A
TREATISE ON HIIEADACHES:
INCLUDING
ACUTE, CHRONIC, NERVOUS, GASTRIC, DYSPEPTIC, OR SICK-HEADACHES; ALSO,
CONGESTIVE, RHEUMATIC, AND PERIODICAL HEADACHES.
BASED ON
TH. J. RUCKERT'S
CLINICAL EXPERIENCE IN HOM(EOPATHY.
WITH INTRODUCTION, APPENDIX, SYNOPSIS, NOTES, DIRECTIONS FOR
DOSES, AND FIFTY ADDITIONAL CASES.
BY JOHN C. PETERS, M.D.
NEW-YORK:
WILLIAM RADDE, No. 322 BROADWAY.
PHILADELPHIA:  RADEMACHER &  SHEEK.-BOSTON:  OTIS CLAPP.-ST. LoUs:t
C. F. WESSELHOEFT.LONDON: BAILLIERE, 219 REGENT-ST.
MANCHESTER: TURNER, 97 PICCADILLY.
1853.




Entered according to Act of Congress, in the year 1852, by
WILLIAM RADDE,
In the Clerk's Office of the District Court of the United States for the
Southern District of New-York.
ANGELL, ENGEL & HEWITT,
PRINTERS,
Nos. 1, 3, & 5, SPRUCE-ST., N. Y.




RICHARD M. BOLLES, M.D.,
%   a Wefitimona of 3eptct
FOR HIS
GREAT FAITHFULNESS AND ACCURACY IN THE STUDY AND TREATMENT OF DISEASE,
AND ADMIRATION FOR HIS
TRULY UPRIGIIT, CHARITABLE, AND
CHRISTIAN CHARACTER,
THIS TREATISE
E.s 3nespectfull neticateb
BY HIS FRIEND
J. C. PETERS.








AMERICAN EDITOR'S PREFACE.
I HAVE undertaken the translation and elaboration of "Riickert's
Clinical Experience in Homceopathy, or a complete collection of all the
cures and practical remarks recorded in the literature of Homceopathy
from the year 1822 to 1850;" of which this little treatise on Headaches
forms the first part:
(1). Because it possesses much practical value, and will lead to the
better homoeopathic treatment of the sick;
(2). Because it evinces in every line so much industry and honesty of
purpose, that it of itself furnishes strong proof that some homceopathic
physicians, at least, are both pains-taking and sincere;
(3). Because Riickert has recorded and compared the experience of
all classes of homoeopathic physicians with the most wonderful faithfulness and impartiality, utterly regardless of his own preferences and
opinions, and without the least trace of a narrow, sectarian or bigoted
spirit;
(4). And finally, because I believe that the experience of the numerous physicians he has recorded is as real and true, as the majority, at
least, of all that is published in the general annals of medicine.




Vi                          PREFACE.
One is strongly led to wish, that an equally complete collection of
allopathic cures, effected by a single remedy in each case, had been
compiled faithfully and impartially by some one of the dominant school,
who is as honest, well educated, and liberal as Riickert. In default of
this, I have occasionally alluded in various notes scattered through the
work to the best established old school curative and palliative treatment,
by way of contrast with the homceopathic, and for the information of
such medical students and young practitioners into whose hands this
treatise may fall.
I trust that no excuse will be necessary for enlarging the eighty-five
cases of Headache reported by Riickert into the present treatise. Riickert
truly says: " There are but few diseases to which the human frame is
liable, in which painful sensations about the head do not occur more or
less frequently; but few proximate or remote causes which are capable
of exciting disease at all, that do not frequently cause headaches; and
yet, there are but few monographs on the subject of Headaches; but
few works on the Theory and Practice of Medicine in which they are
treated of fully and systematically. On the other hand, how frequently is the practical physician called upon to relieve and cure headaches;" and how scanty have been the aids to cure, compared with the
frequent demands for cure! It is true that the admirable articles of Dr.
Black, in the British Journal, and of Dr. Tietze, reprinted in the Boston
Quarterly Journal of Homeeopathy, have lately done much towards
lightening the labours of physicians in the treatment of headaches; still
Riickert correctly judged that it could not prove an unnecessary task
to collect and arrange all the cases of cure to be found in the published
records of Homceopathy.
As Riickert confined himself to a bald and condensed statement of
cases and their treatment, it was regarded as imperatively necessary to
add a few general introductory remarks upon the Nature and Causes of
the different varieties of Headache.  (See page xi.)
As he limited his excerpts almost exclusively to the German Medical
Journals, it was felt incumbent to add the cases most easy of access,




PREFACE.                           Vui 
published in the French, English and American works, and periodicals
(see cases, 2, 3, 5, 6, 7, 18, 19, 20, 40, 41, 47, 55, 56, 58, 59, 61, 62,
63, 71, 81, 82, 83, 84, 85, 89, 98, 111, 112 to 114, and 163.)
As his remarks are almost entirely clinical, or drawn from bed-sideexperience, it was suggested to me to add other indications for the
selection and use of remedies against Headaches, to be drawn principally from  their well-known pathogenetic and curative effects.  (See
Synopsis, page 101, and numerous notes scattered through the body of
the work.)
Although Riickert has been as minute in his directions about the size
and repetition of doses, as a strict adherence to his authorities would
allow, still the publisher requested the addition of still more explicit
directions.  In the notes on doses, I have mainly followed the advice
and practice of my lamented friend Dr. Noack, late of the Leipzig
Homceopathic Hospital, and of the celebrated Fleischman, of the Vienna
Hospital. Personal opportunities of observing their practice have strongly
prejudiced me in its favour, corroborated as it then was, and now is, by
the successful results of many thousand cases of every variety of disease.
I have also added short articles upon several remedies, viz,: Arum,
Carb. veg., Glonoine, Gratiola, Hepar sulph. and Iris versicolor, and regret
that time and space would not permlit me to allude to a few other well
established remedies against chronic and nervous headaches.
Thus Riickert's valuable, but bald compilation and condensation of'
cured cases, has been gradually enlarged and modified into a more or
less complete treatise on Headaches.
I feel constrained, however, to make a few remarks upon the varieties
of pain, which have been met in the course of translation. Every
English and American physician is necessarily surprised at the infinite
variety of pains, which the Germans describe so readily; we admit
aches and pains in general, make some distinction between constant and
intermitting pains, between dull and sharp pains, fixed and shooting
pains, &c., but we know little about the wonderfully numerous, and




viii                         PREFACE.
minute distinctions of pain admitted by the Germans. Still, these
trivialities, or profoundly accurate distinctions, whichever they may be,
are inherent in the German mind; I shall never forget my first surprise,
at hearing these minute distinctions admitted, and fluently spoken of, by
peasants and mechanics, not only in the Homceopathic Hospitals of
Leipzig and Vienna, but also in the large Allopathic Hospitals of
Dresden, Leipzig, Berlin, Vienna, Munich, and others. In Riickert's
part of this work I have encountered the following kinds of pain, among
others: Klopfend-stechend, or throbbing-piercing; Klemmend, or compressing; Stechend-bohrend, or piercing-boring; Klopfend-reissend, or
throbbing-rending, or tearing; Driickend, or pressing, or aching; Betaubender, or stupefying; Glucksender, or clucking pain; Klopfender, or
throbbing, or beating; Reissender, or rending, or tearing; Auseinanderpressender, or asunder-pressing pain; Pressender, or pressing; Zerspringender, or bursting pain; Wogender, or dashing-beating; Schwappender,
or undulating-dashing; Ziehend, drawing; Spannend, tension-pain;
driickend-pressend, i. e. pressing-pressing, or pressing-squeezing, or:aching-pressing pain; Schraubender, screwing; Zwangender, pinching;
Herauspressend, out-pressing; Zusammen-pressend, together-pressing;
Ziehend-wiihlend, drawing-rooting pain; and many others, some of
which have no real meaning, or are of no practical value to any except
a hair-splitting pedant, who doubtless would overlook the state of the
most important functions, neglect the most palpable and significant
physical. signs, and think it of no importance to ferret out the exact
seat, or nature of any disease.
Still, to a certain degree, the character of the pain varies according to
the nature or seat of the disease, and in many instances is a sufficient guide,to a discrimination between some forms of disease, and often enables
a homceopathic practitioner to select a curative remedy, which else had,been next to impossible. In a forthcoming work, I will take occasion
to enter fully into the signification of the principal varieties of pain, and
their appropriate treatment.,One great objection may be raised against this and similar works,




PREFACE.                           iX
viz.: that all the cases reported are successful ones. Malaise and Henderson have published several unsuccessful trials, and Dr. Black, in his
Article on Headache,* says that he had intended, if space permitted, to
report several cases in which treatment proved of no avail; but such
statements might merely afford an opportunity for some less honest
physician to insinuate that a wrong medicine had been given, or that a
better indicated one might easily have been selected. Hence he contents himself with simply stating the fact, that several unsuccessful cases
had occurred in his own practice, as well as in that of other physicians,
in order that those just commencing homceopathic practice might not
suppose, from silence on this point, that all cases admit of at least temporary relief; nor be too much disappointed when they meet with such
instances. He says it is advisable from the outset to make the patient
fully understand, that chronic headache of many years' standing cannot
reasonably be expected to be cured in a few months, and may not even
be alleviated in that time, but as a general rule, relief, if not a cure may
be looked for in most cases, after the lapse of some months, or one or
two years.  Of sixty-six cases of chronic and sick headache treated at
the New York Homceopathic Dispensary in 1851, eleven were cured,
seventeen much relieved, and thirty-eight remained under treatment; in
1848, of eleven cases, seven were cured, one improved, two not improved, and one unknown. In the General Homceopathic Hospital
Report,f of fifty-three cases of chronic headache, seventeen were cured,
and sixteen much relieved; of fifty-eight cases of nervous and sick headache,
fifty-six were cured and two not cured; of one hundred and thirty-eight
cases of rheumatic and gouty headache, one hundred and thirty-five were
cured, and three not cured. Of two hundred and nineteen cases reported
by Kiesselbach of Bremen, one hundred and ninety-nine were cured, and
twenty unknown. Thus, of five hundred and forty-five cases of Headache, of all kinds, no less than four hundred and twenty-five were cured
under homeeopathic treatment, thirty-four were relieved, and sixty-six
* See Brit. Jour. of Hornom., vol 5.
i See Annual Report of the New York Homcmopathic Dispensary for 1851.




X                          PREFACE.
cases were either not relieved, or the result was unknown. Although
some of these reports are more favorable than the general practitioner
may always meet with in his own practice, still it will be impossible, after
consulting some of the cases given in this treatise, to deny that many
persons suffering with chronic headaches may obtain permanent relief
under homeopathic treatment; see cases 3, 5, 6, 9, 10, 12, 14, 17, 21,
22, 27, 28, 29, 32, 34, 37, 40, 41, 43, 44, 46, 48, 49, 51, 52, 55, 56,
59, 63, 64, 65, 71, 74, 77, 78, 79, 80, 82, 86, 88, 89, 92, 95, 98, 104,
105, and others.
N.B. A volume on Apoplexy, Inflammations and Dropsy of the
Brain, similar in design and execution to the above, is in an advanced
state of preparation and will soon be published.
J. C. PETERS.
142 BROADWAY, NEW YORx.




ON THE
NATURE AND CAUSES
OF
HEADACHES.
IN order to render this treatise rather more complete, it has
been regarded as imperatively necessary to make introductory
remarks upon the different varieties of Headache, of which
cases of cure have been reported in the following pages.
Of the cases reported by Riickert, he has assumed that:
(a). Six cases, had a nervous character; viz.: cases 9 and
16, cured by Bell.; 72 and 76, cured by Nux; and 96, by
Pulsatilla.
(b). That twenty-seven, were cases of Henmicrania, 3figraine
or One-sided headache, viz.: cases 9 and 10, cured by Bell. 
29, by Cale.; 46, by China; 57, by Ignat.; 67, 69 and 70, by
Natrum; 74, 76, 77, 78, 79 and 81, by Nux v.; 87, by Opium;
92 and 96, by Puls.; 101 and 102, by Sang.; 103, 104, 107,
108, 109 and 110, by Sepia; 112 and 118, by Spigelia.
(c). Eleven cases had a congestive character, viz.: cases 14,
15 and 16, cured by Bell.; 30, 34, 35 and 36, cured by Calc.
c.; 37, by Camph.; 68, by Natrum; 94, by Puls.; and 104. by
Sepia.
(N). Nine cases had a r]keumatic character; viz.: cases 23,
24 and 25, cured by Bryon.; 44, by Causticum; 54, by Dulc.;
61, by Mere.; 101, by Sang.; 108, by Sepia.
(e). Five cases, were of a gastric nature, or attended with
derangement of the stomach, viz.: case 14, cured by Bellad.;
33, cured by Calc.; 43, cured by Causticumn; 95, by Puls.:
119, by Sulph.




