOGY. Clinical. — ^This drug has been useful when ex- cessive soreness of the balls has been a promi- nent symptom, particularly in malarial patients of the eup. perf. type. EUPHRASIA OFFICINALIS— Euph. Eyebright. Objective. — Conjunctival injection. Lids, or their margins, swollen and red. Profuse acrid lacrimation. Subjective. — Photophobia. Eyes sensitive to candle light. Frequent inclination to blink. Feeling as if cornea were covered with much mucus, which obscures vision and obliges him frequently to close and press the lids together. Tears hot and biting. Lids burn and itch. Red margins feel dry. In the eye: burning, biting, itching, obliges frequent winking and wiping. Vision. — Sometimes dim, as through a veil, in the evening. Blurred vision > by wiping the eyes or winking. Characteristics.— Euphrasia resembles mer- curius in acridity but its discharges are thick and excoriating while those of mercury are thin amd acrid. Clinical. — Important for superficial inflamma- tions: blepharitis, catarrhal inflammation of con- junctiva and cornea, acute, particularly if there be MATERIA MEDICA. 6l bland coryza. Euphrasia has been occasionally used in muscular paresis. FERRUM METALLICUM— Per. Iron by Hydrogen. Fe. Objective. — Eyes watery,. dull, confused. Red, with burning pains. Lids swollen, discharging profusely when opened. Subjective. — Photophobia. Eyes ache as if they would protrude. Burning stinging pains in inflamed eyes. Stinging pain over left eye, comes suddenly and lasts but a short time. Vision. — ^Dark before the eyes; giddy. Let- ters run together when reading or writing. Characteristics. — Pale face, flushes readily. Erythistic anaemia. Chlorosis. FERRUM PHOSPHORICUM— Fe. ph. Ferroso-ferric phosphate, U. S. P., i860. Ferri phosphas albus.* Objective. — Eyes injected, inflamed; red and sore looking. Styes. Subjective. — Dryness and roughness of lids. Feeling as if grains of sand were under the lids. *No. Am. Jour, of Horn., vol. 37, 1889, p. 218, or Trans. N. Y. State Horn. Med. See, 1889, p. 85. 62 HOMCEOPATHY IN OPHTHALMOLOGY. Burning and soreness in the inflamed eyes. Pain in the ball, < moving the eye. Characteristics. — First stage of inflammation; asthenic patients. (Aconite for the sthenic case.) The pulse, even in fever, is full soft, com- pressible (not intermittent like that of gelsem- ium). Clinical. — Retinitis, acute conjunctivitis parenchymatous keratitis when there is excessive inflammatSon, and corneal abscess before hy- popion. Great lacrimation and photophobia. FLUORIC ACID— Fl. ac. Hydrofluoric acid. HFl. Subjective. — Sensation as if the lids were opened by force and a ffesh wind were blowing upon them; after that, feeling of sand in the eye, which felt inflamed. Clinical. — This italicised symptom has often been verified in various eye diseases. GELSEMIUM SEMPERVIRENS— Gels. Yellow Jessamine. Objective. — Lids droop. Eyes half closed, ap- parent inability to move the lids. Lids close on looking steadily at anything. Lateral nystagmus, on using the eyes. Mydriasis. Pupil sluggish. MATERIA MEDICA. 63 Subjective. — Great heaviness of the lids. Aver- sion to light. Soreness of the balls. Dull feel- ing (with some aching) in the whole of the or- bits. Bruised pain above and back of the orbits. Drawing over the eyes. Pain from over eyes to occiput, < right. Orbital neuralgia. < Vision. — Dim sight, with vertigo. Smoky ap- pearance before the eyes, with pain over them. Black and bright specks. Glimmering. Objects appear double. Diplopia which can be controlled by an effort of the will. Diplopia when inclin- ing the head to either shoulder, but vision single when holding the head erect. Clinical. — Gelsemimn is valuable in paralysis and diseases of the fundus, but is rarely bene- ficial in superficial affections of the eyes. Its ac- tion is very marked in serous uveitis or serous inflammation of the choroid, ciliary body or iris separately. It has a reputation for detached retina, glaucoma, serous iritis, "Descemetitis," the ball being slightly reddened, also in retmo- choroiditis and disseminate choroiditis. GLONOIN— Glon. Nitroglycerine. CgH5(NOg)3. Objective. — Mydriasis. Eyes rolled up. Eyes injected, protruding, look wild. Apoplexy of tile retina, vessels distended. 64 HOMCEOPATHY IN OPHTHALMOLOGY. Subjective. — Eyes feel too large and protrude as though bursting out of the head. Pressing protruding pains. Vision. — Photopsies, sparks, flashes. Black spots on stooping. Objects dance with every pulse. Characteristics. — A tendency to sudden and violent irregularities of the circulation. Rush of blood to the head. Painless throbbing in the whole body, or in the brain. Clinical. — ^The great remedy for sun-stroke, for heat prostration. Eye troubles from expo- sure to very bright light. Supraorbital neuralgia. GRAPHITES— Graph. Graphite. Black Lead. Objective. — Very inflamed lid margins. Dry mucus in the lashes. Ccmthi crack and bleed easily. External camthus inflamed. Morning agglutination. Thin excoriating mucopurulent discharge. Lacrimation. Redness of the whites. A stye on the lower lid. Subjective. — Photophobia, intense in daylight rather than in artificial light. Light dazzles the eyes. Sense of dryness in the lids and pressure. Heaviness of lids. Heat about lids. Heat, burn- ing, biting, smarting in the eyes. Vision. — ^Vanishing of sight during menstrua- MATERIA MEDICA. 65 tion. Flidsering. When writing letters run to- gether and appear double. Clinical. — Few remedies are so frequently called for in chronic marginal blepharitis, in chronic inflammation of the lids, conjunctiva or cornea, in scrofulous subjects, particularly when Vhere is intertrigo or eczema characterized by moist cracks which bleed easily. It has cured corneal ulcer, even with h3rpopion, but is more adapted to superficial ulceration from pustules, often with considerable vascularity of the cornea. Pustular keratitis. Morning <. HAMAMELIS VIRGINICA— Ham. Witch Hazel. Objective. — Lids swollen. Eyes bloodshot. Subjective. — Eyes feel forced out. Sore pain in the eye. Characteristics. — ^The sphere of action of hamamelis is passive congestion, venous haemor- rhage. Clinical.— -Traumatic iritis with haemorrhage; it has been of most service for hastening the ab- sorption of intraocular haemorrhages. 66 HOMCEOPATHY IN OPHTHALMOLOGY. HEPAR— Hep. Hepar sulphuris calcareum. Impure calcium sulphid. CaS. Introducfed by Hahnemann; made from cal- cined cystei* shells and sulphur; should be made according to his directions. Calcium sulphid has not been proved, hence should not be used inter- changeably with this, particularly in doses above the IX. Objective. — Upper lid red, swollen, inflamed, with pressive pain. Morning agglutination. In- flamed eyes, whites red. Profuse lacrimation. Spasmodically closed lids in the morning. Subjective. — Intense photophobia. Eyes very painful, or ache, in bright daylight, if he attempts to move them. Eyeballs very sensitive to touch. Pains: sore as if beaten, pressive, throbbing, shooting, smarting. Smarting pain in external canthus, with hardened mucus. Pressure in eyes, as from sand. Vision. — Obscuration while reading. Dim sight by candle light. Blindness on rising and standing after sitting bent over. Field of vision reduced one-half. Cbntinual movement of bright circles before eyes. Objects look too large. Characteristics. — Oversensitiveness of the nerv- ous system, hence extreme sensitiveness to touch, to cold air, and to cold applications; the sensi- MATERIA MEDICA. 67 tiveness makes the subject irritable with hasty speech and actions. Clinical. — One of the most frequently used eye remedies. Acute phlegmonous inflammations; pustular and ulcerative keratitis; with great in- tensify of symptoms; deep sloughing corneal ul- cer with hypopion; corneal abscess; keratoiritis; catarrhal or purulent conjunctivitis; parenchy- matous keratitis; cyclitis; suppurative choroid- itis ; panophthalmitis. There is no better remedy to hasten the absorption of pus, as in hypopion, and for curing the suppurative process. It has been demonstrated that hepar can raise and lower the opsonic index. In the potencies it can abort threatened suppuration, but most com- monly is given low, ix, to hasten suppuration, "ripen" boils, and facilitate the discharge of pus. It acts upon the glandular system, is one of the great "scrofula" remedies. The fact that the pa- tient has taken mudh mercury is an additional in- dication for hepar. HYOSCYAMUS NIGER— Hyos. Henbane. Objective. — Eyes distorted. Squinting. Star- ing. Red ; wild, sparkling ; brilliant ; and rolling about. Pupils dilated and insensible, and albu- ginea red. Conjunctiva injected. 68 HOMCEOPATHY IN OPHTHALMOLOGY. Vision. — Dim. Short. Small objects seem very large. Of two Homes of equal size one seemed smaller, the other larger. Clinical. — Spasms of the ocular muscles, eyes distorted or rolling'. Illusions of vision, objects seem large or double or indistinct. HYPERICUM PERFORATUM— Hyper. St. John's Wort. Clinical. — "The arnica of the nerves." Re- lieves pain, and so facilitates recovery, after operations and accidents. Irritable scars. The author permanently relieved the irritability — re- current congestion and pain — of an eye which had been blinded two or three years previously by a knife cut which left cataract and anterior synechias, with this remedy. IGNATIA AMARA— Igti. St. Ignatius' Bean. Objective. — 'Constant winking with spasmodic action of various facial muscles. Lacrimation with the pain. Subjective. — Photophobia, intense but fitful. Pain from head into left eye, when the eyes be- gan to burn and water. Pressure in the eyes as from sand. Evening, pain in inner surface of the MATERIA MEDICA. 69 upper lid as if it were too dry. Sensation as of a particle in the left external canthus. Vision. — Zigzag and serpentine white flicker- ing at one side of tiie visual field. Characteristics. — Contradictoriness of symp- toms and modalities. Clinical. — ^The usefulness of ignatia has been confined to nervous, hysterical patients. Cures have been reported of ciliary neuralgia, retinal hyperesthesia, conjunctivitis and corneal ulcer. lODUM— lod. Iodine. I. Objective. — Sclera dirty yelloT*. Eyes pro- trude. Lids edematous. Eyes inflamed as from taking cold. Subjective. — ^Pain as from excoriation. Characteristics. — Although a ran)enous eater the patient is painfully thin. The patient loves cold air, feels better in it. Clinical. — Iodine is to be thought of for acute exacerbation of chronic inflammation. Goiter; exophthalmic goiter. Catarrhal conjunctivitis. Acute dacryocystitis; the bluish red inflamma- tion extends under the eye. The late Dr. John F. Gray recommended for acute phlegmonous dacryocystitis six drops of compound tincture of iodine in six ounces of water, a dram ("a swal- 70 HOMCEOPATHY IN OPHTHALMOLOGY. low") taken every hour or two. The author has found the homoeopathic tincture acts similarly and just as well. IPECAC— Ipec. Ipecacuanha. Objective. — Myosis. Violent conjunctivitis. Cornea dim, as if infiltrated; on close examina- tion there were noticed a number of small de- pressions. Profuse lacrimation ; tears gush when lids are separated. Skin of lids red. Subjective. — Great photophobia. Intense tear- ing or tensive pains in the eyes. Constant se- vere pain over the eyes, specially the left. Vision. — Blue and red halo around the light. Characteristics. — Nausea with clean tongue. Clinical. — ^Very valuable in phlyctenuHa/r oph- thalmia, phlyctenules or ulcers of conjunctiva or cornea; the cornea may be vascular. Much photophobia with redness. JABORANDI— Jab. Pilocarpus. (Its alkaloid is Pilocarpin.) Objective. — Myosis. Lids twitch. Subjective. — Eyes tire from near msion. Headache on using the eyes. Vertigo and nausea on using the eyes. MATERIA MEDICA. 7I Vision. — Near sighted; approximation of both far and near points. Spasm of accommodation while reading. The state of vision is constantly chcmging, becomes suddenly more or less dim every few moments. Everything at a distance hazy. Could read moderate size type at one but not at two feet. Nausea from looking at mov- ing objects. Spots before eyes. Characteristics. — Spasm of accommodation from irritable weakness of the ciliary muscle. Primarily increased secretion; secondarily, dry- ness. Clinical. — One of our valuable eye remedies. Norton recommends it for serous choroiditis and for recent periodic convergent squint not de- pendent upon weakness of the opposing mus- cle. The following symptoms have been repeat- edly relieved : < moving the eyes ; heat and burn- ing, smarting and pain, in the eyes on using them. KALI BICHROMICUM— Kali b. Potassium dichromate. Yi^Cr^O^. Objective. — Dark rings about the eyes. Lid margins very red. Inflamed eyes with yellowish stringy discharge and morning agglutination. Conjunctiva injected, both of lids and ball. Small white conjunctival pustules. Pustules on 6 72 HOMCEOPATHY IN OPHTHALMOLOGY. left cornea with surrounding indolent inflamma- tion. Lacrimation. Subjective. — ^Heat and pressure in the eyes. Itching and burning. Eyes smart, < evening and open air. Heavy pain above -the eyes, < on motion and from cold. Violent shooting pain from root of nose along left orbital arch to ex- ternal angle of the eye exactly, with dim sight like a scale on the eye. Charaeteristics. — Discharges are viscid and stringy, yellow, more or less purulent. Ulcers tend to bore in without spreading laterally, they look as if punched out; those in the cornea are sluggish with very little or no redness and no photophobia. Clinical. — ^Usually pain and lacrimation are absent. The eye may be quite sensitive to touch. Opacities of the cornea, particularly if yellowish in hue, have been cleared. No other remedy has been so successful for uveitis, the old "Descemet- itis" (not serous iritis) characterized by fine punctate opacities on Descemet's membrane, par- ticularly over the pupil, and with only moderate irritation of the eye. This remedy is always to be thought of for chroniQ indolent inflammation of the eye, as above described, ulcers and pus- tules of the cornea or conjunctiva. It is also of MATERIA MEDICA. 73 great value in mild cases of croupous conjunctiv- itis in which the false membrane is loosely ad- herent, easily detached, and shows a tendency to roll up and separate into shreds which may give the discharge a stringy appearance. Pro- fuse discharge, conjunctiva much inflamed, even to chemosis, lids swollen and maybe hazy cornea have been relieved. KALI CARBONICUM— Kali c. Potassium carbonate. K^COg. Objective. — Swelling, puMness, between brow and lid, like a sac. White of eye red, injected. Lacrimation. Subjective. — ^Photophobia. Sharp tearing in right orbit and in the eye at night. Stitches in the middle of the eye. Burning biting and press- ure in the eyes. Pressure above the eyes. Sore- ness of external canthus with burning pain. Snxarting pain in the eye. Eyes painful on read- ing. Vision. — Bright sparks; blue or green spots. Weakness of vision. Characteristics. — Backache, weakness and sweat. Pulse rapid and very weak or irregular, intermittent. Edema of the lids, especially if with sticking pains. An important cardiac rem- edy; < 3 a. m. Clinical. — ^Asthenopia. Weak sight from ex- 74 HOMCEOPATHY IN OPHTHALMOLOGY. cessive sexual indulgence. Small round corneal ulcers without photophobia. KALI lODATUM— Kali i. Kali hydriodicum. Potassium iodid. KI. Objective. — ^A diffuse keratitis developed dur- ing administration of pot. iod. and improved rapidly upon discontinuing the drug. Edema of the lids. Purulent conjunctivitis; chemosis. Lacrimation. Subjective. — Eyes bum. Pain over left side of head and in the eye, < dark stormy days. Vision. — Dim, foggy. Characteristics. — ^When this remedy is thor- oughly indicated there will almost always be an edematous or infiltrated state of the affected part. Clinical. — ^Very useful for violent syphilitic iritis, aft3er the abuse of mercury; iris is much swollen, aqueous cloudy, ciliary injection marked, a bright angry red. Pain, < at night, may be very severe. Photophobia and lacrima- tion variable. Has helped orbital periostitis, syphilitic or not, pain intense or absent. Pus- tules of cornea and conjunctiva. A very promi- nent remedy for acute or chronic iridochoroid- ttis, especially if syphilitic, with excessive and variable amount of haziness of the vitreous. MATERIA MEDICA. 75 Kali iodatum is the first remedy thought of for paralysis of any muscle due to syphilitic periost- itis. When better proven it will be better possible to prescribe this remedy homoeopathically and then smaller doses may be serviceable. KALI MURIATICUM— Kali m. Potassium chlorid. KCl. There has been an unfortunate tendency to consider the chlorid and chlorate interchange- able therapeutically, and for druggists to substi- tute either for the other at their convenience. This should be strictly guarded against; they are not the same, chemically nor therapeutically. Clinical. — (There are no provings.) Intro^ duced by Sciiuessler who recommended it for the second, the exudative, stage in inflammations. Characteristics. — Indolent inflammation. Dis- charges thick whitish fibrinous mucus; dirty white or gray coat at base of tongue; fibrinous exudation in interstitial connective tissue; lym- phatic enlargements. Has been found valuable for parenchymatous keratitis; and for asthenic corneal ulcer which gen- erally begins near the limbus and extends toward the center with dirty white or yellow base, often very vascular and surrounded by considerable 76 HOMCEOPATHY IN OPHTHALMOLOGY. corneal infiltration, moderate mucous discharge. Tedious cases. Also for chorioretinitis with ex- udation. Discharge of white mucus or yellowish green matter from the eyes. Feeling of sand in the eye. Superficial flat ulcer "on the eye" from a vesicle. Blisters on the cornea. Onyx. I KALMIA LATIFOLIA— Kalm. Mountain Laurel. Subjective. — Stiffness of muscles around eyes, and of the lids. Turning the eyes is painful. yision. — Dim. Glimmering, at point of (near) fixation. Clinical. — Ptosis, of rheumatic origin. Supra- orbital neuralgia, < right. Scleritis. Sdero- choroiditis, anterior and posterior, sometimes with vitreous exudation. Retinitis albuminurica, specially during pregnancy. Muscular asthen- opia. KREOSOTUM— Kreos. Creosote. Kreosote. Clinical. — Blepharitis, and acute aggravations of chronic keratitis, with profuse, hot, scalding, acrid lacrimation early in the morning ; blennor- rhea (conjunctival) with moderately profuse dis- charge and much smarting in the eyes. MATERIA MEDICA. ^^ "^^"' LACHESIS MUTUS— Lach. (Erroneously Trigonocephalus.) The Bush- master. Subjective.— Eyes feel stiff. Pressure. Ache, especially the left. Stitches as from knives, in the eyes coming from the head. Sticking and drawing pain in and above the eyes. Eyes sen- sitive to light. Vision. — ^Dim; m'Mh black Mckering, that seems near, often making reading difficult. Fog before the eyes; in the evening a bluish-gray ring about six inches in diameter around the light. Flickering, as from threads or rays of ihc sun in zig-zag figures with congestion to head and headache, and jerking in right eye. Characteristics. — < left side. The patient sleeps into an aggravation. < morning after sleeping. Sensitiveness of surface of body, par- ticularly cannot bear anything tight about the neck. Cough excited or < by >pressure on throat. Clinical. — Useful in absorbing intraocular hcemorrhages, whether in anterior chamber, vitreous, retina or choroid. Retinitis apoplectica. Orbital cellulitis. Asthenopia. Phlyctenular keratitis, particularly the chronic recurrent form with superficial ulceration and moderate redness. One of the chief remedies for climacteric flushes, particularly in run-down women. Like 78 HOMCEOPATHY IN OPHTHALMOLOGY. the other snake poisons, lachesis destroys the fibrin in the blood; the nerve centers are poi^ soned, particularly that of the pneumogastric. LEDUM PALUSTRE— Led. Wild Rosemary. Objective. — Mydriasis. Acrid lacrimation. Subjective. — Lids burn. Pressure (or dull pain) behind the eye as if it would be forced out. Clinical. — Ecchymosis, spontaneous or trau- matic, of lids or conjunctiva. Used locally and internally. Mosquito bites; punctured wounds; post-operative intraocular hcemorrhage. Asthen- opia. LILIUM TIGRINUM— Lil. Tiger Lily. Objective. — Lacrimation. Lid margins red. Subjective. — Eyes bum, feel sandy on near vision; feel very weak. Ey«s smart. Sharp pains over left eye. > in open air. Disposition to cover and press open the eyes. Retinal hy- peresthesia. Vision. — Blurred, with heat in eyes and lids, extending back into the head. Asthenopia. Spasmodic astigmia. Spasm of accommodation. Characteristics. — The sphere of this remedy is MATERIA MEDICA. 