Xii                   HEADACHES.
(1). With retching to vomit, in case 21, cured by Bryonia.
(2). With nausea and vomiting in general, in eleven cases,
viz.: case 4, cured by Arnica; 22, by Bryonia; 42, by Causticum; 57, by Ignat.; 6T and 70, by Natrum; 76, 78 and 80,
by Nux; 106, by Sepia; and 121, by Sulph.
(3). With vomiting of bitter substances in two cases, viz.:
case 12, cured by Bellad.; and 97, by Puls.
(4). With bilious vomiting in five cases, viz.: case 31, cured
by Cale.; 72, 74 and 77, by NKux; and 92, by Puls.
(f). Twenty-two cases bore a periodical character, occurring in paroxysms, viz.: case 8, cured by Asarum; cases 9,
10, 12 and 16, by Bellad.; case 26, by Bryon.; case 45, by
Cham.; case 46, by China; 52, by Coloc.; 53, by Creosot.;
cases 65, 66 and 70, cured by Natrum; cases 72, 74, 77 and
79, by Nux; and cases 120, 122, 123 and 124, by Sulph.
(g). Fourteen cases were of an undetermined character, viz.:
case 1, cured by Acon.; 11, 13 and 17, by Bellad.; 27, 28,
32, 35 and 36, by Calc.; 49 and 50, by Coloc.; 73, by Nux;
88, Oy Phosph.; and 91, by Puls.
1. NERVOUS HEADACHES.
These are generally understood to include periodical and
neuralgic headaches, Hemicranias, MIigraines, one-sided, or
uni-lateral headaches, and some forms of so called sick-headache, viz.: those in which no disturbance of the stomach has
been evident before the headache set in, and nausea and
vomiting do not occur until after the pain in the head has
lasted some time, and become severe. The substances vomited
in an attack of true nervous headache are generally destitute of acid, bile or any acrid property; while in sick-headache,
previous derangement of the stomach, bowels or liver is
generally evident, and undigested food, bile, or some other
offending substance is always vomited up.
Nervous headaches occur most frequently in delicate males,
and females of a highly nervous temperament, and are apt to
be reproduced by any unusual excitement, by joy, hope, fear,
excessive pleasure, anxiety, fasting, fatigue, &c. They are




NERVOUS HEADACHES.               X11
said, generally to depend upon a feeble, disturbed, or irritable
state of the nervous system; still, as the Great Sympathetic
nerve ill some of its ramnifications is the most common seat of
the disorder. and this nerve also presides over the circulation
of the blood, we are apt to have more or less of passive or
active congestion, attending the so-called nervous affection.
It has long been a stumbling-block in the way of pathologists
to explain why a weakened and debilitated state of a nerve
should be followed by pain, rather than of loss of sensation;
or by congestion, rather than anemuia; but late experiments
by Claude Bernard have apparently thrown much light upon
this point. He says it has been known for a long time that
cutting the medulla spinalis through, or certain other nervous
trunks, such as the par vagum, the sciatic nerve and others;
will cause a general or partial, but decided diminution of the
warmth of the body; but the Ireves, ee of this is the case when
the great sympathetic is cut through. Bernard noticed in
cutting through the cervical branch of the sympathetic nerve
which unites the cervical ganglions. that there followed immediately, an increase in the heat of the corresponding side of
the face, which could very easily be appreciated by the hand,
and which was found to be from 4~ to 6~ centigrade higher
by the thermometer. When the superior cervical ganglion of
the great sympathetic was entirely extirpated, Bernard found
the same effect produced with even greater intensity; and at
the same time that the heat was increased, the circulation of
the blood became more active. This new phenomenon of
increased calorification continued for a long time; Bernard
found it to last at times for several successive months, without
being attended with, or followed by any appearance of inflammation or cedema, or any other pathological change. If all
this be true, it is easy to understand why a feeble state of
the sympathetic nerve may be attended by heat and congestion to the head. The occurrence of pain is explained in
a similar way:
Bernard asserts, that when a nerve of sensation is cut, every
one knows a loss of feeling in the part to which it is distributed




-.XiV                  HEADACHES.
is produced; but the reverse is the case when the great sympathetic is cut; if the superior cervical ganglion be extirpated,
the sensibility of the whole corresponding side of the face is:augmented; and it is particularly in the eye that this phenoinenon can be detected with most ease. Somewhat similar
experiments by other physiologists, were cited by the translator
as early as 1841, in the second volume of the Homceopathic
Examiner, old series, p. 131. If these things be really true,
it is very easy to infer, that a debilitated condition of certain
parts of the great sympathetic nerve may be followed by heat
and congestion to the head, pain about one side of the head,
one temple or one eye; in fact, by all the phenomena of
nervous headache or hemicrania.
There is one form  of true nervous headache, which
might very properly be termed the nervous sick-headache, because it is attended with violent and long continued
nausea, retching and vomiting; it is frequently mistaken
for the true gastric, dyspeptic, or bilious sick-headache.
Although I am very far from denying that some derangement of the stomach or blood often causes headache, still
I feel convinced that the nausea, retching and vomiting
which attend nervous sick-headache, are always sympathetic and secondary, to a primary disorder of the brain,
or nervous system. The true nervous sick-headache probablv arises from an affection of the right Corpus Striatum;
at least experiments conducted by Budge seem to prove
this almost conclusively; after killing a young dog, he removed
the skull rapidly, while an assistant laid open the abdomen
and exposed the bowels; the hemispheres of the brain were
then cut away, the Corpus callosum raised, and the Corpora
quadrigenina and Corpus Striatum irritated with a sharp
needle, with the effect of producing marked perstaltic action
of the stomach and bowels; even when all perstaltic action of
the bowels had entirely ceased, it could at once be reproduced
by irritating the Corpora quadrigemina, and motions of the
stomach could always be excited by irritating the Corpus
Striatum, especially on the right side. These experiments




NERVOUS AND SICK-HEADACHES.           XV
throw much light, not only on the vomiting which attends
nervous sick-headache, but also explain the early occurrence
of vomiting in dropsy of the brain, the presence of obstinate
constipation, and we will soon see that they afford ail explanation of the slowness of the pulse which attends the same
disorder. In fact, every careful observer must have noticed
that vomiting does not occur in nervous sick-headache, until
the pain has lasted some time and become quite severe, proving
that the nausea and vomiting are secondary to the brainaffection. I have regarded it imperative to lay much stress
on these points, because all sick and nervous headaches have
much too generally been viewed in the light of secondary
affections, dependent upon derangement of the stomach and
liver, and thus their existence as primary disorders greatly
overlooked. Black truly says this error has no doubt rendered the ordinary treatment so uncertain, and will also
confuse the homneopathic practitioner, if not sedulously
guarded against. Still, I have already willingly admitted
that derangement of the digestive organs will often cause
headache or neuralgia, which may depend upon the mere
presence of acid in the stomach; Dr. Rigby tells us, that
having suffered in his own person an intense attack of Tic
douloureux which Opium would not assuage, he swallowed, at
the suggestion of a friend, some Carbonate of Soda dissolved
in water; the effect was almost immediate, carbonic acid was
soon eructated, and the pain at once abated. Again, the celebrated PROUT, from personal and other experience, concluded
that excessive acidity of the cmcnum  is generally accompanied
by a deficient secretion of bile, and sometimes by a complete
temporary suppression of the biliary discharge, apparently
from spasmodic constriction of the common gall duct; or, may
be, of the biliary ducts themselves. In this state of things, all
persons, he says, feel more or less of uneasiness; but the point
which he wishes to mention is, that certain individuals under
these circumstances, experience what is called 9nervous headache. This species of headache is fiequently accompanied by
jaausea, is confined to the forehead, and when severe produces




XVi                    HEADACHES.
complete intolerance of light and sounds, and a state of mind
bordering on delirium. After a greater or less period of time
the pain ceases, sometimes quite suddenly, and the remarkable
circumstances to be mentioned are, that this sudden termination is preceded by a peculiar sensation, sometimes accompanied by an audible clinking noise in the region of the gall
ducts, which immediately after is followed by a gurgling
sensation in the upper bowels, as if a fluid were passing
through them; in a few seconds after this fluid, which Prout
supposes to be bile, has reached the ccecum, the headache at
once vanishes like a dream. One of the greatest martyrs to
this species of headache Prout has ever seen, invariably experiences the train of symptoms above described; and Prout has
witnessed it in a greater or less degree in many instances;
and indeed has experienced it in his own person. This variety
of headache is generally termed BILIOUS. These facts simply
prove, that irritation in the brain and nerves may be propagated down, along the sympathetic nerve to the stomach; and
vice versa, that irritation in the stomach may travel up along
the same nerve to the brain or face, producing the so-called
dyspeptic or gastric headache.
The most superficial knowledge of the anatomy of the great
sympathetic nerve, will suffice to explain the readiness with
which irritation of the stomach, bowels, liver, urinary or
genital organs may be propagated to the brain, viz.: to those
parts of it supplied with filaments from the sympathetic nerve.
Thus, 1st: the Pars cep/alica nervi sympathetici, consists
principally of two filaments which proceed from the upper
part of the superior cervical ganglion; the larger and more
anterior being called the Carotid nerve, the smaller and posterior, the Jugular nerve. They effect the communications of
the sympathetic nerve with almost all the cerebral nerves.
(a). The Carotid nerve follows the course of the internal carotid artery, passes through the carotid canal into the skull, and
divides into an anterior and posterior branch, which, with their
twigs form the Internal Carotid plexus; from this plexus arise
the Inferior and Superior Carotico-tympanic nerves which go




NERVOUS AND SICK-HEADACHES.         XVii
to the internal ear, and explain the occurrence of noises in the
ears, sensitiveness to noises, &c., which attend many headaches. The Internal carotid plexus of the sympathetic nerve
gives off: (1) the deep and superficial Vidian nerves going to
the Spheno-palatine plexas; (2) three branchles going to the
Ganglion of Gasser, situated in the orbit of the eye, and giving
off a twig to the Ophthalmic branch of the fifth pair of cerebral
nerves; (3) two twigs to the Oculo-motorius and abducens
nerves of the eye; (4) a twig which connects with the Ciliary
ganglion of the eye; (5) and finally, sends off branches which
accompany the Cerebral carotid artery, one of them sinking
into the Pituitary gland, and another reaching the interior of
the eye and retina, by following the course of the Central
artery of the retina. These intimate connections of the sympathetic. nerve with the nerves and substance of the eye
sufficiently explain the intolerance of light, pain in the eye,
dimness of vision, motes, colors, and other phenomena of the
eye which so commonly attend nervous and sick-headaches;
and the readiness with which excessive use of the eyes will
excite headache in some persons.
(b) The cervical ganglions of the sympathetic nerve give off
branches to the heart, throat, windpipe, to the temporal, maxillary and facial nerves, to the scalp, the vagus and recurrent
nerves, &c., sufficiently explaining the occurrence of palpitation of the heart, choking about the throat and windpipe,
pains about the temples, jaws and face, tenderness of the
scalp, and other sufferings which so often complicate and
aggravate nervous headaches.
We are now prepared to understand why such an immense
variety of exciting causes, and so many disturbances of distant
organs will produce attacks of headache; thus, the effects of
mental emotions and passions may be propagated from the
brain to the various branches of the sympathetic nerve in,
and about the head.  The same happens with the eye;
at least PIORRY has drawn particular attention to the frequency with which one-sided headache, or hemnicrania arises
from irritation of the retina and iris, excited by excessive




Xviii                  HEADACHES.
use of the eye, bright light, or gorgeous spectacles; in short,
he regards hemicrania as originally a neurosis or neuralgia
of the retina and iris, confined at first to these parts,
but soon extending to the branches of the sympathetic and
cerebral nerves connected with them, and then marked by
disturbance of vision, pain in the eye, about the orbit and
temple, in the head, or on the surface of the skull, and finally
followed by nausea and vomiting. Affections of the ears, loud
or long continued noises will produce the same kind of headache in those predisposed. I have already referred to other
exciting and remote causes of headache; at present we will
confine our attention more particularly to some of the peculiarities and symptoms of Jigraine, Jlfegrim, Hlemicrania or
one-sided headache:
TIssOT says, when Migraine is hereditary it often commences
as early as the seventh or eighth year, or even earlier, but
most commonly makes its appearance from the thirteenth to
the twentieth year of life, and continues in full force to the
fifty-fifth or sixtieth, then almost wholly ceases by the seventieth. If one is not attacked by it before the twenty-fifth year,
it is rare to become subject to it afterwards. I have seen boys
of three or four years, and girls of five or six years subject to
repeated attacks of sick-headache.
Some persons have only eight, or nine attacks a year; and
true Migraines, which occur more than three times a month,
or less than four times a year, are very rare. The paroxysms
have been known to occur with great regularity every fifteen
days, or every Monday, or Friday or Sunday, or some other
particular day of the week, for years, always at the same hour
of the day, and to last at least twenty-eight, and never more
than thirty hours; some of these cases are cured by travelling,
at least the celebrated FRANK reports the case of a lady in
Milan, who was attacked every Wednesday with severe
headache; she was cured by going out into the country every
Tuesday, and not returning until Thursday. Still, susceptible
persons are generally liable to it at any time, and from a great
variety of causes; from breathing certain odors, from the influ



NERVOUS AND SICK-HEADAC HES.          xix
ence of stormy weather, from moral emotions, from long continued studies, from an unaccustomed walk in the open air,
from the impression of cold on the bare head, from various
disturbances of the stomach, difficult digestion, hunger, the
use of certain articles of food, reading, studying, or pre-occupation directly after eating, &c. Hence it is evident, from
the great variety of the exciting causes which produce
headache, that the number of cases which occur at irregular
periods must be very much greater than those which re-occur
at regular and fixed periods of time. It is rare for a paroxysm of true hemicrania to last less than six hours, and it is
not common for it to be prolonged more than two days.
TISSOT thought, when an attack commenced with a slight
sensation of chilliness, the paroxysm was apt to be very
severe, and to be confined to the side on which the chill was
felt; and that in most attacks the same side of the head was
apt to be affected, although they have been known to affect
each side alternately, with great regularity. He also thought
that those attacks which were preceded with sadness and
irritability for several days, were apt finally, to set in severely
on the going down of the sun, and to commence with a severe
chill. China, Arsenicum  and Nux, are said to be almost
specific in these cases. Other attacks may be preceded by a
degree of deafness for twenty-four hours. See Puls. and China.
PIORRY thought that nervous and sick-headaches occurred
chiefly under one of two opposite conditions of the stomach,
viz.: either from a state of too great repletion, or of too great
abstinence. The so-called hAunzgry headache is sufficiently
common in many young persons; it is apt to be preceded by
acid eructations, or by excessive hunger, or vomiting of acid
or acrid matters, and by an annoying sense of gnawing at
the pit of the stomach. Calcarea, Carb. veg., Veratrum, &c.,
deserve attention.
Some attacks are relieved by spontaneous vomiting; in
others, the vomitings are a mere consequence of the severity of
the pain, and do not afford relief; C. PISON first drew attention
to the difference between the sympathetic and convulsive




XX                     HEADACHES.
vomitings, and the curative ones. Ipec., Puls., Cocculus,
Zinc., &c., are suitable.
Some attacks are much relieved by sleep; but others, in
which the disorder is seated primarily in the brain itself, and
extends to the sympathetic nerve secondarily, the more the
patient sleeps, the more the brain becomes congested, and
the worse he is; improvement only commences when he is
fairly aroused, and wide awake. Opium, Hyosc., Coffea,
Thea, and other remedies are indicated.
Some paroxysms terminate by profuse sweats upon the
fore-arms and hands, and when these perspirations occur
regularly every morning the hemicrania will soon cease for
ever. Aconite, Arnica, Valerian, Sambucus, Ammon. acet.,
Nux, and other remedies may be useful in bringing about
this desirable result.
Some cease after a slight bleeding of a few drops from the
nose. In such cases, Crocus, Carb. veg. and China, deserve
attention.
Sometimes an eruption of small pimples terminates the
attack, or a sweat on the affected side of the head and face,
or a profuse flow of tears, or free discharge of serosity from
the nostril. All these varieties of critical terminations doubtless require remedies suitable to aid and produce them, not to
check them. See Sulphur, Hepar sulph., Sepia, Gratiola, and
Arsenicum.
Although repose is necessary in most cases, some are only
relieved by riding in a carriage. Some are relieved in the
beginning of an attack by exposure to the fresh air, others are
made much worse. See Cocculus, Calcarea, Mere., Natrum,
and Hepar s.
In some cases the face of the sufferer is pale and shrunken,
in others red, hot and flushed, in others again, pale but bloated.
See China, Bellad., Ars., Verat. and Sepia.
When the pain follows the course of the external carotid
nerve the scalp becomes excessively sensitive to touch, and
the pains resemble those of rheumatism of the scalp; Wepfer
has even seen the hair to rise on end during the severity of




NERVOUS AND SICK-HEADACHES.            XXi
the paroxysm. See China, Colocynth, Bryonia, Carb. an.,
and others.
In other cases, the pains extend themselves violently
towards the teeth, and sometimes to all the parts supplied by
the fifth pair of nerves, so that the patient cannot open his
mouth, nor articulate a word; in other cases, the sufferings
extend to the neck, shoulder and arm, which remain painful
for some time afterwards. I have seen several cases which
always pass off when severe pain in the back, one knee, or
leg sets in. See Colocynth, Aconite, Aurum, Bryon., Causticum, Rhus, and others.
In other cases the disorder extends down along the sympathetic or pneumo-gastric nerve towards the stomach, liver, and
bowels; eructations occur, either inodorous, and without taste,
or of an insupportable mawkishness; abundant mucosities and
salivary fluid flow into the mouth, intermixed at times with
those of a bitter, bilious taste; there is extreme disgust for
food; the general malaise is increased by a fatiguing beating
of the heart, and by paroxysmal distensions of the stomach
with gas, followed by belchings, with transient relief; or
vomiting may occur, excited by the swallowing of the fluids
which collect in the mouth, and mucus, or a little bile, and
much wind may be expelled. From time to time some alleviation may ensue, the distress in the epigastriun be less
great, the headache less severe, but occasional aggravations
also occur, followed again by intervals of relief, and finally one
or two easy loose stools set in, occasionally liquid and bilious,
and the whole attack subsides. See Colocynth, Cocculus,
Carbo animalis, Caps., Caust., Lachesis, iNatrum, Creosote,
Pulsatilla, Sepia, and others.
Hence numerous varieties of Hemicrania have been admitted by PELLETAN.
1st. The Migraine stomacale.
2d.   "     "    Irienne, or of the Iris.
3d.   "     "    Uterine.
4th.  "     "    Plethorique, &c.




Xxii                  HEADACHES.
These divisions are of importance to the homceopathist, as
they impress still more forcibly upon him the necessity of
selecting a remedy which acts, not only on the part of the
head involved by the Hemicrania, but which will also regu
late the variously disturbed functions of distant organs.
Hygieice treatment of NVervous Headaches.
A general invigorating mode of life, diet and exercise are
considered indispensable. Those who have brought them on
by sedentary habits, much mental exertion and loss of sleep,
must reform; they must exercise freely and regularly in the
open air, sleep sufficiently; and avoid the excessive worry
and perplexity of engrossing cares, or they may ultimately
be forced to take a journey into the country, or a long voyage,
to save their minds from becoming perfectly wrecked. If
the patient be in the habit of using strong tea, coffee or
tobacco habitually and excessively, he must try the effect of
abandoning them, for three or four weeks at least.
It is ordinarily thought sufficient to abstain from the use of
coffee and green tea, but WooD had one striking instance
occur to him, in which a patient, after suffering long and
severely with nervous headache, obtained an entire exemption
from it, by abstaining from the use of black tea, which was
his only indulgence. The shower-bath, and salt water bathing,
either at the sea-side, or in the house, are often useful adjuncts.
BOERIIAAvE advised persons who suffered from chronic headaches to use a warm bath frequently, and to rub their feet
briskly every morning with a piece of flannel, or cloth
dipped in cold water. OSIANDER says, if people would but
rise every morning, at 5 o'clock; and continue it during the
summer, or take an hour's walk before breakfast, they would
get rid of their headaches. He also affirms that simply
combing the hair carefully and constantly, just before going to
bed, relieved a lady from chronic headache.
Hard rubbing of the feet with rough cloths after a foot
bath is one of the best external remedies, according to BusnuN.
The meals of the patient should be taken regularly, and




NERVOUS AND CONGESTIVE-HEADACHES.       XXiII
when body and mind are refreshed, not wearied by exertion,
anxiety or needless worry.
It need scarcely be added that the bowels should be kept
regular, costiveness obviated, (and tendency to diarrhzea
controlled), as far as possible by attention to diet. The
functions of the stomach and liver should be kept in as healthy
a state as practicable by the patient, by control of the appetite
and tastes in food and drinks; those of the kidneys and skin,
by attention to clothing, bathing, drinking of cold water, &c.;
and those of the uterus by great care at the monthly periods,
favoring the flow, if it be scanty, by avoidance of cold and
wet, excessive fatigue or mental emotion, the use of the warm,
or mustard foot or hip-bath, &c.; if the flow be excessive and
debilitating, absolute rest, cool drinks, cold-water injections,
&c., may be used.
Those who will indulge in the dissipations of excessive
pleasure, business, grief, or gormandizing, will needs retain
their headaches.
2. CONGESTIVE HEADACHES.
These may be active or passive, venous or arterial, arising
from too great and too rapid a flow of blood to, or too slow a
return of the blood from the head. They may occur singly,
or as complications of nervous or irritative headaches, the
congestion being secondary; or they may arise from irritation
of the brain or neighboring parts; or the brain-trouble may
be entirely secondary to an irritated, or sluggish state of the
general circulation.
I have already alluded to the frequency with which nervous
headaches are attended with congestion, and have cited the
experiments of C. BERNARD as affording some explanation of
the manner in which congestion follows disorder of the Great
Sympathetic nerve. But TURENNE has lately advanced a new
theory of nervous headache or hemicrania; he decrees that
the pain in the head is caused by compression of the facial
nerve, especially of its ophthalmic branch, from accumulation
of blood in the sinuses at the base of the brain. He alludes,




Xxiv                  HEADACHES.
in proof of this, to the fact, that the ophthalmic nerve and its
branches are spread on the external wall of the cavernous
sinus, and hence are necessarily compressed whenever this
reservoir is crowded with blood. The nausea and vomiting
of nervous headache are said to arise from compression of the
eighth pair of nerves, at the Foramen lacerum posterius, or
somewhere along the neck. The swelling, redness, pain, and
watery condition of the eyes, and disturbances of vision in
nervous headache, are said to arise from the difficulty with
which the ophthalmic vein empties itself into an already overfull cavernous sinus, and from consequent compression of those
fibres of the ophthalmic nerve which go to the eye, white of
the eye, lachrymal gland and eyelids. Hemicrania is also
decided to be most frequent on the left side, because the left
sinuses of the brain are larger and more distensible than
the right.
The more common varieties of congestive headaches are so
well understood, that it will only be necessary to say a few
words about the less common forms.
(a). The Stupid Headache of Dr. Good
Is said to be marked by obtuse pain, sense of heaviness
extending over the whole head, and may arise from various
causes, especially from whatever prevents a free evacuation
of the right auricle and ventricle of the heart, and contributes
to retard the motion of the blood in the veins which discharge
their contents on this side of heart.  The congestion is
supposed to be secondary to nervous debility, or in other
words, to arise fiom the want of a proper and sufficient
supply of that nervous power, or may be fluid, on which the
feeling of organic comfort, refreshment, and vigor depends.
Hence this variety of headache has been decreed to be peculiarly marked by a sense of general disquiet and confusion,
rather than severe pain; by a general hebitude of sensorial
power which disqualifies the one laboring under it for a
continuance of mental labor; the sight is dim, the hearing
dull, the memory vacant, and hence it is most common in
feeble persons, and in hard students.




CONGESTIVE-HIEADACHIES.           XXV
The stupid headache from nervous exhaustion is closely
allied to that from venous congestion. See Opium, Hyosc.,
Bellad., Stramon., Coffea, Bryon.
(b). Mfenstrual Congestive Hieadacdhe.
Another very frequent variety of congestive headache is
that which occurs near, before, during, or shortly after menstruation, especially when this is scanty, painful or difficult.
The state of system previous to the first establishment and
periodical recurrence of menstruation tends obviously to a
state of general plethora, which ought in due time to be fully
relieved by a means which nature adopts for the purpose.
But tendency to irritation of the brain, or some other organ,
or a loss of balance in the circulatory and nervous system, or
other causes, may allow the blood at such periods to rush
towards some distant organ; or want of proper and abundant
flow from the uterus may leave the system, or some particular
organ, oppressed and crowded with blood. Sabina and Stramonium are particularly suited for these menstrual congestions of the head, and many other organs. Almost every
variety of headache is aggravated about the menstrual period;
but when headache occurs just after the menstrual flow,
especially if this has been quite profuse, the headache is
probably not congestive, although it may be severe, for nervous
headache in excitable persons is apt to be brought on by
whatever directly, or indirectly debilitates, viz.: by bleeding,
purging, fatigue, loud noises, vivid lights, using the eyes too
much, or too closely, and other fatiguing or debilitating causes
or losses, such as diarrhcea, excessive perspiration, or profuse
menstruation.
(c). Hcemorrhoidal congestion.
Suppressed, or retarded piles are apt to be followed by
irregular hoemorrhoidal congestions to the head, chest,
stomach, bowels, liver, spleen, kidneys, uterus, bladder, or
any other predisposed organ; hence may arise redness and
heat of face, illusions of vision, dizziness, threatening of
apoplexy; or constriction and anxiety about the chest, and




Xxvi                   HEADACHES.
even spitting of blood, or vicarious bleeding from the lungs;
or throbbing and aching about the stomach, with or without
vomiting of blood; or aching in the liver and spleen with
threatening of dropsy; or venous congestion of bowels with
vicarious bleeding from them, or aching in the region of the
kidneys with scanty discharge of urine, or tenesmus of the
bladder from venous or hbemorrhoidal congestion of it, and
bleeding from the kidneys or bladder, or congestion to the
womb with more or less profuse and vicarious hlemorrhage
from it. In females, the vicarious menstrual and hemorrhoidal
congestions and hsemorrhages are so similar in their symptoms that superficial or careless physicians are very apt to
confound, and maltreat them. Sabina is the specific for the
former, Aloes for the latter. According to Schoenlein,
menstrual congestion of the head is frequently marked by,
stiffness of the neck; dull aching pain in the nape and occiput,
from congestion of the cerebellum; by rushing and roaring
noises in the ears, hardness of hearing, confusion of the head,
momentary loss of consciousness, followed by bleeding from
the nose, ears, or Caruncula lachrymalis. Still the symptoms
may differ widely front the above description, and very
frequently assume the appearance of a most perfect onesided nervous headache.
According to the same authority true haemorrhoidal congestion of the head is marked by great heaviness and confusion
of the head, the choroid coat is over-filled with blood, and
the sclerotica acquires a peculiar blue tinge, owing to a
varicose state of this membrane; there are also illusions of
the senses, appearances of sparks, figures, motes, flies, spider
webs and feet before the eyes, which often cause partial
blindness. From time to time violent vertigo sets in, throwing the patient into violent nervous agitation, as he supposes
that he is struck with apoplexy.
(d). Throbbing Headache.
This is generally mistaken for the true congestive variety;
the pain is pulsatory, chiefly in the temples, often attended
with sleeplessness, and a sense of drumming in the ears; it