79 the female sexual, from which the astigmia, ciliary spasm and the asthenopia are reHex. Mental depression. Nervous irritability; hur- ried manner, desire to be busy. LITHIUM CARBONICUM— Lith. c. Lithium carbonate. LiaCOg. Subjective. — Eyes pained, as if dry, during and after reading. Pain and heaviness over brows ; < toward evening. Vision. — Right hemianopsia; of two short words the right one is invisible. Entire vanish- ing of whatever he looked at. Charaeteristies. — Rheumatic gout. Tophi. Clinical, — Asthenopia. LYCOPODIUM CLAVATUM— Lye. Club Moss. Objective. — Styes, < toward inner canthus. Ulceration and redness of lids, with acrid lacri- mation. Lids red and swollen, < toward night. Morning agglutination without redness. Puru- lent mucus. Must wipe mucus away to see clearly. Subjective. — Photophobia, < evening light. Tears smart and bite the cheek. Severe burning and itching in eyes. Lids smart and bum. Lids 8o HOMCEOPATHY IN OPHTHALMOLOGY. dry, with smarting pain; difficult to open even on rubbing, in morning. Eyes dry and dim. Eyes dry in evening and night. Itching in both canthi with inflammation of right lids ; distress- ing pains as if they were dry, with nightly ag- glutination. Pressive pain in eyes as from dust. Stitches in eyes. Vision. — Nyctalopia, night blvndness. Even- ing light blinds him very much; can see nothing on the table. Sensitive to daylight. Vision weak, unable to distinguish small objects as well as formerly. A veil and flickering before the eyes after the afternoon naps. Sees floating black spots, at a short distance. Right hemianopsia, same with one eye as with both, but < with the right. Sees only left half of an object distinctly. Characteristics. — <. 4to 8 p.m.; <. right side. Red scmd in the wrvne. Abdominal distension, borborygmus, flatus. Early repletion when eat- ing. The patient likes sweets. Nutritional dis- orders. Gouty diathesis. Haemorrhoids. Clinical. — The progress of cataract has been arrested, when prescribed for chronic dyspeptic symptoms. Opacities of the vitreous have been known to disappear while taking lycopodium. MATERIA MEDICA. 8l MAGNESIA PHOSPHORICA— Mag. phos. Magnesium phosphate. MgHP04.7H20. Objective. — Lids twitch. Lacrimation. Subjective. — Orbital and supraorbital pains, < right side, > warm applications. Clinical. — ^A spasmodic drug. Nystagmus. Spasmodic strabismus. Myosis. Diplopia. Pho- tophobia. Chromotopsia, sparks. Is most used for neuralgia: the pains are paroxysmal, or shooting, darting, stinging, shifting, intermittent ; always > by warmth an,d pressure. MERCURIALIS PERENNIS— Mercurial. Dog's Mercury. Objective, — ^Eyes blink in open air and sun- light. Upper lids twitch, < left. Watery eyes. Mydriasis. Subjective. — On waking at night unable to open eyes immediately; lids seemed paralyzed, could not be opened until she had rubbed them. Weakness of upper lids so that at times she could not completely raise them. Lids hewuy and dry; 'dryness of the eyes. Burnmg in the eyes. Pain in eyes while reading and writing. Bruised sore feeling in eyes, with feeling as if they w«re too large for their sockets or as if they would be pushed out. Photophobia, to bright and artificial light. 82 HOMOEOPATHY IN OPHTHALMOLOGY. Vision. — Foggy, in morning. Letters run to- gether while feading. Clinical. — Asthenopia. Conjunctival hyper- semia with heavy lids after near vision. This remedy should be considered oftener in as- thenopia when the lids feel dry and heavy after near vision. MERCURIUS— Merc. Either Solubilis or Vivus. Either Hahnemann's Soluble Mercury or Quicksilver. Objective. — Upper lid thick and red, like a stye. Eyes inflamed, with swollen tarsi, and very sen- sitive to touch or light. Lids spasmodically closed. Acrid lacrimation. Morning agglutina- tion. Eyes forcibly drawn together. Inflawied swelling in the region of the lacrimal bone. Subjective. — Photophobia, £re, gas light; in- tolerance of light and iire-light. Heat, redness, pressure, in the -eyes, burning and biting. Sensa- tion of a cutting substance under left upper lid. Vision. — Dim. A fog before one or both eyes. Eyes drawn together on trying to look at any- thing, can not see it distinctly; the more she tries the less able is she to restrain the contraction, she is obliged to lie down and close the eyes. Muscae volitantes. Blinded by iire-light, in the evening. Characteristics. — < at night. Discharges thin MATERIA MEDICA, 83 and acrid. < by the glare of a £re; < by warmth in general; <■ in bed at night. Clinical. — One of the prominent eye remedies. Syphilis is a marked, but not a necessary, indi- cation; the aggravations are of prime import- ance. Dacryocystitis. Syphilitic lacrimal fistula. Eye trouble from working over a fire. Oph- thalmia neonatorum. Superficial inflammation of cornea or conjunctiva, catarrhal, phlyctenular or ulcerative. The corneal ulcer is usually quite vascular, it may be surrounded by a grayish opacity and accompanied by onyx. Conjunctival redness variable, usually marked; sometimes chemosis. Keratitis parenchymatosa, usually from hereditary syphilis. Kerato-iritis, with or without hypopion. Episcleritis. Mercurius pains are generally severe, more frequently tearing, burning, shooting or sticking, and not confined to the eye but extend into the forehead and tem- ples. Temples often sore to touch. Iritis, plastic, gummatous. Retinitis. Choroiditis. Optic neu- ritis. MERCURIUS BINIODATUS— Merc. bin. Mercurius iodatus ruber. The red iodid. Mer- curic iodid. Hgla. Clinical. — Has been useful in trachoma and pannus, corneal ulcer, scrofulous ophthalmia, diphtheritic conjunctivitis. The iodine seems 84 HOMCEOPATHY IN OPHTHALMOLOGY. relatively the more active element. Indurated cervical glands. Enlarged inflamed tonsils. The sore throat begins or is worse on the left side; it is more intense than with the yellow iodid. MERCURIUS SUBLIMATUS CORROSI- VUS— Merc. cor. Corrosive sublimate. Mercuric chlorid. HgCl^. Characteristics. — ^The most active preparation of mercury, is characterized by the intensity of its symptoms ; erythistic inflammation. Clinical. — Is usually more useful than the solubilis for scrofulous ophthalmia. The sub- limate seems to have a selective action upon the fundus oculi. No other remedy has been more frequently successful in retinitis aihumi/nurica, because it may be a cause of, and is very success- ful in, albuminuric nephritis. MERCURIUS DULCIS— Merc. dulc. Calomel. Mercurous chlorid. HgjCla. Clinical. — Useful in ciliary blepharitis, phlyc- tenular and scrofulous ophthalmia. Selected usually on its general symptoms; sore nose and swollen upper lip are suggestive. Flabby, bloated, pallid subjects with glandular swellings. The liver is almost always involved. MATERIA MEDICA, 85 MERCURIUS NITRICUS— Merc. nit. Nitrate of mercury. HgCNOs)^. Clinical. — For pustules, ulcer and phlyctenules of the cornea, particularly if recurrent, try this unless something else internally is indicated — the 3 to 6 centesimal. MERCURIUS PROTOIODATUS— Merc, prot. Mercurius iodatus flavus. The yellow iodid. Mercurous iodid. Hgjla- Characteristics. — The mercury seems the more active element. There is a thick 'dirty yellow coating at the base of the tongue. Bad breath. Sore throat begins or is worse on the right side. Clinical. — Trachoma with pannus, in all stages, but particularly for an acute exacerbation after the first stage has passed. Corneal ulcer. Par- ticularly effective for superficial ulceration of all or part, speciaily the upper part, of the cornea, commencing at the margin. Serpigenous ulcer. One of the most prominent remedies for corneal ulceration in the course of pannus and granular conjunctivitis. Pustular conjunctivitis. Pus- tular keratitis. Iridochoroiditis. Opacities of the vitreous. Syphilitic paralysis of the oculo- motor nerve. Syphilitic iritis. Syphilitic bleph- aritis. Blennorrhea of the lacrimal sac^ 86 HOMCEOPATHY IN OPHTHALMOLOGY. MEZEREUM— Mez. Mezereon. Objective. — Obstinate twitches in the left up- per lid. Eyes inflamed on rising in the morning ; conjunctiva injected, dirty red, < left, < near external canthus. Lacrimation. Subjective. — Byes feel dry, hot, with pressure. Pains in the eyes, pressing or tearing. Biting, smarting, with the lacrimation, must rub the eye. Itching of lid margin and skin near the nose. Characteristics. — The chief use of this remedy is for syphilitic cases (abused with mercury) and scrofulosis of skin, periosteum, bones ; and neu- ralgia. Eczema, hard thick whitish yellow crusts with thick yellow pus under them, exud- ing on pressure, is characteristic of this remedy. In ciliary neuralgia the pains radiate and shoot downward ; there is a feeling as though cold air were blowing in the eye. Bones of the face feel sore. The parts feel numb after the pain. Facial neuralgia involving the eye. NAPHTHALINUM— Naph. Naphthalin. QoHj. Objective. — ^This drug has caused in animals, cataract, detachment of the retina and, from smaller doses, small brilliant points in the optical MATERIA MEDICA, 87 papilla and also aggregated as a large white plaque, usually below the disc, which in extend- ing covered over the choroidal vessels. The cataract, when developed more slowly from the smaller doses, began as a turbidity extending rapidly from the posterior surface and borders; there were also opaque radiating striae from the borders of the lens. NATRUM ARSENICOSUM— Nat. ars. Sodium arsenate. Na2HAs04.7H20. Objective. — Palpebral and orbital conjunctiva much congested. Orbital edema, specially supra- orbitally. Morning agglutination. Lid edges chronically inflamed. Inner surface of (lower) lids granulated. Subjective. — Photophobia, <: at night. Lids disposed to close, to protect the weak eye; can not open them as wide as usual. Whole eye feels dry and painful ; soon tires on near vision. Eyes smart as from wood smoke; smarting and lacri- mation on going into open air. Burning lacri- mation. Aching through and over brows and orbits, and in temples on awakening. Eye symp- toms < morning, > evening. Characteristics. — ^This salt resembles natrum muriaticum in its action more than it does ar- senicum. 