RHEUMATIC-HEADACHES.             XXVii
depends upon an affection of an artery, or part of all artery,
without any dependence upon.the regular systole of the
general circulation; thus, one or both temporal arteries are
often disturbed by this spastic irritation, and a pulsation is
produced nowise synchonous with the action of the heart,
but often half as rapid again. (See Camph., Valerian, &c.)
(e). Ancemirc  eadac4e.
It is well known that excessive loss of blood will produce
all the signs of violent congestion to the head. (See China,
Ferrumi, Manganese, &c.)
3. RHEUMATIC AND GOUTY HEADACHES.
Rheumatic headache is described by some as a chronic
headache with vehement pain, but especially characterized
by a sense of tension of the whole head. If this form be not
always rheumatic, it is always dependent upon some local
irritation, of which rheumatism is the most frequent. As all
rheumatic affections, when they become chronic, have a
tendency to intermit and return periodically, we may easily
see why the disease before us should do so in many instances.
GooD says it may be distinguished from other varieties by its
being rather limited to some particular part of the head, by
its remissions and intermissions; by the acuteness of the pain
during the paroxysms, by an intolerance of all motion of the
head, far more than of light or sound, both of which, however,
are sometimes highly irksome; but especially by a peculiar
feeling of tenseness or constriction over the brain, as though
its membranes were muscles, and were spasmodically contracted. When the headache is entirely rheumatic, it ceases
as soon as another rheumatic pain sets in, in some other part
of the body. Frequently the disorder may be detected by
attention to its exciting causes; thus, Dr. PARR was for many
years a sufferer from  irregularly returning paroxysms of
headache, for which he could assign no cause, but at last
noticed that they frequently returned after having his head
shaved; he suffered his hair to grow, and from that time the




Xxviii                HEADACHES.
disease gradually lessened in frequency, duration and violence,
and from being a highly serious complaint, and one beginning to affect his memory, its returns became so rare and
slight as never to unfit him for any exertion of body or mind.
LINNAEus is said to have cured himself of a severe and obstinate
rheumatic hemicrania, which returned every week and continued for twenty-four hours, by merely drinking a draught
of cold water early in the morning, and then walking himself
into a glowing heat. The majority of those so-called neuralgic
headaches which arise from decayed teeth are also rheumatic
in their nature, being excited by the frequent alternations of
heat and cold which reach the exposed nerve. But the secretions of the skin and kidneys afford the most decided
diagnostic signs of the presence of rheumatism; the perspirations and urine are intensely sour, even the secretions from
ulcers are unusually acid in rheumatism; the urine in rheumatic affections may seem nearly natural in color, and be
perfectly clear, and yet found to redden litmus paper very
much more decidedly than in any healthy condition. According to FIICKE the principal cause of rheumatism, as is well
known, is the action of cold upon the skin, by which its
exhalations are retained, and the lactic acid, instead of passing
off as lactate of ammonia, is retained in the blood, finally it
becomes oxydized, and is eliminated as carbonic acid and
water, but this conversion is produced at the expense of the
uric acid, which, thus unoxydized, is deposited about the
joints or other parts, causing pain, swelling and fever.
Until the pulse loses it hardness, the skin and urine their
intense acidity, rheumatic headache will persist, or relapse.
(See Aconite, Bryonia, Pulsat., Rhus, and other remedies.)




ON THE
HOMUOPATIHIC TREATMENT
OF
HEAD AC HE S.
The remedies used in the following cases of cure and recovery, were: Aconitum, Agaricns, Arnica, Arumn, Belladonna, Bryonia, Calcarea. Camphor, Causticulrn, China, Cocculus, Colocynth, Creosote,  Iulcamara, Gratiola, Ignatia,
Lachesis, Magnesia, Mterctirius, Nux vomica, Opium, Phosphorus, Pulsatilla, Sanguinaria,   Sepia, Spigelia, Silicea,
Sulphur, Zincum.
1. ACONITE.
GENERAL REMAins.-(a). It relieves the most violent headaches when the patient lies as if unconscious, retches to vomit
at times, whimpers and complains, fears to die, cannot endure
the slightest noise or motion, and in which the pulse is small,
or even intermitting; especially whien the pain is throbbing
and piercing, or compressing, seated over the root of the nose,
and the talking and the speaking of others aggravates it very
much. Aconite is also useful against headache from taking
cold, attended with catarrh of the head, noises in the ears,
and pains in the abdomen, or by an annoying sensation as if
a ball rose up into the brain: spreading a cool wind around it.
Also in catarrhal headache when relieved in the open air,
and increased by talking.
Also in migrane, or one-sided headache, when marked by a
violent, piercing, boring pain over the left eye, and attended
with nausea and vomiting, andl aggravated by jarring. In
such cases Aeon. should be followed by Sulph. —DR. HERMG,
p. 136-140.
1




2                      IEADACHES.
(b). Aconite is indicated in headaches of a congestive-inflammnatory nature, when the patient has a feeling of fulness
and tension, as if a band were fastened around his head; in
this respect it resembles Bellad., China, Merc., and Sulllph.DR. BLACK.
CASE 1. —A woman, aged 54, of an irritable, complaining,
and vicious nature, readily breaking out into complaints and
reproaches from slight causes, had suffered for 24[ hours, after
taking cold, with severe but undefined headache, so violent as
almost to drive her distracted.  Aconite removed it in 4
hours. Annals, vol. 1, p. 234.-GASPARI.
[NoTE. —_Fiom Fleming's Experinzents.-I infer that Aconite is homceopathic to IHeadache when attended with numbness and tingling of various parts, and with a sense of tightness and dragging.
Also for headache marked at first by a sense of warmth
diffused through the body, with numbness anmd tingling, and a
sense of swelling of the lips and face, and tingling at the roots
of the teeth, followed by a feeling of muscular weakness, by
slowness of breathing and of pulse, giddiness, confusion of sight,
disinclination to be disturbed or to exert oneself, and attended
with much chilliness, particularly of the extremities, which
become cold to the touch.
Also in headaches attended with numbness of the flesh,
lancinating pains in the bones and joints, vertigo, dinmess of
vision, moisture and coolness of the skin, sickness of stomach
and vomiting, and by paleness and a smuken state of the ftce.
Also in headaches accompanied with a feeling of weight as
if a heavy load were restin(g on the abdomen, bearing' one
down to the bed; this peculiar symptom was present in five
cases, and seemed to resemble closely the feeling of oppression experienced in nightmare, which is said to be owing to
congestion of the right side of the heart, from accumulation of
blood in venous system, in consequence of a weakened state
of the circulation.
In two cases it proved homoeopathic to shivering, severe
pain in the head and eyeballs, constant lachrymation, intense




ACONITE.                       3
photophobia, heat of skin, quickness of pulse and general restlessness; to nausea, severe and constant vomiting, with pain
and tenderness of pit of stomach, numbness and prickling of
the skin, dizziness, dimness of vision, noises in the ears, sensations of weight and enlargement of various parts of the body,
-but especially of the face and ears, sinking feeling at pit of
stomach, &c.
It is also homceopathic to general venous engorgement of the
brain and cerebral membranes, and considerable sub-arachnoid effusion.
It has been assumed that the more nearly the headache approaches a neuralgic character, or rheumatic neuralgic, the
more readily Aconite will relieve. Still Flenling  used it internally in fifteen cases of headache, with complete success in
ten; of the successful cases three were nervous headaches,
four were conglestive or plethoric, and three were rheumatic.
Of the unsuccessful cases three were nervous, and two dyspeptic.  Relief was usually experienced after the first dose,
and a complete cure effected on the first or second day, or at
least there was no relapse for several weeks or months. Drs.
Burgess anld Radly announced to Fleming that they had seen
Aconite of incalculable service in relieving the agonizing pain
of nervous headache.  Pirofessors HIenderson and Miller, of
Edinburgh, informed Fleming that they had employed it with:marked benefit in laeadache. Storck and Vogel recommend
it in rheumatic headache, while Copland found it useful in
both nervous and rheumatic cases.
In two cases in which the internal use of Aconite did not
afford relief, the external was employed with much benefit;
in fact, Fleming, as a general rule, found the external application of the tincture very effectual in the treatment of hemnicrania, both when the pain affected a circumscribed portion
of the head, and when it extended along the course of a nerve.
IDr. Patterson, of the Royal Infirmary at Edinburgh, corroborates this assertion.-PETERS.]
CASE 2.-[E. W., aged 43, had suffered for three weeks
with a more or less constant pain extending over the temporal




4                         HEIADACHIES.
and frontal regions of the left side of the head; firin pressure
lessened the pailn; exposure to cold, wet feet, or anxiety of
mind usually brought on an attack if it was absent, or increased its severity if present.  She had tak:en Opium   with
but partial relief; was ordered, to rub in a teaspoonful of
the Tincture of Aconite thriice daily.  The first application
afforded much relief, and in five day s she was quite vwell; ten
weeks after, at last accounts, there had been no return of
pain._-Flecing oz, A cotnite. English edit., p. 139 —PETEs.]
Dose. —In acute cases, and for adults, in the beg-inning of an attack,
put froln two to five drops of tincture of Acornite in a tumbler half full of
water, and give from a tea to a tablespoonful every one, two, or four
hours, according to the severity of the sxymptonm. If the paroxysm
becomes more severe, and is not owmingo to an  gg.'ac'-vation by the
remedy, give a dose every quarter, half or one hour, until some relief
ensues, and then lengthen the interval of time between the doses to
one, two, or more hours. Or six globules may be solved in a wineglassful of water, and one teaspoonful given as often as above directed.
Frequently, however, in sick headache, the stomach becomes so irritable
that it will not bear even a teaspoonful of water, then three or four
globules must be given dry upon the tongue, or one or two drops of
tincture of Aconite given per dose, upon a bit of sugar, as often as above
directed.  One half, or one quarter the above quantities will suffice for
children. A dose of Aconite may also be given regularly, night and
morning, in appropriate chronic congestive cases, and in those with a
chronic inflammatory tendency, for three or four days in succession;
then a dose of four globules may be given at night, dry, for three days
more; then every other night, until three doses more have been taken;
then, every third night, for three doses, and so on, until the case is
entirely cured, or it becomes evident that Aconite will not relieve it.PETERS.
2. AGARICUS MUSCARIUS.
GENTEPAL RMIEARXS.-Agaricus is indicated in nervous and
congestive headaches, in which ftlness, sleepiness, frequent
and irresistible inclination to yawn are present, attended by
relaxation and soreness of the whole body, pain in the back,
and a feeling as if the joints were dislocated. —Genl. Honm.
Journal, vol. 26, p. 223.-DR. BLACX.
[NOTE.-It is homceopathic to congestion of the head, with
pulsation in all the vessels, redness and heat of the face, and
elirium; also to catarrhal headache, with aching in the fore



AGARICUS AND ARNICOA.
head over the cyes, drawing pain in the forehead extending to
the root of  the nose, rending pain in the forehead above the
root of the nose as if the brain were lacerated, with burning
pain ill the nose anld eyes, great dryness of nose, profuise
bleeding of the nose, ald abundant discharge of thick, viscid
nasal mucus? Itiow-edi by fiequlent dropping of water from
nose. —PTEirls.]
[CASE 3.-D. C.,;,lcd twenty-tive, had been subject to
headache tvery Six weevks L " )r seven years. The attacks commencecd with acute pain o-e-c the eyes and sense of fuliness,
gradually extending' thir1 o0u  the head, but most severe in the
forehead, soon becoming oppressive and violent, when the
eyelids drooped, pulse rose, fcme flushed, tongue  became dry
and brown, the skin drv and hot. The attacks lasted from
two to four days, and after the first or second day copious
vomiting, pilincipally of a bitter, bilious fluid, took place;
urine was scanty and high colored. After a day or two the
pain extended from the.head down the spine, the neck often
became stiff, he felt bruised all over, and his joints painful;
the whole being followed by great exhaustion, wakeful nights,
and tendency to deliriuml.
Treatment.-Lach. 6 and Ars. 6 effected some improvement during the whole of six months; then a severe attack
was promptly relieved by Agaricus 6, and a continued use of
Agar. 3 kept the paroxysms off entirely for five- months.
Finally Agar., aided by Sulph. and Stralion., cured him effectually at last accounts, three years after.
Dr. Ker says the symptoms which led him.to select Agaritns were the -riolent oppressive pains, principally in the forehead, often attended with delirium, the sense of languor, feeling as if the body were bruised and the joints dislocated, and
the sense of uneasiness and weakness all down the spine.
These he thought so characteristic of Agaricus, that he selected and gave it with the most happy reslts. —DR. KER, IBrit.
Jour. IIonm., vol. 5, p. 436.-PETERS.]
D0ose. —Same as directed for Aconite.-P.