7 88 HOMCEX>PATHY IN OPHTHALMOLOGY. Clinical. — Trachoma, with pannus. Chronic catarrhal conditions: conjunctivitis, granular lids. NATRUM CARBONICUM— Nat. c. Sodium carbonate. NaaCOg.ioHaO. Objective. — Small ulcers of the cornea. Lids involuntarily close, difficult to open. Subjective. — Photophobia. Stinging pains with fllcers. Needle-like stitches in both eyes after dinner. Lids heavy. Vision. — Dim; constantly obliged to wipe the eyes. Muscse volitantes when writing. Dazzling flashes on waking. Characteristics. — > by gentle rubbing. Clinical. — ^Ulcerative keratitis. Small phlyc- tenules or ulcers of cornea with stinging pains and great photophobia. NATRUM MURIATICUM— Nat. m. Sodium chlorid. NaCl. Objective. — ^Edges of lids red, inflamed ; morn- ing agglutination with crusts. Irritability of lid margins, and their conjunctiva. Spasmodic clos- ure of the lids. Acrid lacrimation which makes the canthi sore cmd red. Lacrimation in open air; and inflammation with every slight wind. MATERIA MEDICA. 89 Redness of the white of the eyes, with lacrima- tion; "with feeling as if the, balls were too large and compressed. Increased secretion of clear mucus, and of the sebaceous glands. Subjective. — Lid margins bum, sore, feel in- flamed. Eyes sensitive to light, smart and bum. In the morning sensation of sand in the eyes. Pains as from a foreign body. Dry feeling in the eyes as after weeping a long time, while rid- ing in a carriage. Violentj burning in the even- ing. Sticking in the right eye. Itching; smart- ing pain. Itching of inner canthi with lacrima- tion. Slight pressive pains over the eyebrows. Vision. — Pressure in the eyes on looking in- tently at anything. Vision dim, eyes weak ; misty all day; vision not as clear as usual. Objects seem covered with a thin veil. On looking at anything, specially on sewing, sudden darkness ; she could see nothing until she directed her eyes at another object, at 6 p. m., with sleepiness. Eyes give out on using them, at near or distant vision. Letters and stitches run together, so that she can not distinguish anything for five minutes. Unsteadiness of vision; objects become confused on looking at them. Small -fiery points wher- ever she looks. Characteristics. — Drawing stiff sensation in the eye-muscles on moving them. Morning aggrOr- 90 HOMCEOPATHY IN OPHTHALMOLOGY. vation, between lo and 1 1 a. m. ; mental depres- sion, melancholia; backache, > lying up&n some- thing hard; emaciation, of the necU dispropor- tionate to that of the body. Muscular weak- ness, particularly of the internal recti. Frontal headache. Clinical. — ^Acts best, when indicated, in the- higher potencies. Retinal images retained. Heat and a feeling as if there was a rush of blood to the eyes. Severe pain over right internal rectus. Use of eyes brings on heaviness and drooping of the lids, and aching of the balls. Sharp pain over the eyes on looking down. Has proven beneficial in : muscular asthenopia; follicular conjunctivitis, chronic and mostly con- fined to the oculopalpebral folds, also when com- plicated with true trachoma; old cases of gran- ular lids, with or without pannus; pustules and ulcers of the cornea, particularly if chronic and recurrent; retinal hyperesthesia; blenorrhea, profuse clear mucus; lacrimal stricture and fis- tula ; ciliary neuralgia which comes and goes with the sun. ' NATRUM SULPHURICUM— Nat. s. Glauber's salt. Sodium sulphate. NaaSO^.ioH^O. Objective, — Morning agglutination. Lacrima- tion. MATERIA MEDICA. pi' Subjective. — Photophobia. Eyes sensitive to light, with headache. Eyes weak. Burning, of right eye, of lid margins. Edges of lids itch in morning. Eyes pain in evening when reading by artificial light, with heaviness of lids. Vision. — Dim. < near fire. Characteristics. — The typical remedy for pa- tients with the hydrogenoid constitution (Grau- vogl) : they can not tolerate sea air, they feel every change from dry to wet. Ailm^ents depend- ent upon or aggravated' by dampness of the weather or living in damp houses. Sycosis : latent gonorrhea. Clinical. — Granular conjunctivitis. Locally it has seemed to help macula cornese. NITRIC ACID— Nit. ac. HNO3. Objective. — ^Yellowness about the eyes with red cheeks. Lids swollen, hard. Difficulty in rais- ing upper lids in morning. Lacrimation. Subjective. — Photophobia. ' Burning, smart- ing, biting and stitches in the eye like splinters. Vision. — Double vision of horizontal objects, at a distance. Obscuration of sight while read- ing. Short sighted ; objects indistinct at a mod- erate distance. She can clearly distinguish nothing at night — nyctalopia — and everything seems double. 92 HOMCEOPATHY IN OPHTHALMOLOGY. Characteristics. — Sensation as if a fish-bone, splinter or piece of glass were sticking in. The chief remedy in (mercurialized) secondary syph.- ilis. Clinical. — Keratitis; corneal ulcer, tending to perforate. Syphilitic iritis, chronic cases, nightly pain absent or usually mild ; sometimes the pain is < in the day than the night. NUPHAR LUTEUM— Nuph. Small Yellow Pond Lily. Subjective. — Dull pain and sensation of weight in the orbit. Vision. — Brilliant sparks, especially after hard coughing. NUX MOSCHATA— Nux m. Nutmeg. Objective. — Blue rings around the eyes. Ptosis. Subjective. — Sensation of dryness in the eyes; of fullness; can move lids only with difficulty; lids feel heavy and stiff; reading by artificial light is difficult, the eyes would close from sleepi- ness. Vision. — Objects appear too large. Characteristics. — Sleepiness with all com- MATERIA MEDICA, 93 plaints. Dryness, of mouth, tongue and lips, ■without thirst. Functional disturbance from over- taxing the mind. Faintness or momentary un- consciousness. Hysteria. Clinical, — Episcleritis has been cured with this remedy. NUX VOMICA— Nux. Poison Nut. Quaker Buttons. Objective. — ^Lids twitch. Eyes blink. Move- ment difficult on account of muscular stiffness. Lacrimation; in morning, while yawning, eyes full of water. Subjective. — Photophobia, < morning. A smarting dry feeling in inner canthi, in the morn- ing in bed. Biting in the eyes, < external can- thi, as from salt, with lacrimation. The canthi are painful as if sore. Margin of lid painful as if rubbed sore, < on touch, < morning. Press- ure in the upper lids, and in the margins. Vision. — Cloudy. Glittering appearance before the eyes; floating black and gray points. Vision very sensitive. Retinal hyperesthesia. Characteristics. — Thin, irritable, choleric per- sons, with dark hair; persons who make great mental exertion, or lead a sedentary life; de- bauchers who are irritable and thin. Worse in the morning. Dull frontal headache (as from 94 HOMCEOPATHY IN OPHTHALMOLOGY. a cold or constipation). In the beginning of a cold when one is chillyj aching, yawny, and stretchy.. Nausea. Indigestion, soon after eat- ing, from overeating, high living. Effects of to- bacco, alcohol, drugging. Constipation, teasing ineffectual desire for stool. Diarrhea, preceded by pain ivhich is relieved by the passage. Clinical. — The special sphere of usefulness in ophthalmology is acute and chronic retrobulbar neuritis, and atrophy of the optic nerve. Am- blyopia; amaurosis. Muscular paresis and pa- ralysis. Ulcers, pustules, of the cornea. Iritis; chorioretinitis. Old cases of trachoma, even with pannus. Ciliary blepharitis; dacryocystoblen- norrhea; blepharospasm; morbid nictitation. ONOSMODIUM VIRGINIANUM— Onos. False Gromwell. Gravel Weed. Objective. — Optic disc hypersemic and retinal vessels engorged, < left eye. Subjective. — Heamness and dullness of the eyes. Eyes feel as if they had lost much sleep. Lids heavy. Tense drawing and tired feeling in the ocular muscles. It is disagreeable to look at near objects. Eyes feel as if they were very wide open, and he wanted to look at distant ob- jects. Pain in upper portion of left orbit with a feeling of expansion. Pain in and over the MATERIA MEDICA 95 left eye. Dull heavy pain in and soreness of the eye-balls. Vision. — Blurred. Far off objects look large. Characteristics. — Pains in left side of head and over left eye, extending around left side to back of head and neck. Dull heavy pains in occiput pressing upward with dizziness. Great muscula/r prostration, tired feeling all over the body. Mus- cles feel unsteady, treacherous, as if one dare not trust them to move. < left side. Clinical. — One of our very best medicines for muscular asthenopia, and headache from eye- strain. OPIUM— Op. Poppy. Objective. — Myosis. Eyes half closed, red. Subjective. — Eyes dry, weak, burn, and feel as if dust were in them. Sensation as. if eyes were too large for their orbits. Vision. — Scintillations. Characteristics. — Great drowsiness. Clinical. — Seldom used. May be studied for ef- fects of fright, and in cerebral paralysis, or con- vulsions. Embolism of the central artery of the retina: one case (T. F. Allen) gradually re- covered vision (and power in the paralyzed parts) under the use of opium alone. 