6                        HEADACHES.
3. ARNICA MONTANA.
CASE 4.-A  man, aged thirty-five, after receiving blows
upon the head, was attacked with the following sufferings,
which daily increased in severity.
sy1f2ptoames.-Pressing pain in the forehead; painful but
dull aching upon the edge of the right orbit; heat in the head,
with coolness of the rest of the body; pain in the head, increased after eating; heat in the face, noises in the ears, contracted pupils, nausea every morning; disgust for tobacco
smoking; tenesmus, with constipation; anxious dreams; evident fever every evening; irritable and complaining disposition.
Treatment.-After taking Arnica 6, all the above disorders
disappeared in the course of two days. —Archiv., vol. 5, part
1, p. 68. —Do. B3xUDIs.
[NoTE.-According to A. T. Thomson the flowers of Arnica,
contain Igasaures Strychnion, and some of the fill effects of
Arnica are similar to those of Nux tomica: thus it not unfrequently causes a sensation of forlication, and a prickling,
piercing, spasmodic feeling, which may be compared with
that produced by slight electric shocks.
It is homleopathic to disorder of the chest marked by
anxiety, oppression, palpitation, dry irritating cough, with
symptomatic headache and vertigo.
Also in the headaches, flushings and perspirations which
attend the change of life in women.
It deserves attention in the headaches which precede or
follow attacks of apoplexy.  Schneider did wonders with it
in such cases.-PETERTS.]
Dose.-Comparatively larger doses of Arnica may be given than of
most other remedies, except Camphor; to adults one or two drops of
tincture of Arnica may be given in a teaspoonful of water, or on a bit of
sugar, every one, two, four, or more hours, in acute cases; or two or
three times a day in chronic cases. For children, or very sensitive and
delicate adults, from three to six globules may be put in a wineglassful
of water and given, a teaspoonful as above directed.-PETERS.




ARSENICUM.                      7
4. ARSENICUM  ALBUM.
GENERAL REMARKs.-(a.) Tietze says it is indicated in persons who suffer with the signs of abdominal plethora or fidlness. in which the whole appearance of the patient reminds
lone of liver complaint, and in which bilious colics often occur
in alternation with Ilemicrania.
The pain itself in these cases is of a very indefinite character, so that the patient cannot describe it accurately; but
throbbing and rending pains, or pressing or stupifying ones,
are the most conlnuon, generally mlost severe in the anterior
portion of the head, which is uinusuallv sensitive to the fresh
air. The patient cannot find any ease, must move his head
to and fro, even toss his feet about, and imlagines he receives
relief from  these restless movements; external warmth also
affords relief; he is very weak, thinks that he must die, seems
to be bloated, is chilly, and seeks the warimth of the fire, and
finds relief from  covering and compressing the head with
warm cloths.-Genl. Ionm. Journal, vol. 34, p. 13.
(b.) According to Black it is useful in the headaches of
emaciated persons, who suffer with disease of the heart, or of
the digestive organs. He saw the most marked curative effects in a lady who had suffered for twenty years with attacks
of the most violent Hemierania, lasting for the most part at
least three days, during all of which time the patient generally
lay almost unconscious, and tortured by the most violent
vomitings. —Genl. Hom. Jour., vol. 36, p. 223, and Brit. Jour.
of Hom.
(c.) Hering recommends it in throbbing, rending pains in
the head, when increased in the warm room and relieved in
the open air.
[NOTE. —In the second numnber of the N. A. Horn. Jour.,
Dr. Marcy has given two cases of periodical headache successfully treated with Arsenic; but it seems to have been used
much more successfully in old school practice than in the
homceopathic. Watson (see Practice of Physic, p. 391) says:
"Arsenic is considered by many to have a specific power




8                      HEADACHES.
over the complaint, and believes that four to six drops of
Fowler's solution, given three or four times a day, will be almost sure to remove HI]emicrania in nine cases of ten in
which it occurs."  Still it is very certain that the majority of
patients will not bear such doses, and that much smaller ones
will suffice.
Arsenicunl  is homceopathic when the eyes are inflamed
during the attacks of headache, when the lids are swollen and
face bloated, when a pricking sensation is experienced in the
tarsi, the eyes are suffused with tears, and the conjunctiva
is inflamed.
It is also particularly suited to those patients who have
liver spots, and pityriasis, in many of whom those parts of the
skin protected from the light also acquire a brownish, dingy,
unwashed appearance. Dr. Hunt  cured many such cases
with one-fourth of a drop of Fowler's solution three times
a day.
It is also useiful in headaches attended with chronic diarrihcea, or gastric irritation.
In headaches from suppressed eruptions, especially of the
scaly kind.
In those dependent upon or attended with scanty urine, or
with dropsy; or arising from the incautious healing of ulcers.
It has also been found specific against the headaches which
attend an irritable state of the uterus and ovaries, marked by
constant pain, with heat, varying in severity, in the lower part
of the sacrumn, in the left groin and under the pubes, and by
bearing down pain, much increased by walking, standing or
sitting upright, almost forciing the patient to stay in bed, or
recline upon a sofa, the uterus being tumid and tender. Such
cases may be cured radically by Arsenic, without any local
treatment applied to tlhe uterus.
Schcenlein says, in the worst cases of chronic headache we
must have resort to Arsenicum, which often cures the disease,
even when of years' standing, better than any other remedy.
Bright says that the periodicity of Hemicrania has suggested
some similarity between its nature and that of genuine inter



ARSENICUM.                      9"
mittents; however this may be, he says it is certain that
Bark, Iron, and Fowler's Solution, remedies which are most
successful in ague, are equally efficacious here.
Chapman says so many cases of cure of periodical
headache occur to homcopathic physicians, that it may bes
superfluous fior him to cite any, but two may be briefly stated:,
CASE 5.-A gentleinan had for many years been subject
to periodical leadaiches, always occurring once a week, sometimes twice ald l asting several hours.  The headache was
stunning, rendering   him i incapable of all mlovemnent. or of
attention to any sulb-ject; he could only rest his head on something, and bear the pain as best he could.
Treatment.-Arsen. was given him, and during many
months he had only one or two slight paroxysms, and hls
had none lately.-CnTL" xNx, B3rit. Jour., vol. 7, p. 398.
CASE 6.-The wife of a physician was subject to distressingperiodical headache, with boring, circumscribed pressure on a.
small spot in one temple.
Treatment.-A few doses of Arsen., of 12th and 30th dilution, cured her as if by magic, and five years have passed
without a return of the headache.-CHaAPMAN, Ibid, p. 399.
CASE 7. —A weak, thin, poor woman, who had nursed a
child for eleven months, had had headaches for six months;'
the pain commenced over the left eyebrow  and temple,
and lasted, without intermission, for twelve hours, after which
she generally vomited a quantity of yellow, bitter, or tougih
matter; during the headache, and for some days after, she
could not touch food on account of irritability of stomach; as
soon as she recovered from  one attack, another came on.
periodically, every ten days; bowels regular, but loose and
bilious after a headache.
Treatmenet.-Child to be weaned.  Arsen. 30 and 18 was
given with most decided improvement in three weeks, arnd
entire cure in a month. —MADDEN ]Brit. Jour. vol. 5, p. 43&
-PETERS.]
Dose, —This powerful remedy must be given with the precautions
due to its great power for good or evil. XVoack advises for adults one or




10                        HEADACHES.
two drops per dose, of the second, third, fourth, sixth, or twelfth dilutions, to be repeated every two, four, six, eight, twelve or more hours
in acute cases; or, as much of the powder as will go on the point of a
penknife may be taken as often as above directed. Children and delicate adults may take, of a solution of three or six globules in a wineglassful of water, one teaspoonful every two, four, six, eight or more
hours. In chronic cases, one dose may be taken every twelve hours, or
night and morning until six doses have been taken; then every night
only, for six nights in succession; then every second, third, fourth, or
sixth day.-PETERS.
5. ASARUiM EUROP1EUM.
CASE. —A  young lady of good constitution, but plethoric, had suffered for several years with the following
head-affection.
Symptoms.8-Sharp pain over the left eye, with lIchrymation; could not read with that eve; bright light increased the
pain; the left side of the head was sensitive to touch, and the
hair would not bear combing; in violent attacks, both eyes
became painful, and nausea was superadded; constipation;
muenses regular, still the attacks were apt to come on just before or after menstruation.
Treatmeent.-Asaruml europ.        given during the interval
of relief, removed the whole disease.-New  Archiv., vol. 2,
part 1, p. 49. —DR. GRoss.
DOSe.-Noack advises one or two drops per dose of the pure tincture,,or first or second dilution, every two or more hours, in acute, or one or
-two times a day in chronic cases.-P.
6. ARUM.
Bergius asserts that when Arumn is taken in doses of half
scruple of the compound powder, he has never known it fail
of giving relief in nervous headache, even after the most celebrated remedies had proved useless or injurious.  Noack advises it in headache from weakness of the stomach.-PETERS.
7. AURUM.
GENERAL REILPiEL  s. —Gold has firequently relieved the sense
of rushing and roaring in the head, such as occurs at times in
hysterical females fromn disorder of the uterine system; it not




ASARUM, ARIUM, AIRUM, AND BELLADONNA.          11
only relieves this permanently, but often improves the whole
general disorder connected with it. —DR. IIArTMANN, by Riickert, p. 132.
NOTE. —It is suited to that form of headache which, colmmencing early in the morning, is increased by meditation and
reading, but especially by talking and writing, to an extreme
degree of violence, and attended with perfect confusion of
mind.
It is also useful against congestion to, with rushing and
roaring in the head, bloating, glowing and shining of the
face, with protrusion of the eyes, especially when followed by
a feeling as if all the blood passed suddenly from the head to
the legs. When there is great heat of the head and face, with
coldness of the hands and feet; heat, pain, fulness of the head,
sleeplessness and anxious dreams; congestion of the head increasing to delirium;l throbbing of the carotid and temporal
arteries.  It is also indicated against a twisting, boring,
acutely throbbing, one-sided headache, commencing immnediately after waking in the morning, increased by coughing and
bending the head backwards.
It is particularly useful against hnemorrhoidal and menstrual headaches. -PETERs.
fDose.-One or two grains of the first, second, or third trituration,
dry upon the tongue; or, for children and delicate adults, from three to
six globules in a wineglassful of water, one teaspoonful every two, four,
six, or eight hours, in acute attacks, or every two or three days in chronie cases.-P.
8. BELLADONNA.
GENERAL REvmARliKS.-(a.) It is indicated against headaches
attended with pressure, fulness and heat of the head, transient redness of the face, roaring in the ears, dulness of hearing, dilated pupils, &c. It is suitable for persons predisposed
to active congestions; for plethoric persons of sanguine temperamlent, with great irritability of the uterine system; in the
headaches of scrofulous children who learn to walk with difficulty, and are inclined to convulsions.-Genl. IEdom. Jour.,
vol. 36, p. 223.-DR. BLACK.




12                      HIEADACHES.
(b). Heichelheimi says that several forms of headache may
be cured by Bellad.: 1, those occurring after taking cold, attended with visible congestion of blood to the head, red,
bloated face, hard beating of the carotids, violent pain, as if
the head would burst; 2, in other cases, in which the face is
pale and cold, the pain resembling a dull, insupportable pressure in the brain, as if the latter had not sufficient rooln in the
skull, often attoended with vomiting.-iIlygea, vol. 5, p. 209.
(c). According to Tietze, Bellead. is indicated in Hemicrania
under the following circumstances: when there is a characteristic one-sided pain over the eye-brow, extending down into the
ball of the eye and into the bones of the nose, and attended
with increased secretion of tears; the pain is apt to be severely pressing in the forehead and upon the eye; at times it
seems as if the affected parts were forced or pressed outwards.
Every motion of the head or eyes increases the pain to an insupportable degree, especially when light also falls upon the
eyes; every noise or movement' of others in the sick-room has
a like effect; the affected eye is often reddened, and waters.
Sympathetic affections of the stomach, such as pressure in
stomach, nausea, eructations, or even vomiting may be
present; but when dyspepsia is the primary affection, and the
head affection a secondary affair, Bellad. will never afford certain relief, but generally merely palliates.-Genl. Horn. Jour.,
vol. 34, p. 7.
(d). iDr. SCHtwTARZE says that he has treated several migranes, some not very severe, and some of not very long standing, occurring in not very robust or plethoric males, and cured
them all, without exception, with iIELLAMD.
(e). Griesselich has found it useful, when the scalp was
very tender, the veins of the head and hands much distended,
with sense of rushing  in the head, roaring in the ears and
darkness before the eyes; also against the most violent pains
in one half of the head, extending to the eye anmd nose, with a
sense of pushing, bursting, rushing and beating, increased by
every motion, by moving the eyes, by every noise or jarring,
and by the moving about of others; and attended by a sense




BELLADONNA.                    13
of moving and beating in the head and forehead at every
step, especially when going up stairs.
It is also useful against those pains in the head which set in
every afternoon, last till mlidnight, and are aggravated by the
warmth of the bed. Also in pains which conmmence suddenly, change into a sharp stitch, which seems to penetrate so
deep into the brain that one almost loses consciousness.Hygea, vol. 5, p. 136.
CASE 9.-A young, slender man, aged twenty-six, stLffered with attacks of HIelicrania on the right side for fifteen
years; commencing in the morning, increasing until midday,
and subsiding in the evening; the pain being drawing and
pressing, beginning about the right orbit and extending to the
ball of the eye, to the forehead and temples; increased by
stooping, reading and writing..Treatment. —Bellad. 30, 1 drop, every four or five days for
four weeks cured him perfectly.-ScInwAuzrE, l). 7.
CASE 10. —A gentleman, aged fifty-six, of Inecdinm stature
and phlegmatic temperament, suffered twenty years with attacks of headache, occurring every Friday. The pain was
always on the right side, attended with sense of pressing outwards, bursting and tension, with dizziness and loss of memnory; the paroxysms lasted twenty-four hours, the face was hot,
red and bloated; there were stitches of pain in the eye, with
acrid tears and sensitiveness to light.
Treatment.-Old school remedies had been used in vain;
VYux vwon. was given without effect; then he was cured by
Beltad. 30, given every Thursday for some time. —Practical
Observations, vol. 1, p.' 183. —Dn. SCHIusBERT.
CASE 11.-A lady, aged forty, suffered two weeks with
severe headache of indefinite character; she could not keep
still an instant, but moved her head and the upper part of her
body to and fro constantly.
Bellad. 24 cured her on the first day it was used. —Genl.
Hom. Jour., vol. 17, p. 242. —Dn. FIELIZ.
CASE 12.-A  maiden, aged seventeen, suffered several
years with attacks of ner-ous headache, commencing early in




14                    HEADACHES.
the morning. increasing till midday, and ceasing in the eveuing; often attended with bitter or bilious vomits, with violent
pressure upon the vertex and temples, with dizziness from raising or moving the head, with coldness of the hands and feet,
rush of blood to the head, heat and redness of the face. Was
cured by two doses of 3ellacl. 30. —Genl. IHol. Jour., vol. 5,
p. 65.-D-I. KNOImRE.
CASE 13.-A young lady, aged nineteen, suffered with
throbbing pains in the forehead, of which she was cured by
Bellad. 400 and 800. —Genl. IHom. Jour., vol. 29, p. 275.
— DR. HAUPTMANN.
CASE 14. —A plethoric, sanguine, young man, aged nineteen, suffered three years with spasmodic twitchings, and latterly had kept his bed for four weeks, on account of violent throb.
bing, piercing pains in the forehead and occiput, great heat
in the head, and vertigo increased by motion; accompanied
by noises in the ears, heaviness of the arms, aud swelling of
the veins; his eyes were fixed, his pupils very movable, and
he had various gastric derangements.
Treatnzent.-Bellad. 2, one drop every two hours, cured4
him quickly, after previous aggravation.-Genl. ilom. Jonur,
vol. 21, p. 66. —Dn. NoACK.
CASE 15. —A woman, aged fifty, otherwise healthy, suffered
four years with headache, marked by rending pain in forehead
to the right temple, with transient pains in the whole head,
with heat therein, worst in the morning, with sleepiness during
the attacks, rush of blood to, and heat in the face, fand chilliness over the whole body.  She also had leucorrhlla, especially when walking.
Treatmenet.  Bellad. 300, in solution, one spoonful a day,
cured her in sixteen days; the leucorrhcea was relieved by
Sepia, 18.-Genl. Itom. Jour., vol. 35, p. 222.-DR. PERRY.
CASE 16.-A young lady, aged twenty-five, suffered eight
years with periodical headaches, generally occurring every
eight days, commencing with chilliness over the back and
shoulders, soon attended with violent nausea, disgust and
vomiting, with violent aching, pressing and rending pains in.




BELLADONNA.                   15
the whole head, especially in the forehead, increased to an
insupportable degree by the slightest motion of the head or
eyes; the softest bed seemed too hard, and only the greatest
rest and quiet brought the slightest relief. Finally the pain
extended to the whole fiont head, a glowing hot spot was to
be felt in the forehead, and the bones of the nose became
painful; she was obliged to lie in a dark place, as even a ray
of light irritated the eyes and increased the headache; her
limbs felt as if bruised, and she had palpitation to such a
degree that every pulsation jarred the head.
lBellad. 24 followed by Bell. 30 cured her.-A-rchiv., vol. 6,
part 3, p. 84. —D. IIARTMSNN.
CASE 17.-A young lady, aged 24, of sanguine temperament and regular menstruation, had suffered for three years,
almost uninterruptedly, with the following
Synmptonzs.-Burning  and pricking in the gumns, which
soon swelled up and became blanched; in a quarter of an hour
the upper lip and right side of face commenced to swell, with
twitching, pricking and drawing therein; then followed
screwing, boring, rending, pinching and piercing pain in the
right ear, with noises therein; piercing and drawing pain be —
hind the ear; piercing and rending pain in the occiput, and
feeling as if it were screwed or pressed apart; boring and
piercing pain in the right temple; extreme painfulness of the
scalp. These attacks occurred in the afternoon, lasted until
three in the morning, were increased by the warmth of the
bed and by laying the head down.  She often seemed almost unconscious; the sub-nmaxillary glands were somewhat
swollen; she had great despondency.
Treatment.-Bellad. 30, one drop per dose, moderated the
attacks up to the fifth day; from the fifth to tenth day she
was quite well; a slight attack on the eleventh was treated
with Pulsat. 15, after which she remained well for fourn
months. Subsequent slight returns were treated with Bellad..
30, and she was perfectly cured.-Archiv., vol. 3, part 1,
p. 85. —DR. A. SCHUBERT.
Besides the above cases, Bellad. was often used as an inter



HIEADACIHES.
rx~rent remedy in other and in the following additional.ase.-PETERS.
CASE 18. —A gentleman, aged a0, very subject to attacks.4' headache and blindness, lasting the greater part of the day,
and leadache generally for twvo days, was relieved by Bellad.
ThI, in a quarter of an hour, and almost entirely cured of one
attack in half an hour.-I-I:NDERsoN _vND T) FoRBES, P. 70.
CASE 19.-A married lady, aged 37, had suffered for six
hours with severe pain across the top and middle of her head,
-extending to both temples; the pain was heavy and crushing;
t ere was a  sense of tightness across tle eyes and root of nose,
svith constant pain; the eyes were painfli    to motion and to
ight, which produced frequent flashes in themn; she also had
ringilng in the ears.
2Teatznent.-Bellad. 6 two doses at intervals of twenty
-m;inutes, almost entirelly removed the attack.-IIENDERsoN.
C(ASE 20. —A spinster, aged 40, subject to severe attacks
_of headache, conming on gradually, lasting all day, keeping her
a,wake a great part of the night, and not usutally ceasing till
the day after, and often not bor several days, had been suffering for six hours with severe headache on right side of forehead and in right eye, with great increase of pain on moving
- fe eye.
Treatnent.-Bellad. 6, afforded no relief in twenty-five
mnutes; twenty minutes after a dose of Lachesis 6, w as taken,
not a trace of uneasiness remained.- HENlERso;N.
Ilenderson reports several other brilliant cures in which
Bellad. and other remedies were used.-PETERS.]
REKvJEw.-Of the ninle cases reported by Riickert, three
were in males and six in females, their ages varying from
18 to 56 years. Schwarze found Bellad. most useful in males.
[Of the three additional cases, two were females and one
was a male, their ages varying from 37 to 50 years.-PETBrs.]
The temperament of the patients was phlegmnatic in one
case, sanguine in two, and Dr. Black found Bell. most useful
in those of a plethoric, sanguine temperament, while Schwarze.cured many migranes in males who were not robust or ple-:thoric.




BELLADONNA.                    17
Tietze noticed that the pains which Bellad. relieved most
rapidly were those seated in the ophthalmic branch of the fifth
pair of nerves.
The pains were one-sided in cases 9, 10, 15 and 17, and in
~ c, d, e; they involved the whole head in case 17; the back
of the head in cases 14 and 17; the forehead in cases 9, 13
and 16; the orbit, brow, and root of the nose in ~ c and e,
and cases 9 and 16; the temples in cases 9, 15 and 17; the
vertex in case 12.
As regards the kind of pains, they are described as a dull,
insupportable aching, pressing out and pressing asunder in
~ b, c, and e, and cases 10 and 16; as drawing and aching in
cases 9 and 12; piercing and boring in cases 14 and 17; as
stretching and throbbing in case 13; beating in ~ e; beginning
suddenly and becoming piercing in ~ e.
Among the accompanying complaints we find vertigo, heat
of the head, redness and heat of face, redness of the eyes;
noises in the ears, beating of the carotids, and all the signs of
congestion to the head. On the other hand, Hleichelheim saw
the face pale and cold, with dull' pressure and vomiting.
Many gastric derangements are apt to be present, such as
coated tongue, bitter taste, inclination to vomit, vomiting of
bitter substances, oppression of the stomach; still Tietze remarks, when the dyspeptic symptoms are primary, and the
headache secondary, that Bell. will rarely cure, but at most
only alleviate transiently. Further, the pains may be attended with loss of memory, soreness of the scalp, distension of the
veins of the head and hands, coldness of the limbs, and chills.
The majority of the cases belonged to the chronic forms of
headache; the disease had lasted for at least several years in
six cases, in the others several weeks.
The cures in some cases were effected very soon, in others,
after three or four weeks.
Of the nine cases, Bellad. effected a cure, unaided by any
other remedy, in eight; the dose was 24th or 30th dilution in
six cases; the 2d dilution was repeated in one case; the high
potencies in solution and repeated, were used in two cases.
2




18                     HIEADACHES.
Dose.-The most efficient doses are sufficiently pointed out in the
above paragraphs. When the high dilutions are used, five or six
globules may be dissolved in a wineglassful of water, and one teaspoonful taken every half, one or two hours in severe cases, or only every
two, four, six or eight hours in milder ones.  When the lower dilutions are preferred, one or two drops of liquid Belladonna may be given
every two, three, four, six, eight or twelve hours in mild attacks, or
every quarter, half, one or two hours in severe cases, and in such as are
not relieved by doses given at longer intervals. In chronic cases from
two to five globules, or one or two drops may be taken every morning,
or every second, third or fourth morning, as Belladonna is apt to cause
aggravations when given in the afternoon, evening or night. Children
may take one globule per dose, or one drop of the second, third, sixth
or twelfth liquid dilution at the same intervals of time as above directed.
PETERS.
[IN OTE.-One of the most frequent forms of Belladonna headache is a dull, heavy frontal pain; a heavy regular pain over
the whole forehead; a general, dull frontal distress, usually
ushered in by a sense of dryness in the mouth and throat,
dimness of vision and slight dizziness, attended with enlargement of the pupils.
It is homceopathic to headaches followed by delirium, especially if it be of an extravagant or pleasant character, accompanied with uncontrollable laughter or incessant loquacity,
and the face be flushed and the eyes glistening.
It is also particularly suited for hysterical headache with
excessive irritation of the bladder, strangury, bloody micturition, followed by an excessive flow of urine.
Piorry has rendered himself celebrated by his bold use of
Belladonna in hemicrania: he assumes the disease to be a
neurosis or neuralgia of the iris, or, more properly speaking,
of the nerves of the iris, and that it is most frequently brought
on by exposure to bright light, or dazzling spectacles, and
excessive reading. From thence he assumes that the disorder
spreads to the great sympathetic nerve, soon involving the
stomach, and to various branches of the fifth pair, causing
pains about the head and face.  On account of the specific
action of Belladonna upon the iris, and its well established
reputation against neuralgia, he selected it as the principal
remedy in hemicrania, and applied it locally about the eye,




BELLADONNA AND BRYONIA.              19
using from one to four grains of the extract moistened with
a little water and rubbed upon the temples and lids. Piorry
avers that he hardly ever fails to check the paroxysms if
the Bellad. be applied at the moment of their commencement,
or soon after. One drop of a solution of Atropine may also
be applied, according to Piorry, to the eye itself, or a small
quantity rubbed on the lids, brow and temples. I have witnessed several cases in which patients had found this mode of
treatment of almost certain efficacy, the attacks subsiding in a
few hours.-PETERS.]
9. BRYONIA.
GENERAL REMARKS.-(a). The head-symptoms caused by
Bryon., when viewed in connection with the physiological
phenomena which it excites in other organs and systems of
the human body, point to alterations and disturbances in the
nerves of sensation, and in the operations of several cerebral
nerves, viz.: of the frontal and temporal branches of the trifacial; in fact it causes an actual hemicrania. In this respect
its action is nearly allied to that of Colocynth and Nux vom.;
Colocynth, however, does not affect the motor nerves of the
face, while Bryon. often attacks the temporal and maxillary
twigs of the superior facial branch.- Austrian tom. Jour.,
vol. 3, p. 118.
(b). Bryon., according to Knorre, relieves headaches affecting
the forehead, brows and temples, the pain being aching and
pressing out as if the head would burst; attended with penetrating stitches so violent as to force one to cry out; arising
from congestion of blood to the head, and increased by stooping, moving the head, coughing or sneezing.-Genl. Hom.
Jour., vol. 5, p. 68.
(c). According to Black it is indicated when the pain is on
one side of the forehead and extends to the neck, arms and
face, and is more throbbing in its character the more severe
it becomes. It may be given with advantage in alternation
with Alumina.-Genl. Hom. Jour., vol. 36, p. 224.
(d). Griesselich thought it was most useful in burning and




20                       A)ACC.HES.
pressing pains, with the feeling when stooping, as if everything would fall out of the forehead; especially when they
are increased by walking, and relieved by pressing upon the
head, or tying something tight around it. He also advises it
against superficial rending pains extending to the face and
temples; in aching, boring and rending pains in small spots,
occurring in persons of an irritable, angry disposition, and
subject to rheumatism. —Hygea, vol. 14, p. 228.
CASE 21.-A lady, aged 30, of relaxed constitution, very
irritable and timid, formerly irregular, generally too profuse,
but now regular in her menstruation, had suffered for years
with violent headaches, occurring especially after depressing
mental emotions.
Symptoms. —The paroxysms commenced early in the morning, increased during the whole day, and were so intense by
evening that she lay almost senseless. The pain was compressing, and involved the whole brain; her eyes were dull,
glassy, contracted, and she could scarcely open them from
pain; she could not bear the least noise or light; was irritable,
inclined to find fault and scold. During the afternoon palpitation of heart, oppression of chest, nausea and retching to
vomit generally set in. If she got some sleep during the
night she was generally better the next day, but if fever and
wakefulness set in, she was often obliged to keep her bed for
several days in succession.
Treatment. —Bryon. 3, one drop, was soon followed by
sleep; the next day she was quite well, although a fresh attack occurred seven days after from the reception of distressing news; still Bryon. again brought on sleep, and she
remained permanently cured.-Archiv., vol. 1, part 2, p. 104.
-DR. MOIrrTZ MULLER.
CASE 22.-A young lady, aged 20, irritable and inclined
to anger and vexation, had suffered for a year with attacks of
headache commencing in the morning, marked by drawing,
boring-aching in the forehead, and by piercing, rending and
burning in the whole head, gradually decreasing after vomiting set in.