96 HOMOEOPATHY IN OPHTHALMOLOGY. _ OSMIUM— Os. Os. Objective. — ^Veins of fundus large and tor- tuous. Profuse lacrimation. Lids spasmodically closed, with the sharp orbital pain. Subjective. — Sharp pain in orbit. Burning pain in eyes, with profuse lacrimation. Vision. — Halo around candle ilamie, rmnbow, bluish green or yellow. At a distance candle flame seems enveloped by dust or smoke. Dim sight. Letters run together, as from a fog. Clinical. — One of the prominent remedies for glaucoma, which it has actually cured. PARIS QUADRIFOLIA— Paris. Herb Paris. Fox Grape. Four Leaved Grass. Objective. — Jerking and twitching of right up- per lid. Subjective. — Eyes feel heavy. Eyeballs seem too large. Some stitches through the middle of the eye. Clinical. — Pain in the e'^es as if pulled into the head; feeling as if threads drew the eye into the middle of the head, or pain drawing from the eye to the occiput. This symptom has been re- peatedly confirmed. Neuralgic headache, eyes feel projecting and a thread drawing them back- MATERIA MEDICA, 97 ward to middle of head. A case of paralysis of the iris and ciliary muscle was permanently cured with paris. PETROLEUM— Petr. Coal Oil. Rock Oil. Objective. — ^An inflamed swelling (large as a pigeon's egg) in the inner canthus (like incipient lacrimal fistula). Epiphora. Conjunctivitis. Blepharoadenitis. Subjective. — Burning and pressure in inner canthus. Itching and dryness of the lids. Itch- ing and sticking in the eyes. Vision. — Dim on exerting the eyes. Weak visual power. Characteristics. — Tendency to fistula. Occi- pital headache. Rough dry skin with tendency to rhagades, cracks which bleed, suppurate ; < win- ter. Clinical. — Suppurative dacryocystitis and fis- tula. Marginal blepharitis. Is sometimes indi- cated in : trachoma with pannus ; scrofulous oph- thalmia ; iritis ; blenorrhea of the lacrimal sac. PHOSPHORIC ACID— Ph. ac. H3PO,. Clinical. — Has been useful in frontal headaches of school children from over-use of the eyes; as- thenopia from nervous debility; neurasthenia. 98 HOMCEOPATHY IN OPHTHALMOLOGY. PHOSPHORUS— Phos. P. Objective. — Eyes sunken and surrounded with blue rings. Eyes seem large. Edema of lids, and around the eyes. Ptosis. Myosis. Subjective. — ^Aching and burning pains in the eyes. Stiffness and heat. Dull pain after read- ing. Vision. — Objects look red. Letters look red, when reading. Hemeralopia — iday-blindness — sees more distinctly in tmlight than during the day. Eyes give out while reading. Obliged to hold objects near to see them distinctly; at a dis- tance everything seems enveloped in a fog or mist; could see better when pupils were dilated by shading them with the hand. Dimness, cloudy vision. Everything seems in a mist. Seems as if there were a black veil before the right eye. A green halo about the candle light in the evening. Photopsies, sparks in the dark. Flickering be- fore the eyes and roaring in the head. Muscse volitantes, spots, points, dark objects in the vision. Characteristics. — Irritable weakness of the nervous system. Very sensitive to external im- pressions, or the patient has been so. Makes the blood more liquid, slower in coagulating. Pro- duces local stasis, and fatty degeneration. Small wounds bleed easily; brittle blood-vessels. MATERIA MEDICA, 99 Clinical. — One of the principal remedies for deep-seated affections of the eye. Hyperaemia and inflammation of the optic nerve, retina and choroid. Retinitis apoplectica; albuminurica; with suppression of menses or other uterine or ovarian disorder. Cataract. GloMcoma. Cherry- red color before the eyes. Blindness after light- ning stroke. Amblyopia. Asthenopia. PHYSOSTIGMA VENENOSUM— Physos. Calabar Bean. Objective. — Myosis. Twitches of^ lids. Lacri- mation. Subjective. — Twitching in the ball. Drawing twisting sensation in the eyes. Ey«s sore and painful when moved; from side to side. Intoler- able pain over both orbits. Pain in eyeballs, sharp, shooting. Dull pain over or between the eyes, after use. Eyes smart; lids feel sore; heavy. Aching in posterior part of orbit, ex- tending back into brain, < reading, causes nausea. Eyes sensitive to light; feel weak. Vision. — Spasm of accommodation^ this may be irregular and cause astigmia. Blurred vision, a film ; objects mixed. The interni do not work right, the a>xes differ. Characteristics. — After local instillation, the accommodation recovers before the pupil does. lOO HOMCEOPATHY IN OPHTHALMOLOGY. Physostigma can cause a perfect picture of spinal irritation. Clinical. — Myopia, due to or increased by ciliary spasm, has been reduced perceptibly with the 2x internally. PHYTOLACCA DECANDRA— Phyto. Poke. Pigeon Berry. Objective. — Lids inflamed, swollen, hard, red- dish blue, edematous. < left, and in morning. Lids agglutinated. Lacrimation. Subjective. — Photophobia. Pressure around the eyes, in afternoon, as if they were too large. Smarting, sandy, feeling in the eyes. Lids feel as if granulated and their edges feel scalded, hot, as if raw. Dull aching pains in the eyes, < motion, light or exercise. Aching pains along lower half of right orbit. Characteristics. — ^Weakness. Tired aching and soreness general all over the body. Stony hard- ness of the bluish inflammation of cellular tissues. Clinical. — Orbital cellulitis, lids hard, swollen, reddish blue, without severe pain; chemosis; more or less dull aching pain. Panophthalmitis ; suppurative choroiditis; blepharitis. Has been useful in primary and secondary syphilis, and in malignant ulcers of the lids, as lupus, and epi- thelioma. MATERIA MEDICA. lOI PICRIC ACID— Pic. ac. CeH,(NO,),OH. Objective. — ^Yellow sclera. Conjunctivitis, > cold air and washing with cold water, < in warm room, with diMculty in keeping eyes open. Morn- ing agglutination on waking. Subjejstive. — Sticky sensation on reading. Feeling of sticks in the eyes. Dryness and sen- sation of sand. On studying, lids heavy, can not keep them open. Vision. — Dim and confused; as if looking through a veil ; air looks smoky. Sparks before the eyes, objects whirl. Characteristics. — Brain fag. Neurasthenia. Mental or physical prostration on exertion. Spinal and cerebral irritation to depression and paralysis. Clinical. — Dim vision, from neurasthenia, brain fag or sexual weakness. PLANTAGO MAJOR— Plant. Plantain. Clinical. — Ciliary neuralgia, prffsopaigia, from decayed teeth. Dull heavy ache in (left) eyeball with exquisite tenderness. I02 HOM gentle motion in cool open air. Vertigo. Fever without thirst, even when the patient licks his lips to moisten them. The char- acteristic (mucous) discharge is bland, profuse, yellow or whitish and thick. Indigestion; from rich, fat food ; two or three hours after eating. Clinical. — ^A valuable remedy, frequently called for; its selection should be largely gov- erned by the temperament and general symptoms. Catarrhal conjunctivitis; acute. Acute phleg- monous dacryocystitis, sometimes will be aborted. Trachoma without pannus. Blepharitis. Styes; if given early and not too strong often aborts them, and if continued prevents their recurrence. Purulent conjunctivitis. Scrofulous ophthalmia; phlyctenular conjunctivitis or keratitis; photo- phobia may be lacking. Superficial small cor- neal ulcers, from phlyctenules, often near middle of cornea. Episcleritis. Idiopathic iritis. Hy- MATERIA MEDICA. lOS persemia of the choroid, but more serviceable in hyperaemia of the optic nerve and retina. Has cured accommodative asthenopia. RADIUM— Rad. Radium bromid. RaBr^. Objective. — Ptosis. Dryness. Conjunctivitis, yellow discharge. Muscular weakness, paretic. Subjective. — Feeling of dryness. Eyes feel sticky. Ache. Shooting pains. Characteristics. — Mental depression. General lassitude. All proyers showed lowered blood- pressure, which persisted for some time, and also a marked increase of the phagocytic polymorpho- nuclear neutrophiles of the blood. Increased elimination of urinary solids, par- ticularly of the chlorids. < motion; late afternoon; heat is disagree- able. ' > continued motion ; open air ; pressure. Clinical. — Functional disorders from disturbed metabolism. Rheumatism; gout. Neuralgia; neuritis. Nervous debility. Arteriosclerosis. Cowperthwaite says that radium should prove to be a valuable intercurrent remedy, as it seems to increase the activities of other indicated remedies. I06 HOMCEOPATHY IN OPHTHALMOLOGY. RANUNCULUS BULBOSUS— Ran. b. Buttercup. Subjective. — ^Violent pressing pains, at times in one at times in the other eyeball. Burning soreness in right lower lid. Smarting and sore- ness in right outer canthus. Sore smarting within (right) eye. Painfulness of right eye- ball. Vision. — Misty. Characteristics. — Always < damp weather, or from change of temperature. Clinical. — Herpes zoster ophthalmicus (bluish black vesicles) with violent pains in and above the eyes. RHODODENDRON CHRYSANTHEMUM— Rhod. Golden Flowered Rhodendron. German, Alp- enrose. Schneerose. Objective. — Mydriasis. Subjective. — Dryness. Burning, periodical, in the eyes; without inflammation. Heat, burning pain, on near vision. Characteristics. — A rheumatic remedy. The characteristic is < at the approach of a storm and better after the storm breaks. MATERIA MEDICA. I07 Clinical. — Muscular asthenopia^ insuMciency of the interni. Ciliary neuralgia. Glaucoma. RHUS TOXICODENDRON— Rhus. Poison Ivy. Three-leaved Ivy. Objective. — Lids inflamed, much swollen; upon opening them tears or pus gu^h out. Lid puify, relaxed with hot flushed face. A hard red swell- ing like a stye on left lower lid near inner can- thus, with pressive pain. Eyes inflamed; agglu- tinated in morning with matter. Lids heavy and stiff as if paralysed, difficult to move them. Burning pain, in evening, with lacrimation. Whole eye and surroundings inflamed and swol- len; lids erysipelatous with scattered watery vesicles; edematous. Chemosis. Subjective. — Very sore a/round right eye. Ball very sore on turning or pressure, can hardly turn it. Violent itching, pricking, burning in the swol- len lids, and eyes. Eyes ache, or itch, on exert- ing them. Pressive pain as from dust or sand in the eye. Sharp pains from eyes into head. Drawing and tearing in region of brows and malar bones. Left eye felt enormously swollen and enlarged. Biting, as something sharp, acrid, were in the right eye. I08 HOMCEOPATHY IN OPHTHALMOLOGY. Vision. — Great obscurity. A veil, could not see well. Extreme confusion of sight. Dip- lopia. Characteristics. — Restless (aching). > con- tinued motion of affected parts despite stiff pain on beginning to move. > warmth; < in wet weather, < getting wet; < after midnight; < rest. Clinical. — The great remedy for orbital cellu^ litis, but particularly for panophthalmitis; for the latter give tincture (then ix) a few drops in a glass of water, two-dram doses repeated hourly if necessary. Epiphora, blepha/ritis, erysipelas, conjunctivitis, ptosis, ophthalmia neonatorum; pustules, ulcers of the cornea ; suppuration of the cornea follow- ing cataract extraction. Iritis, suppurative, rheur- matic or idiopathic. Suppurative uveitis (as above) . Paresis or paralysis of any of the ocular muscles, intrinsic or extrinsic, following expo- sure to cold and getting wet. RUTA GRAVEOLENS— Ruta. Rue. Objective. — Eye fills with water. Subjective. — Pressure deep in the orbits. Pain as from a bruise in the tarsal cartilages. Pressure over the brows. Stitches in left frontal bone. MATERIA MEDICA. IO9 only while reading. Itchingf in inner canthi and lower lids that after rubbing became a biting so that the eye filled with water. Eyes burn, ache, feel strained from overtaking them in near vision. Sensation of heat, fire, in eyes amd ach- ing, while reading. Weary pain in eyes after reading. Coldness beneath left eye. Vision. — Blurred, from overtaxing in near vision. Very weak, as if eyes were excessively strained. Objects dim as if a shadow flitted over them. Characteristics. — In rheumatic subjects or after trauma to bones, joints, muscles. < cold wet weather, > motion, with a general feeling of soreness as from' a bruise (backache) . Clinical. — Of the first importance in asthenopia, more often from weakness off the ciliary muscle than of the internal recti. Heat and aching in and over the eyes, which feel as if they were halls of fire; < night. Letters run together. SANGUINARIA CANADENSIS— Sang. Blood Root. Objective. — Mydriasis. Eyes red, in morning. ' Lacrimation. Subjective. — Burning dryness; followed by copious lacrimation. Pain over the eyes. Pain in balls on moving them. Balls sore, with dart- no HOMCEOPATHY IN OPHTHALMOLOGY. ing through them and dim vision. Eyes > hard pressure on them. Vision. — Dim. Characteristics. — ^A tissue irritant. Anxiety is almost always present, but not as an isolated symptom. Circulatory disturbances. Sick head- ache, spreads from occiput over the head and settles over the right eye. Clinical. — Acute conjunctivitis, and blepharo- adenitis have been relieved. SECALE CORNUTUM— Sec. Ergot. Objective. — E'^es sunken and surrounded with a blue margin. Fixed, -mid, staring. Mydriasis. Cataract. Vision. — Dim. Characteristics. — > from cold air. < ap- plied heat. Formication. Clinical. — Cannot bear any covering or warmth— ^Ergot is one of the drugs that has caused cataract. It has been suggested for retin- itis diabetica. SENEGA— Sen. Seneca Snake Root. Objective. — Eyes watery. Subjective. — Aching ov«r the orbits. Dull ach- MATERIA MEDICA. Ill ing oppressive pain about the eyes. Drawing and pressure in the balls, with lessened visual power. Dryness, with feeling as if the balls were too large for the orbits. Eyes weak, with much smarting, burning and lacrimation. Vision. — Objects look shaded. Flickering when reading, obliging one to wipe the eyes often. Eyes tremble and water on looking in- tently at an object; weak and watery, or bum, when reading. Reading difficult because it makes the eyes feel dazzled. Flickering and running together of letters when reading. When walk- ing toward the setting sun he seemed to see an- other, smaller, sun below the first, assuming a somewhat oval shape when looking down, disap- pearing on bending the head backward* Clinical. — Senega is valuable for absorption of lens fragments after cataract operation or in- juries. Hypotropia. SEPIA— Sep. Cuttle Fish Ink. Objective. — Lacrimation morning and evening; in the open air. Lids droop, with the dull head- ache. Agglutination. A red herpetic spot on the ■ *v. "Senega in Paralysis of the Superior Rectus.'' H. D. Schenck, M. D., Jour, of Oph., Otol.md Lar., May, 1911, p. 170. 112 HOMCEOPATHY IN OPHTHALMOLOGY. Upper lid', scaly and peeling. Pustules on the (left) conjunctiva. Eyes inflamed, injected, with swelling and burning; smarting, pressive pains; lacrimation, which relieves. Whites of eyes be- come yellow. Subjective. — Lids feel heavy, inclined ta close, as from paralysis. Pressure as from sand, < rubbing and pressing lids together. Soreness, roughness and burning in the eyes, from walk- ing in cold wind; < gas-light, and from read- ing. Heat and dryness of lid margins; with much itching. Eyes feel very sore as if bruised. Dragging feeling in the eyes. Eyes hot and dry. Pressure at night. Burning in the morning. Eyes feel like balls of fire, < left, which is in- jected. Eyes sore to touch. Smart in right eye in evening, with inclination to close against one's wish. Eyes tire on reading and writing. Can- dle light fatigues the eyes, when reading or writ- ing, by causing a contractive sensation. Can not bear reflected light from bright objects; it is annoying. Vision. — ^Vanishing of sight. Obscured as by a veil. Photopsies, fiery sparks, zig-zags. Flickering on looking into a light ; sees a zig-zag circle of colors. Many black spots. During menstruation everything goes black and clouded, in evening, with great weakness which passes off when lying down. MATERIA MEDICA. II3 Characteristics. — Torpidity, depression, prin- cipally of the portal hepatic and female sexual systems. Yellow saddle across the nose, and up- per, part of cheeks; also yellow or dirty yellow- brown spots on face and skin. Painful all gone sensation in stomach and abdomen. Urinary sediment of urates. Bearing down as if the con- tents of the pelvis would issue through the vulva, hence must cross her limbs. Exhaustion and faintness, in the morning, during the menses. < morning and ez/ening with > in middle of the day. A very important remedy. Clinical. — Chronic ciliary blepharitis, often with small pustules on the ciliary border. Tar- sal tumors have been relieved. Acute catarrhal conjunctivitis, with drawing sensation in ex- ternal canthus; also with mucopurulent discharge in the momingt and great dryness in the evening. Follicular conjunctivitis; mixed with trachoma. Vernal conjunctivitis, during summer only or < in hot weather. Trachoma, with or without pannus, especially in females addicted to tea. Sometimes phlyctenular conjunctivitis. Of great value for phlyctenular keratitis, particularly in females with uterine trouble; also parenchy- matous keratitis. Cataract, when properly in- dicated, progress checked and vision improved. 114 HOMCEOPATHY IN OPHTHALMOLOGY. SILICEA— Sil. Silica. Silex. Rock Crystal. Pure Flint. SiOj,. Objective. — Swelling of right lacrimal gland and sac. Lacrimation. Nocturnal agglutination. Lids twitch. Ulcer on left eye. Redness around eyes then also of the whites with inflammation and lacrimation. Subjective. — Pressure in upper lid with vio- lent twitches like a splinter, and vanishing of "visual power." Tension in eyes and forehead, with bodily weakness. Eyes painful, as if too dry and full of sand, in the morning. Piercing stinging pain in left eye. Tearing and burning in eyes on pressing them together. Heat and smarting in the eyes. Vision. — Indistinct, misty, with ilickering. Blackness after headache. Letters run together, can't read or write; they appear pale. Black spots. Characteristics. — Very sensitive to cold; wants to be warmly wrapped, particularly about the head. Long lasting ulceration or suppuration; ulcers > warm and < by cold applications ; pus is thin and offensive, often mixed with blood and, sometimes with little particles that look like cheese. Small wounds heal with difficulty, cmd suppurate profusely. MATERIA MEDICA. II5 Clinical. — Caries of the orbital bones — ^the most frequently indicated remedy. Dacryocys- titis and acute lacrimal fistula. Blepharitis. Tar- sal tumors. Corneal ulcer, crescentic, sloughing, small round, perforating, or non-vascular, cen- tral. The pain, photophobia and lacrimation are not specially marked. Valuable in hypopion. Choroiditis. Iridochoroiditis. Cataract. Ciliary neuralgia, with darting pains through the eyes and head upon exposure to any draft of air, or just before a storm. SPIGELIA— Spig. Pink Root. Objective. — Mydriasis. Lids lax and para- lyzed, hang low and must be raised with the hand. Whites inflamed. Lacrimation. Subjective. — Pain as if upper lid were hard or immovable. Fine cutting, like a knife, on mar- gin of left lower lid. Striking pressure under both lids. Pain as if left orbit were pressed from above downward. Sharp, shooting, cutting pains, radiating from the eye. Tearing pains in forehead toward the orbits. Burning pam in right forehead extending to the eye so that he could not turn it without pain. Eyes hurt on mo- tion as if too large for their orbits. Constant sticking pain iri right eyeball, also on moving it. Il6 HOMCEOPATHY IN OPHTHALMOLOGY. Violent burrowing stitch in the middle of the eye and inner canthus that does not prevent vision but presses upper lid downward. In- tolerable pf'essive pain in the balls, < turning them; dizzy on trying to look with the eyes turned, so that he was obliged to turn the whole head. Contractive burning pain in right eye- ball. Itching stitch in right ball, that returned after rubbing. Pain in eyes, deep in the sockets. Characteristics. — One of the great neuralgia remedies, specially of the fifth pair of nerves, and in neuralgic and rheumatic affections of the heart. Generally < in stormy weather. Pains radiate. Clinical. — ^The chief remedy for ciliary neu- ralgia. Its chief indications are the character and intensity of the pains. Iritis. Glaucoma. Ptosis. Corneal ulcer. Sclerochoroiditis. As- thenopia and anaemia of the optic nerve from too much tea drinking. SPONGIA— Spong. Sponge. Clinical. — In homoeopathic ophthalmic thera- peutics the only use for spongia has been in ex- ophthalmic goiter ; in the higher potencies it has been curative. MATERIA MEDICA. II7 STANNUM METALLICUM— Statin. Metallic Tin. Sn. Objective. — Pustular swelling on left inner canthus. Lacrimation. Nocturnal agglutina- tion. -Subjective. — Pressive pain in left inner can- thus as from a stye. Itching in the inner canthus. Vision. — When reading, vertigo with loss of sight. Characteristics. — Nervous exhaustion. Padns increase and decrease slowly. Copious