IBRYONIA.                   21
Treatment.-N-ux vom. 9 lessened the attacks, and two
doses of Bryonia then cured her entirely.-Archiv., vol. 6,
part 3, p. 100. —DR. SCHULER.
CASE 23.-Mrs. P., aged 34, suffered frequently and
periodically with one-sided headaches. After taking cold she
was attacked, June 2d, with violent headache in the left temple, the pain being pressing and outward-pressing.
Treatment.-Nux 6, two doses, was given without benefit;
then Merc. 3, two doses; in the afternoon a violent aggravation set in, the pain shifted from the left to the right side,
became piercing and drawing, and so severe that the patient
cried out from the slightest touch or motion of the head. At
2 o'clock Bryon. 200 was given, and at eight o'clock the
patient was almost beside herself with suffering; then Bryon.
6, four drops in solution, was given every two hours; at 12
o'clock she was relieved, and the next day was perfectly well.
-Genl. Hem. Jour., vol. 33, p. 101.-DR. KA.LLENBACH.
CASE 24.-A tailor, aged 44, slenderly built, with the
signs of abdominal disease, had suffered from his youth, after
a severe fall, with periodical attacks of pain on the right side
of his head. The paroxysms were generally excited by
changes in the weather, and often were so violent that he
fainted away.
Symptoms. —Violent, piercing headache fixed in a small
spot on the vertex, with the feeling as if the coronal suture
were forced apart and a cool air passed through the brain;
vertigo; illusions of visions; lachrymation; sensitiveness to
light; loss of appetite; white coated tongue; feeling of heaviness in abdomen; constipation; turbid urine; drawing pains
in the joints, without swelling or redness; emaciation; paleness; dejection; loss of hope; his pulse was generally slow
and soft, but became frequent and hard during the attacks.
Treatment.-He had taken every conceivable remedy, in
the old way, for six weeks, he then received four grains of
Rad. Bryon., divided into six powders with sugar, one dose to
be taken morning and evening; after the second dose the pain
became so violent that he became unconscious, but the next




22                    HEADACHES.
day it was gone and never returned.-Austrian Hom. Jour.,
vol. 3, part 1, p. 119.
CASE 25.-A powerful man, aged 50, was attacked with
violent pains in his head after a severe cold; the pains involved the right side, and were rending and drawing; the
temporal veins were unusually distended, and his eyes glistening; he was exceedingly restless, his tongue coated, he
had oppression at the epigastrium, constipation, dryness of
the skin, and hard, quick pulse.
TrTeatment. —After a great variety of allopathic remedies,
among others leeching and bleeding, had been used without
avail, he received one grain of Rad. Bryon., morning and
evening, and was cured in a few days after a violent aggravation.-Ibid., p. 120.
CASE 26.-A servant girl, aged 22, of robust frame, suffering at times with epileptic attacks, was seized almost without exception at every menstrual period, with pains in the
head, always commencing in the night, and lasting for several
days; the pains were violent and piercing, confined to the
right side, and deprived her of all sleep; her eyes were bloodshot and protruding; her face was pale and covered with cold
sweat; her tongue coated; appetite gone, and constipation
had lasted four days; her pulse hard; skin dry; urine scanty
and turbid.  She had great anxiety, and complained of
crawling and pricking pain in the ankle-joints.
Treatment.-After six days' allopathic treatment without
relief she received Bryon. one grain, three times a day, with
relief the same day and perfect cure in a few days.-Ibid.,
p. 120.
REvIEw.-Of the six cases, two were in males and four in
females, all middle aged.
In two cases taking cold was the exciting cause; in one case
changes of weather; in one case the time of menstruation; in
another depressing mental emotions; while, according to
Hering, Bryonia is useful in the headaches of rheumatic subjects, and those of an irritable, timid disposition and inclined
to anger and vexation.




BRYONIA.                     23
In two cases the pain was on the right side, in the temples,
forehead and vertex; in one case it was on the left.
In two cases the pain commenced early in the morning and
increased till evening.
Drawing pains occurred in three cases; piercing pains as
often; besides, we meet with penetrating, compressing, outpressing, rending, boring, burning, and throbbing pains, especially when the attacks become severe. In several cases the
paroxysms occurred periodically.
Among the attending affections, we find congestion to the
head in case 24; vertigo in case 24; distension of temporal
veins in case 25; redness, protrusion and glistening of the eyes
in cases.25 and 26; dimness, glassiness and inability to open
the eyes in cases 24 and 26; illusions of vision in case 24;
paleness of the face in cases 24 and 26; face covered with cold
sweat in case 26; coated tongue, nausea, retching to vomit,
vomiting, constipation and turbid urine in cases 24 and 26;
hardish, hard and quick pulse in cases 24 and 26; drawing
pains in the joints in case 24; extension of the pains to the
nape, arms and face in ~ c.
The conditions of increase of the pains were: moving the
head, or touching it, sneezing or coughing, stooping, walking,
noise and light; the pains generally commenced early in the
morning and were worst at night.
Bryon. cured four cases, without aid from other remedies,
viz.: cases 21, 24, 25, 26. In two cases Nux vom. was given
previously without effect.
Black generally found Alumina useful in alternation with
Bryon.
The most of the cases were of a chronic nature, and the
cures set in quickly.
The doses were of Bryon. 3d and 6th dilution. In case 23,
the high potencies merely excited, while the 6th relieved
quickly. The doses given by Allopaths were grain doses of
the Root; they cured but caused severe aggravations in two
cases.




24                      HEADACHES.
ose. —The lower or stronger dilutions seem  to be most useful.
Noack says one or two drops of the pure tincture, or of the 1st, 2d or
3d dilution may be given as directed for Bellad. in acute, or once or
twice a day in chronic cases. When the globules are preferred two or
three may be given per dose, every ~, 1, 2 or 4 hours in severe cases;
and every 6, 8 or 12 hours in slighter attacks; or five or six globules
may be solved in a wineglassful of water, and one or two teaspoonfuls
given as often as above directed. —PETERs.
10. CALCAREA CARBONICA.
GENERAL REMaRsS. — (a). According to HIahnemann it is
most suited when there is heaviness and aching in the forehead,
forcing one to close his eyes; in headaches from excessive
reading and writing; boring in the forehead, as if the head
would burst; throbbing pain in the occiput; pushing in the
middle of the brain; hammering headache after walking in
the open air, forcing one to lie down; headache and buzzing
in the head, with heat of the face, icy coldness of the right
side of the head, and sweat on the head at night.-CAronic
diseases, vol. 2, p. 308.
(b). Black says Calc. may be used in some cases in which
Bellad. seems indicated, viz.: in those with heaviness, fulness,
aching and heat in the face. It may also be given when there
is a violent aching pain over the eyes with trembling of the
lower lids, especially when the patient is dull and confused in
the morning, awakes from sleep unrefreshed, and suffers with
nervous debility. Genl. Hom. Jour., vol. 36, p. 224.
(c). According to Tietze, Calc. is next to Sepia the most
important remedy in chronic migrane, especially in persons
who have had to contend much with dyscratic diseases, and in
whom a scrofulous predisposition is still evident. The pains
which it relieves most readily, are dull aching pains in the
vertex, extending towards the forehead; or drawing pains and
coldness in the forehead attended with nausea, and arising or
being increased by exposure to the free air; or rending pains
in the right side of the forehead, with great soreness to touch;
or throbbing and pushing in the middle of the brain; or headache generally confined to the right side, fiom which it radi



CALCAREA CARBONICA.               25
ates to other parts. These headaches may be attended with
eructations, inclination to vomit and vomiting; or the menses
may appear too early and flow too freely.-Genl. obm. Jour.,
vol. 34, p. 19.
CASE 27.-A young lady, aged 23, had suffered for two
years with headaches; she had been scrofulous when a child;
commenced to menstruate scantily when 12 years old, often
with an interval of six weeks.
Symnptoms.-Dulness of the head, boring in the forehead
as if the head would burst; hammering headache when in tLe
free air, forcing her to return and lie down; buzzing ill the
head with heat of the face, and falling out of the hair; webs
before the eyes, dimness of sight especially when reading;
inclination to diarrhoea; during menstruation cutting pains in
abdomen, and grasping pain in the sacrum; freqy uent awaking
at night, with weeping and unhappiness. Ctlc. 30 effected a
cure.-Annals, vol. 1, p. 74. —DR. SCHROTER.
CASE 28.-A woman whose menses occurred too frequently
and freely, and who felt worst early in the morning, had
suffered for 15 years, with:
Feeling of coldness in the whole head; with vesicles or
aphthae in mouth constantly going and coming; acrid eructations from the stomach, without thirst; drawing pains in the
legs, extending up to the back, and pricking in the anklejoints.
Treatnment.-Sulph. 30 merely relieved the pains in the
limbs, but Calc. 30 removed the whole trouble permanently.Archiv., vol. 17, part 1, p. 9.-D. B. in D.
CASE 29. —Miss G., aged 19, had suffered almost daily for
7 years with headache, sometimes affecting one side only, at
others the whole head. She had frequent nausea and vomiting,
and her menses were rather profuse.
Treatment.-Sepia and Carb. veg. were given without avail,
except the pain became more limited to the right side; Calc.
carb. 500, was also given without relief; then Tinct. sulph.,
four doses of two drops each, one dose daily; then Cale. carb.
4th dilut., six doses, two every week, with improvement after




26                   HEADACHES.
2d dose, so that she had no return of headache for four months;
then a slight attack was immediately relieved by one dose of
Calc. c. 4th, and she remained permanently cured.-Genl.
Hom. Jour., vol. 33, p. 106. —KALLENBACH.
CASE 30. —Miss J. had suffered for a long time with
violent pressing pain over the left frontal protuberance, which
prevented her from attending to any household duties; it was
increased by over-heating and by fright; relieved by binding
up the head and by lying down; it commenced early in the
morning, persisted the whole day, and then returned again in
a few days; she had heat and rush of blood to the head, pain
in her eyes, dimness of sight, red, dull spots on her cheeks;
also sore throat from every cold, constant pain in her back
and stitches in the sacrum; she was annoyed with falling
asleep of her feet, and constant drowsiness; her menses were
very profuse and attended with pains in the hips. Calc. c.,
repeated every 8 days, cured her entirely. Practical Observations, vol. 2, p. 5.-DR. SCHINDLER.
CASE 31.-A robust woman, aged 51, had an attack of
headache, coming on with every rain-storm, and lasting 24
hours; consisting of constant darting and pricking in the
head, attended with much drowsiness, and vomiting of bile.
Treatment.-Sulph. 30 did not relieve; but after taking
Calc. c. 30 she had no attack subsequent to the first 8 days of
treatment.-Archiv., vol. 17, p. 1, page 8.-DR. B. OF D.
CASE 32.-Mr. J., aged 40, of sanguine temperament, had
suffered when a child with scald-head, afterwards with worm
complaints, and finally for many years with the following
constantly increasing malady.
Symptoms. —Tearing pain, extending from the temples
towards the vertex, which then became hot; when the pain
increased much, throbbing set in, and was aggravated by
mental exertion and spirituous drinks. These attacks were
worse every four weeks; and if he ate rather freely in the
evening he was generally attacked with spasms of the stomach
and vomiting of food. He had burning in the eyes, and
purulent discharge from the ears; when reading his head