secretion from mucous membranes, bland mucopurulent, yellowish or yellowish-green. Weakness, empti- ness, of the chest. STAPHYSAGRIA— Staph. Stavesacre. Objective. — Mydriasis. Eyes sunken, sur- rounded by blue rings. Marginal blepharitis. Subjective. — Itching of the lid margins. Pain as from a hard substance lying beneath the up- per lid. Pressure in the upper lid all day, by rubbing. Sore painful biting in eyes, toward evening, < right. Itching and sticking pom at inner canthi, with clouded sight. Eyeball feels dry. Constant burning in eyes with feeling of dryness and pressure. Tears hot, scalding. Fre- quent tickling in right eye, as from dust. Vio- lent itching of left eye. Much photophobia. PaJins < evening and night. Vision. — Dim. Green rings. Characteristics. — Zinc depresses the nervous system. Brain fag. Most symptoms appear after dirmer and toward evening. < from wine. Nervous restlessness, fidgety feet. Clinical. — Pterygium, a number of cases have been cured by its internal administration. Con- junctivitis, and it has also removed persistent redness of the conjunctiva remaining after pus- tular keratitis, < toward evening and in cool air, with no discharge. Amblyopia, with great pressure across the root of the nose. Ptosis. CHAPTER IV. REPERTORY. One should continually bear in mind that the proper use of a repertory is but to suggest which remedies might well be studied in the materia medica. In the Clinical Index the remedies in the first alphabetical sequence are the most apt, other things being' equal, to prove of value. As usual, italics and small capitals indicate remedies of re- spectively greater value than those in ordinary type. At times the indicated remedy may with advantage be used locally, several drops of the tincture in water — or even hypodermatically. It may be well to consult other symptoms in the repertory similarly worded to those being studied. The sign " signifies that the only authority for the remedy so marked is clinical experience. CLINICAL INDEX. Abscess of lid — Con. Amblyopia (Amaurosis) — ^Alum., Ars., Bell., Chin, s., Filix mas, Gels., Nux, Salic, ac, Tabac, Wood alcohol. Anaemia. Retinal — Agcw., Calc, c, China, Chin, s., Per., Phos., Puis. CLINICAL INDEX. 127 Asthenopia. Accommodative — Agar., Arg. n.. Con., Gels., Jab.^ Lil., Op., Paris, Phos., Physos., RuTAj Sulph.; Bell, Calc. c, Caust., Cimic, Croc, Mercurial., Nux m., Spig. Asthenopia. Muscular — Agar., Alum., Calc. c. Con., Gels., Jab., Kalm., Led., Lil., Mer- curial., Nat. m., NUfX, Onos., Paris, Physos., Rad., Rhod., Rhus, Ruta, Sen., Sep. Astigmia — Lil., Physos. Blepharitis — Ant. cr.. Apis, Ars., Bell., Calc. c, Calc. i", EuPH., Graph., Hep., Iod., Merc, Nat. ars., Nat. m.. Puis., Rhus, Sulph.; Aeon., Alum., Arg. n., Aur., Calc. pic, Caust., Cinnab., Kreos., Lye, Merc, cor., Merc, nit., Merc. prot., Mez., Nux, Petr., Pic. ac. Sang., Sen., Sep., Staph., Tell., Thu. Blepharitis marginalis-— Bor., Graph., Merc. Blepharospasm (Nictitatio) — ^Agar., Physos.; Alum., Bell., Cic, Ign., Nux. Cataract — In the early stages this has been checked and even cured by the indicated rem- edy. Calc. ph., Caust., Con., lodof., Naph., Phos., Sec, Sep. ; Arg. n., Bar. c. Chin, ars., Ign., Kali i., Kali m., Lach., Lye, Mag. c, Nat. m., Nit. ac, Nux, Puis., Sen., Sil., Sulph. Chalazion — Platanus occidentalis. Staph., Thu.; Calc. c, Caust, Con., Hep., Puis., Zinc. Chloropsia (Sees green) — ^Ars., Calc. c, Caust., Cycl., Dig., Phos. 128 HOMCEOPATHY IN OPHTHALMOLOGY. Choroiditis— ^Mr., Bell., Bry., Dub., Fe. ph., Gels., Hep., Kali i., Kali m., Kalm., Merc. COR., Merc, Nux, Phos., Phyto., Prmi., Rhus ; Aeon., Ars., Crotal., lod.. Jab., Lach., Puis., Ruta, Sil., Sulph., Ver. v. Chromatopsia (Sees colors) — Bell., Bry., Cina, Cycl., Dig., Mag. ph., Phos., Scmt., Stram., Tril. Commotio retinae — ^Arn., Hyper.; Apis, Gels. Conjunctivitis — ^Acet. ac, Acon., Alum., Ant. cr., Apis, Arg. n., Ars., Aur., Bar. i.. Bell., Calc. c, Calc. i., Calc. hy., Calc. s., Caust., Cepa, Cham., Cinnab., Clem., Con., Crot. tig.. Dub,, EuPH., Fe. ph., Graph., Hep., Ipec, Kali b.. Kali i., Kreos., Lach., Merc, Merc, cor., Merc, dulc, Merc, nit., Merc. prec. rub., Merc, prot., Nat. m., Nit. ac, Nux, Phyto., Puls., Rad., Rhus, Sang., Sep., Sulph., Tereb., Thu., Zinc. Croupous — ^Acet. ac. and Keratitis. Phlyctenular (See Phlyc- tenular) . Pustular. (See Pustular.) Cyclophoria — Sen. ° Cyanopsia (Sees blue) — Kali c, Tril; Aur., Lach., Stram., Agar. Dacryoadenitis — ^Acon., Apis, Hep., lod., Rhus, Sil. Day-blindness (see Hemeralopia) . Descemet's membrane, Deposits on ("Des- CLINICAL INDEX. I29 cemetitis") — Gels., Kali b. ; Ars., Aur., Calc. c, Hep., Merc. Detached retina — Apis, Arn., Aur., Dig., Gels. ; Ars., Bry., Hep., Kali i., Merc, Naph., Phos., Rhus. Diplopia — ^Aur., Bell., Caitst., Cic, Chel., Con., Cupr. acet., Cycl., Dig., Gels., Hyos., Lye, Nat. m., Nit. ac, Humb., Stram., Sulph, Ecchymosis (palpebral or subconjunctival) — Arn., Led.; Aeon., Calend., Canth., Crotal., Hmn. Ectropion — Nit. ac. Entropion — Arg. n., Bor., Merc. cor. Episcleritis and Scleritis — Kalm., Merc, Sep., Thu. ; Aeon., Aur., Cinnab., Coccul., Nux m., Puis., Spig., Tereb., Sulph. Erythropsia (Sees red) — Bell., Cact., Calc. c, Caust., Con., Hep., Hyos., Phos., Sulph. Exophthalmic goiter — ^amyl. Bad., Cact., Fer., lod., Lycopus, Spong. ; Aeon., Ars., Bell., Bry-., Calc. c, Calc. i., Phos., Sil., Sulph., Verat. a., Ver. v. Foreign bodies — AcoN., Arn., Calend., Ham., Hyper., Led., Rhus. Fistula lacrimalis — The following have been used or recommended for recent cases : Brom., Calc. c, Calc. fl., Fl. ac, Hecla, Lach., Merc, Nat. m., Petr., Sil., Sulph. Glaucoma — Bell., Bry., Gels., Prun., Os.; Aeon., Asa., Ced., Coloc, Phos., Rhod., Spig., Nux; 130 HOMCEOPATHY IN OPHTHALMOLOGY. Arn., Ars., Aur., Cham., Con., Crot. tig.. Ham., Kali i., Macrotiti, Merc, Sulph. Hemeralopia (Day-blindness. Gk. 2/i£pa, hem- era, day, aXaos, alaos, blind, oi/f, ops. eye) — Both;, Phos.j Stram. Hemianopsia — Calc. c, Calc. s., Caust, Plumb., Sep., Tit. Horizontal (Dividing line) — Sep., Tit. Upper half lost — ^Am., Ars., Aur., Dig., Gels. Lower half lost — ^Aur. Lateral (Vertical dividing line) — Calc. c, Morph., Mur. ac, Nat. m.. Plumb. Left— Cic. Right — Cocc. ind., Lith. c, Lyc. Herpes zoster ophthalmicus — Ceot. tig., Ra.n. b., Rhus; Ars., Canth., Graph., Merc, Puis. Heterophoria (see Muscular asthenopia). Iridochoroiditis — ^Apis, Ars. Asia., Aur., Bell., Bry., Gels., Hep., Kali i., Merc, cor., Merc, prot, Prun., Sil., Sulph., Thu. Iritis — Aeon., Am., Ars., Asa., Aur., Bell., Bry., Calc. hy., Ced., China, Chin, m., Cinnab., Clem., Con., Euph., Gels., Ham., Hep., Kali b.. Kali i., Merc, Merc, cor., Merc, dulc, Merc prot., Nat. sal., Nux, Nit. ac, Petr., Rhus, Spig., Sulph., Tereb., Thu. CLINICAL INDEX. I3I Keratitis (see Conjunctivitis). Parenchymatous — Apis, Ars., Aur., Bar. i., Calc. ph., Can. sat, Fe. ph.. Hep., Kali i.. Kali m., Merc, Sep., Sulph., or other prep- arations of calc, kali and mere Phlyctenular (see Phlyctenular). Pustular (see Pustular). Keratoconus — The progress of conical cornea has been checked with the indicated homoeopathic remedy, which however does not lessen the conicity — Calc. i.. Puis. Lacrimal fistula (see Fistula lacrimalis). Lupus — Apis, Hydrocot., lodof., Phyto., Radium, Thu. Madarosis — Bor. Muscular insufificiency — Con., Nat. m., Physos., Rhod., Ruta. See Asthenopia, Muscular. Nerve. Optic (see Optic nerve). Neuralgia. Ciliary and Ocular — ^Acon., Arn., Ars., Amyl, Asa., Bad., Bell., China, Chin, m., Cimic, CiNNAB., Coloc, Croc, Hyper., Ign., Ipec, Kali ph., Mag. ph., Mez., Nat. m., Nat. sal.. Plant., Ph3rto., Prun., Rad., Sang., Sil., Spig., Tereb., Thu. Infraorbital — Arg. n., Ars., Bell., Kalm. Supraorbital — Asa., Ced., Chel., China, Chin, s., CiNNAB., Ign., Kalm., Mag. ph., Nat. m., Nux, Sep. 132 HOMCEOPATHY IN OPHTHALMOLOGY. Neuritis. Retrobulbor — Ars., Nux, Tereb. ; Fe. ph., Kali ph. This has been caused by the following, any one of which may, too, be of remedial value: Amyl (wood) alcohol, Atoxyl., Can. ind.. Carbon bisulphid, Dinitro- benzol, Iodoform, Nitrobeniol, Lead, Stra- monium, Tobacco. Nyctalopia (Night-blindness, from Gk. w^, wux, night, aXaos, alaos, blind, ot^., jKali c, Stram., Zinc; Ars., Calc. c, Caust., Cycl., Phos. Chromopsia (see Chromatopsiain Clinical In- dex). Ciliary spasm — Cic, Jab., Lil., Physos. Colors (see Chromopsia). Confusion on rising — China. Coughing. Sees sparks after — Nuph. Cyanopsia (see blue) — Agar., Kali c„ Strain., Tril. ; Aur., Lach. Day blindness (see Hemeralopia in Clinical In- dex). Dazzled. Eyes feel — Sen. Dilating pupils by shading them. Sees > — Phos., Sulph. - Diplopia — Ait/r., Bell., Con., Gels., Mag. ph.,° Nit. ac, Physos., Plumb., Ver. a. on near vision — Graph., Nat. m., Physos., Rhus. 154 HOMCEOPATHY IN OPHTHALMOLCX3Y. on inclining head toward shoulder — Gels. laterally— Bdl. Paretic — Caust, Gels., Sen. Spasmodic — Cic, Physos. vertically — Bell., Nit. ac, Sen. Distant, Objects look more, than they are — ■ Sulph. vision blurred — Graph., Jab., Lil., Phos., Puis. Drawn together, Eyes feel, on near vision — Merc. Erythropsia (sees red) — Bell., Phos.; Calc. c, Cact., Con., Hep., Hyos., Sulph. Field of vision reduced — Hep. Fiery points wherever she looks — Nat. m., Pic. ac. Flickering — Agar., Ant. t., Bell., Calc. c, Caust., Chin. ars.,° Cycl., Graph., Ign., Lack., Lye*, Phos., Sen., Sep., Sil, Sulph., Thu. ; Ars., Calc. fl., Hyos. Glimmering — Kalm. Gray spots and serpent-like bodies — Arg. n. Green vision (see Chloropsia). Halo— BeW., Calc. c, Ladh., Os., Sep.; Amyl, Anac, Ipec, Staph., Sulph. blue and red — Ipec. bluish green — Os. green — Phos., Zinc, rainbow — Bry., Os., Sep. yellow — Os. VISION. 155 Heat in the eye when looking — ^Aur., Rhod., Ruta. Hemianopsia — Calc. c, Calc. s., Caust., Plumb., Sep., Tit. Inferior — ^Aur. Lateral — Calc. c, Morph., Mur. ac, Nat. m., Plumb. Left — Cic. Right — Coccul., Lith. c. Lye. Superior — Aur., Dig., Gels. ; Am., Ars. vertically-^Sep., Tit. Letters appear pale — Sil. run together — ^Agar., Bry., Fer., Graph., Mer- curial., Nat. m., Os., Physos., Ruta, Sil. Light, The, seems dimmer than usual — Croc. Muscae volitantes — ^Agar., Bell., Calc. c, Carbo v., China, Chin, s., Chloral., Cimic, Cycl., Dig., Gels., Glon., Jab., Lye, Merc, Nat. c, Nux, Phos,, Sep., Sil., Sulph., Thu.; Con., Kali c, Lil., Nit. ac, Physos., Rhus, on stooping — Glon. Nausea on looking at moving objects — ^Jab. on reading — Jab., Physos. Near objects look smaller if one eye is covered — Bell, sighted — ^Agar., Carbo v., Hyos., Nit. ac, Phos., Physos. vision difficult — ^Agar., Bell., Carbo v., Lach., Lye, Merc, Phos., Sen. 156 HOMCEOPATHY IN OPHTHALMOLOGY. disagfeeable — Onos., Ruta, Sep. draws the eyes — Merc, Nat. m. Objects appear to approach and recede altern- ately — Cic, crooked — Bell. covered with rainbow colors — Bry. shaded — Sen. dance with each pulsation — Glon. look bluish— Tril. large — Nux m., Onos., Hep., Hyos. red — Bell., Phos. seem more distant than they really are — Sulph. undulate — Bell. waver — Con. whirl — Pic. ac. Photopsies (and phosphenes) — Agar., Bar. c, Bell., Calc. c, Caust., Chel., Chin, s.. Chloral., Cina, Croc., Cycl., Gels., Glon., Hep., Kali c, Lach., Mag. ph.,° Nat. c, Nat: m., Nuph., Nux, Op., Phos., Pic. ac, Sep., Thu. Retinal image persists — Nat. m. Serpentlike bodies and gray spots — Arg. n. Short sighted (see Near Sighted). Sleepy on using eyes — ^Asa., Con., Nat. m., Nux m. Small objects not seen so well as formerly — Lye, Phos. Spasmodic astigmia — Lil., Physos. myopia — JaJ?., Physos. VISION. 157 Sudden obscuration of vision (see Vision). Veil, A black, before the eyes — ^Aur. met., Phos. Vision. Blue spots — Kali c. (see Cyanopsia). blurs — Bell., Jab., Nat. m., Physos., Sep. changes constantly — Cic, Jab. Colored (see Chromopsia). confused — Aur., Nat. m., Physos., Pic. ac. Puis., Rhus, Thu, difficult — Aeon., Aur. met., Bell., Lye, Merc. dim (fog, mist, veil) — ^Acon., Agar., Alum., Am., Aur., Bar. c.,, Bell, Bry., Calc. c, Caust,, Cham., Chd., China, Chin, s., Chloral., Con., Croc, Cycl., Euph., Per., Gels., Hep., Jab., Kali b., Kali i., Lach., Lil., Lye, Mercurial., Merc, Merc cor., Nat. c, Nat. m., Nat. s., Nux, Onos., Os., Phos., Physos., Pic. ac. Plumb., Ran. b., Rhus, Ruta, Sang., Sec, Sen., Sep., Sil., Stram., Sulph., Thu., Tril., Zinc. ; Amyl, Ars., Glon., Hyos. green (see Chloropsia). like hairs or feathers before the eyes — Alum. obscuration in reading, etc. — Bell., Hep., Jab., Nat. m., Phos. with nausea — Jab., Puis, sudden — ^Arg. n.. Bell., Euph., Jab., Lil., Nat. m.. Nit. ac, Petr., Phos., Physos, Puis., Ruta, Stan., Sulph. red — Bell (see Erythropsia) . 158 HOMCEOPATHY IN OPHTHALMOLOGY. unsteady — Con., Nat. m., Physos. vanishes during a headache — Sil. ; Amyl, Glon., Sang, during menstruation — Graph., Jab., Lil., Phos., Puis. on rising — C3iel., China, Cina, Fer., Hep., Puis, weak — Kali c, Nat. m., Nat. s., Phos., Physos. Yellow (see Xanthopsia). Waves — Bor. White. All colors appeared — Con. Wipe the eyes. Must — Croc., Euph., Nat. c. Sen. Xanthopsia (sees yellow) — Cina, Dig., Sant. ; Anun. c, Cycl., Hyos., Kali b. AGGRAVATIONS. * I to 3 a. m. — ^Ars., Chin, ars., Tereb.° 3 a. m. — Kali c. 10 to II a. m. — Cact, Nat. m. 4 to 8 p. m. — Lyc. 6 p. m. — Nat. m. After midnight — ^Ars, Chin, ars., Rhus. Artificial light— Bell., Calc. c, Chel, Euph., Hep., Lyc, Mercurial., Merc. Change of temperature — ^Ars., Ran. b. Cold — Calc. c. Hep., Kali b.. Kali c. AGGRAVATIONS. 1 59 applications — SM. weather — Dulg., Ruta. wind — Aeon., Coust., Sep. Cool air — Zinc. Damp weather — Nat. s.. Ran. b., Rhus. Dark stormy days — Kali i., Spig. Daylight — Graph. Evening — ^Acon., Alum., Ars., Ced., Chel., Cinnab., Kali b., Lye, Merc, Nat. s., Zinc. Toward — Lith., Lyc. Fixing the eyes — ^Aur. met. Food — Carbo v. Getting wet — Calc. c, Rhus. Heat of a fire — Arg. n., Como., Merc., Nat. s. Hot weather — Sep.° Inner canthus — Aeon., Arg. n., lod., Lyc, Merc, Zinc. Left— Agar., Bad., Ced., Chloral., Clem., Ipec, Lach., Lil., Mercurial., Mes., Onos., Phyto., Sep., Sil. Looking at a distance — Jab. down — Aeon., Nat. m. intently at anything — Nat. m. to the right — Caust. up — ^Alum., Carbo v., Chel. Lying down — Ced. Morning — ^Acon., Mercurial, Mez., Nat. ars., Nat. m., Nux, Phyto., Sulph. Motion — ^Acon., Arn,, Ars., Aur. met., Bry., l6o HOMCEOPATHY IN OPHTHALMOLOGY. Caust., Chel., China, Como., Fe. ph.. Hep., Jab., Kali b., Kalm., Physos., Phyto., Prun., Sang., Spig. Near visiaa.— Bell., Carbo v., Jab., Physos:, Pic. ac., Rhod., Ruta, Sq>. Night — Aur., Bad., Cinnab., Coccul., Lye, Merc, Nat. ars., Prun., Tereh.," Zinc. Open air — Caust., Colch., Kali b., Sep., Sulph. Outer canthu*— Graph., Mez. Pressure — Aur., Bry., Lach., Sep. Reflections of light — Sep. Rest — ^Aur., Rhus. Right — ^Agar., Aloe, Alum., Aur. met., Apis, Bry., Qiel., Como,, Gds., Lyc, Nat. s., Paris, Prun., Ran. b., SU. Rubbing the eyes — Sep., Spig. Stooping — Coloc. Sunlight — ^Acon., Sulph. Touch — Aur., Caust., Cham., Hep., Loch., Spig. Upper lid — ^Acon., Alum., Apis, Kjvli c. Mer- curial., Mez., Spig. Warm room — Bry., Pic. ac., Puls. Warmth — Arg. n. Water. Washing in — Sulph. Wine — Zinc. AMELIORATIONS. Qosing the; eyes — ^Aur. met.. Con. Cold air — lod., Pic. ac. CONDITIONS. l6l applications — Pic. ac., S^c. Cool air — Puls. Covering either eye — Bell. Evening — Nat. ars. Lacrima,tion — Sep. Looking at a distance— Onos. Lying down — Sep. Making the eyes small^ — ^Aloe. Motion — Rhus, Ruta. Open air — Croc, Lil. Pressure— ^jff., Coloc, Mag. ph.,° Sang. Rainy weather — Caust. Rest — Asa. Rubbing — Caust., Mercurial., Nat., c, Zinc. Shading the eyes — Phos. Stooping — ^Acon. Touch— Thu. Warm applications — Ars., Mag. ph.,° Rhus, Sil. room — Coloc. Winking — Euph. Wiping the eyes — Bell., Euph., Lye. CONDITIONS. Air. In the open — Nat. m. Ansemia. In' — China, Chin, arsi, Chin, s., Fer. Artificial light. While reading by— Chel., Stan., Sulph. Asthenic patient— Ant. t:, Ars., Calc. hy., Ca/rbo v., China, Fe. ph., Gels. l62 HOMOEOPATHY IN OPHTHALMOLOGY. Blood impaired — Carbo v., Crotal., Lach., Sec. Blowing the nose. Dim vision on — Caust. Brain fag — Pic. ac., Zinc. Cerebrospinal debility — Coccul. Cold air. Lacrimation in — ^Ars., Puis., Sulph. Cold dry wind. From a — ^AcoN., Caust. Coug'hing. Sparks after — Nuph. Damp warm marshy locality. From or in a — Ced. Evening. In the — ^Dig., Euph., Ign., Lye, Nat. m. Hyperthyroidism — ^Ars. Low vitality — ^Ars., Calc. hy., Carbo v. Masturbation. Asthenopia from — ^Arg. n.,° Con. Meal. After a — Bar. c, Nat. c, Nux. Menstruation. During — Graph., Lil., Puis., Sep. Morning. In the — ^Alum., Ant. cr., Aur., Bar. c, Bor., Caust, Nat. m., Nat. s., Nux, Sang., Sulph. Motion. Could read only while the paper was in— Bell., (Ign.?). Night. At— Asa,, Kali c, Merc. Reading or writing. After — Croc., Lith. c. While— Agar., Bor., Graph., Hep., Kali c, Lil., Lith. c, Mercurid., Nat. c, Rhod., Ruta, Sen. Rheumatic gouty cases with debility — Col'ch. Sexual excess. Bad effects of — Kali c, Staph. Sthenic cases — ^Acon., Bell. CHARACTERISTICS. 163 Storm. Just before a — Sil. Sun. From heat of the — Glon. Suppuration after the pus has obtained a vent — Calc. C.J Sil. Syphilis. Mercurialized — Hep., Nit. ac. Tea. From too much — Spig. Tropical countries. In — Ced. Waking. On — Lach., Nat. c. • Water. From working in — Calc. c. CHARACTERISTICS. Acute exacerbation of chronic inflammation — lod. Anguish — ^AcoN., Ars., Aur. Anxiety — ^Acon.j Ars. Asthenopic occipital headache — Coccul-, Cimic, Gels., Onos. Blondes. Fat — Calc. c, Hep. weep easily — Puls. Blood disorganized — Crotal., Lach. pressure high — Bell. pressure low — Rad. vessels brittle — Phos. Borborygmus — Lyc. Burning — ^Ars., Carbo v. Clock-like regularity — Ced. Cold air blowing on the ey«. Sensation of — Fl. ac.j Mez. 164 HOMCEOPATHY IN OPHTHALMOLOGY. Sensitive to — Cham., Caust., Clem., Hep., SiL. (and to cold drinks) yet > in rainy weather — Caust. Dampness (weather or house) caused or < the condition — Nat. s. Debility with nervous erythism — China, Fer. Despair — Ars., Aur. Downward motion. Dread of — ^Bor. Dread of death — Ars. Drowsiness — ^Apis, Nux m.. Op. Dryness of mouth and throat without thirst — Nux M. Early repletion when eating — Lyc. Excessive sensitiveness — Cham., Hep., Hyper., Lach., Spig. Exudative stage of inflammation — Kali m.° Fanned. Wants to be — Carbo v. Face red — Bell., Bry., Gels. Food, Smell of, nauseates — Colch. Gonorrhea. Latent — Nat. s., Thu. Head, Wants, warmly wrapped^ — Sil. Headache, Occipital, upward and settles over right eye — Sang. Dull pains spread upward with dizziness — Onos. Hard. Inflamed tissue is — Con., Phyto. Heaviness — ^Aloe. CHARACTERISTICS. 165 Hurried. Feels and walks — Arg. n., Lil. Hydrog-enoid constitution (Grauvogl's) — Nat. s. Indolent inflammation — Kali b. Inward. Pains extend — Aur. Irritable (cross, etc) — Ant. cr., Ant. t., Argf. n., Aur., Bry., lil., Nux. Mental depression — ^Ars., Aur., Ign., Nat. m.. Puis., Rad. Mind. Functional disturbance from overtaxing the — Nux m.. Pic. ac, Zinc. Motion, Restless aching > by continued, despite < on first moving — .Rhus. Noise. Sensitive to — ^Aur., Bell. Numb, Parts feel, after the pain— 'Mez'. Outward. Pains extend — ^Asa. Pains increase and decrease suddenly — Bell., Ced. gradually — Stan. like splinters or pieces of glass — Nit. ac. Hep., Sulph. radiate — Mez., Spig. recur with clock-like regularity — Ced. are unbearable — Cham. Photophobia, and pain excessive with little or no inflammation — Con. Puffy between brow and lid — Kali c. Ravenous eater yet is thin — lod: Reflexes from uterus, ovaries or spine — Cimic, Cycl., Lil. l66 HOMCEOPATHY IN OPHTHALMOLOGY. Restless rheumatism — Rhus. Sleeps into an < — Lach. Small wounds bleed much — Phos. Storm, < on approach of a, > as soon as the rain falls — Rhod. Sweets. Craves and is < by — Arg. n. Thirst for frequent small drinks — Ars. Thirstless, even with fever — ^Apis, Nux m., PULS. Tophi — Lith. benz., Lith. c. Ulcers without inflammation or pain — Kali b. have great pain — Con. Unbearable. Pains or condition are — Cham. Vertigo — China, Dub., Fer., Gels., Glon., Onos., Puis. disappears on closing the eyes — Con.