CALCAREA CARBONICA.               27
became confused, and painful on one side, with sweat on that
side; his hair fell out freely; his nose was filled with offensive
pus; he hawked up phlegm from the throat; was constipated;
had piercing pain in the left side from motion; shortness of
breath from stooping and going up stairs; nocturnal pains in
the back and arms; loss of strength; talking weakened him
very much; he fell asleep early in the evening, awoke frequently during the night; was irritable and easily excited to anger.
Treatment.-As he had been in the habit of being bled
every year, for four years, he first received Aconite; then
Nux vom. 30, followed by some relief from headache; then
Cale. c. 30, for five weeks, when he was fully relieved of all
his complaint.-Annals, vol. 1, p. 236.-DR. SCHROTER.
CASE 33.-Chronic headache occurring after suppression
of itch; affecting the forehead, most violent in the forenoon,
increased or excited by mental occupation, attended with
paleness of the face, disordered digestion, and weakness, especially in the morning.'Treatment.-Nux vom. only afforded palliative relief, but
several doses of Cale. c. 3, given at long intervals, cured the
case permanently. —Hygea, vol. 20, p. 355.-DR. MALY.
CASE 34.-A young lady, aged 21, of slender make, and
taciturn, but irritable disposition, whose menstruation occurred
profusely every three weeks, and was preceded by swelling
and painfulness of the breasts and leucorrhmea, had suffered for
several weeks:
With throbbing pain in the forehead, internal heat in the
head and sensation as if it would burst, setting in every afternoon and increasing till evening; during the attacks the blood
flew to her face, her cheeks became very red and spotted, and
her sleep was heavy with loud, almost snoring breathing.
Cale. c. 30 effected a permanent cure. —Archiv., vol. 17, p. 1,
page 8. —DR. B. OF D.
CASE 35.-A lady, aged 43, of choleric temperament, had
suffered since the suppression of a chronic catarrh of the nose
with:




28                     HEADACHES.
Violent one-sided headache in the forehead over the left eye,
attended with feeling of coldness, with stitches in the epigastrium, and pain in the back.
Treatment.-Calc. c. 30, followed in eight days by Sulph.
30, and after eight days more by Calc., cured her entirely in
three weeks. —Archiv., vol. 17, p. 1, page 10.-DR. B. OF D.
CASE 36.-A single woman, aged 25, of violent temper
and bilious constitution, who had suffered formerly with discharge from the left ear, was troubled with an internal sense
of coldness and numbness on the left side of head near the
back, accompanied by rending pain, shooting through the left
arm down to the hand, and often extending to the left leg,
with swelling of the knee, most severe in the evening, and
while at rest.
Treatment.-Calc. 30 for four weeks, followed by Nux 30,
for eight days, and again by Calc. c. 30, effected a perfect
cure.-Ibid.
REvIEw.-Of the ten cases, two occurred in males, eight in
females, their ages varying from 19 to 51 years. The temperament is given as sanguine in one case; choleric in one case;
venous or bilious in one case; delicate in one case.
The most common exciting causes were previous scrofulous
affections, scald-head, suppressed discharges from ears or nose,
or suppressed itch. In case 31, the attacks always occurred
during rain storms.
In four of the female cases, the menses occurred too soon
and too profusely; in one case only, in a scrofulous person
were the menses too late and scanty.
The character of the pains varied very much; most frequently they were of a hammering, throbbing or pushing
nature, as in ~ a, c, and cases 32 and 33; pressing and dull in
~ a, b, c; boring with sense of bursting in ~ a, and cases 27
and 34; pricking in case 31; rending in ~ c; stretching in
case 32; piercing in case 31; radiating in ~ e.
Quite peculiar to Cale. is the sensation of coldness in the
head, the icy coldness of the right side of the head, mentioned
in ~ a, c, and cases 28, 35 and 36; and the night-sweats, ~ a.




OALCAREA CARBONICA.                29
As regards the locality of the pains, the majority were
seated in the forehead over the eyes, see ~ a, b, c, and cases
30, 33, 34, 35; next in the middle of the brain ~ a, c; then in
vertex, see ~ c; occasionally in the occiput, see ~ a; or in the
side of the forehead, ~ c; or on one side, see case 33, viz.: on
the right side in ~ c, and case 29; on the left side in cases 30,
35 and 36.
As regards the time of day in which the pains commence
or increase, we find early in the morning in cases 30 and 38;
in the forenoon in cases 33 and 34.
Among the accompanying disorders, we find congestion to
the head and face in ~ a, and cases 30 and 34; red spots upon
the cheeks in cases 30 and 34; dimness of vision in cases 27
and 30; paleness of face in case 33. Dr. Black mentions
quivering of the lower eye-lid. Among the gastric derangements we find nausea, eructations, hot risings from the
stomach, vomiting of bile or food, inclination to diarrhcea;
also aphthae in the mouth; and sleepiness.
Among the causes of the commencement or increase of the
Calc. headaches, we find mental labor, reading and writing
in ~ a, and cases 32 and 33; household occupations in case 30;
speaking in case 32; exposure to free air and walking in ~ a,
c, and case 27; touch in ~ e; fright and over-heating in case
30; use of spirituous liquors in case 32. Among the causes
which alleviate the pain, we find, closing the eyes in ~ a;
binding up the head in case 30; lying down in ~ a, and cases
27 and 30.
Calc. effected four cures unaided by any other remedy; in
several cases Sulph. was given with little or no effect; in one
case Calc. was given in alternation with Sulph.; and in one
case with lux.
All the cases were old chronic ones, and the cures were
effected in a few weeks.
As regards the dose, Cale. 30 was given in seven cases;
Calc. 3 in one case; Calc. 4 in one case. Generally one dose
sufficdd to effect a cure. In case 29, Calc. 500 was given
without avail, while four doses of Calc. 4 effected a cure.




30                     HEADACHES.
Dose.-In chronic cases, two or three grains of the lst, 2d or 3d
trituration, or as much as will cover a sixpence, or the top of the cork of
the vial, may be taken once or twice a day, or every 2d, 4th or 6th
day. Or from three to five globules may be taken as often as above.
It is not often used in acute cases.-PETERS.
11. CAMPHORA.
CASE 37. —A woman, aged 36, with unusual development
of the cerebellum, had suffered for several months with:
Throbbing and heavy beating in the cerebellum; pulse irritable and synchronous with the beating in the brain; great
redness and heat in the face.
Treatment.-Spirits of Camphor. 1 to 10, 3 ij, of which one
or two drops were given every five minutes, removed the
who le attack in the course of an hour.-GrIESSELICH.
CASE 38.-A young lady, aged 19, suffered with paroxysms
of headache of the following character:
Throbbing in the cerebellum synchronous with the pulse
beats. Camphor Ath, one drop per dose, every ten minutes,
relieved the attack in a few hours. -GRIESSELICH.
CASE 39.-A man, aged 39, was attacked with throbbing
headache in the cerebellum, which he himself described as
synchronous with the pulse.
Spirits of Camphor, four or five dropsper dose, were given
every fifteen minutes, and sufficed to remove the difficulty in
the course of two hours. —Hygea, vol. 13, p. 456.
REVIEw.-Camphor is the only remedy which produces and
promptly cures throbbing pains in the cerebellum synchronous
with the pulse.
[NOTE. —Judging from Christison's records, Camphor is
homoeopathic to some varieties of nervous and congestive
headaches, when the patient is languid, listless, giddy and confused; when all objects quiver, and sparks appear before his
eyes, and his body feels so light that he seems to skim along
the floor almost without touching it; when the patient is pale
and chilly and his head feels numb; followed by a strange
feeling of anxiety, so that without thinking himself in danger
he sheds tears, but cannot tell why. These symptoms may be




CAMPHORA.                       31
followed by some heat of skin, palpitation, hurried pulse, sense
of intoxication, moisture of the skin, and profound sleep for
some hours, attended with excessive sweating.-PETERS.]
Dose,-The proper dose is sufficiently indicated in the treatment of
the above cases. It is a matter of regret that other mild remedies, such
as Chamomilla, Coffea, Borax, Ferrum, Ipecac., Lycopodium, Nux
moschata, and many others are not given as freely as above recommended for Camphor, instead of being administered in doses as infinitesirnal as if these remedies were as powerful as Arsenic., Bellad. or
Mere. corrosiv.-PETE RS.
12. CARBO ANIMALIS.
GENERAL REMARKS.-According to Black, Carb. an. is useful
in nervous and congestive headaches, in which pressure in the
occiput sets in after eating, attended with soreness of the scalp,
and by pains arising from irregular action of the digestive
organs, connected with flatulence. —Genl. Hom. Jour., vol. 36,
page 224.
13. CARBO VEGETABILIS.
CASE 40.-A young gentleman, aged 8, had been subject
for two years to attacks of excruciating headache, commencing
with giddiness and sense of fulness, ending in most acute pain.
Carb. veg. relieved him entirely.-DUINSFORD, p. 104.
CASE 41.-A gardner, aged 40, became subject to headaches after a fall upon the head; the paroxysms came on two
or three times a day, lasted an hour and were followed by
great weakness and palpitation.
Treatment.-Bellad. kept off the attacks for three weeks.
Carb. veg. was then given and the pain did not return for six
months; it was repeated and the malady was overcome, slight
pain only being experienced on sudden changes in weather.
-Ibid.- PETERS.
Dose.-Carb. anim. and vegetab. may be given in the same doses as
recommended for Calcarea.-PETERs.
14. CAPSICUM.
GENERAL REIAiRKS.-(a). According to Hering, Capsicum
is often useful against throbbing headaches, or those marked




32                     HEADACHES.
by distending, bursting or out-pressing pains, increased by
motion or walking; or against piercing-rending pains, occurring while one is at rest, or when moving the head or eyes, or
stooping; when exposure to the free air or cold aggravates the
pain; aud the attacks occur in phlegmatic, dull, or irritable
people, or in children who are very contrary, apt to be chilly,
especially after drinking, and are afraid of the free air and of
active exerci e.
(b). Tietze uses Caps. when the pains are throbbing, or
aching and piercing and attended with nausea to the point of
vomiting; when they are aggravated by moving and bending
the head, by moving the eyes, and the patient is very sensitive to the cold air. —Genl. Hom. Jour., vol. 34, p. 32.
Dose.-Capsicum may be given at the rate of one or two drops of
the 1st, 2d or 3d dilution, every two, four, six or more hours, according
to the severity of the symptoms. Children and delicate females may
take one or two globules as often. —PETERS.
15. CAUSTICUM.
GENERAL REMARxs.-According to Hahnemann it is indicated against dull, stupifying aching in the brain; piercing
in the head; stitches in thA temples; burning piercing in the
vertex. —Chronic Diseases, vol. 3, p. 86.
CASE 42.-A delicate seamstress, aged 37, had suffered
for a long time with an affection of the head.
It began with stitches in the scalp, shot to the temples,
where it also became piercing, and was attended with nausea;
the pain was most severe in the morning, soon extended
through the whole body, which became chilly and covered
with goose-skin, whilst the head and face became burning hot.
Her menses were very irregular, at times too early, at others
too later:Treatnent. —Bellad. not only did not relieve, but the paroxysms became more severe in the evening. Causticumn 30,
removed the whole difficulty. —Archiv., vol. 17, p. 1, page 10.
-DFR. B. OF D.




CAUSTICIU  AND CHAMOMILLA.              33
CASE 43. —A merchant, aged 52, of robust constitution,
had suffered for several years with the following complaints:
Violent stitches of pain in the right temple, most severe in
the evening when he came out of the open air into a warm
room, and attended with giddiness. Irregular appetite, at
times poor, at others ravenous; fulness in the abdomen,
constipation for several days at a time; at night when in bed
he had drawing pains in all his limbs, persisting severely
until midnight; chills during the evening, with dejection of
mind, and gloomy anticipations about the future; frequent
sorrow and care.
Treatment.-Pulsat. afforded but little relief, but Caust. 30,
removed the whole difficulty.-Ibid.
CASE 44.-An old lady, aged 75, a great coffee drinker,
had suffered several years with:
Nocturnal pains of a rending and digging character, attended
with constant roaring and rushing in the head; formication
in the arms and rending in all the limbs, increased by motion.
]Treatment.-Sulph. 30, one dose every fourteen days for
five doses, with the continued use of coffee, removed the pains
in the limbs, and Caust. 30, five doses at the same intervals of
time cured those in the head.-Ibid.
REvIEw.-All three cases were chronic; the pains affected
the temples in particular; they were piercing and connected
with rending and drawing in the limbs.
Dose. —Causticum is regarded by many physicians as a very mild
or almost inert remedy, still it seems to have been exceedingly useful
in the above three chronic cases, and that in the high dilutions. Two
or three globules may be given two or three times a day at first; then
every two, four or six days; if this does not suffice, one or two drops
of the first, third or sixth dilution may be used in chronic cases once or
twice a day, or at the longer intervals above directed. It is rarely given
in acute cases.-PETERS.
16. CHAMOMILLA.
GENERAL REmARIS.-According to Hering, Chamomilla is
useful in pains from taking cold and from excessive use of
coffee; especially when there is rending and drawing in one
side of the head extending down into the jaws; stitches in the
3




34                      HEADACHES.
temples; heaviness, or very annoying throbbing over the nose;
especially when one cheek is red and the other pale, or the
whole face is swollen, and the patient has a bitter putrid taste
in the mouth. It is often suitable for children and for persons who become ill-natured from pain.
CASE 45.-Mrs. P., aged 34, suffered periodically with
one-sided headache.
Symptoms.-Violent piercing pains in the left side of the
head, extending from the occiput to the upper jaw of the same
side; at times she had rending pains in the left ear, the left
cheek became red and hot, and frequent slight chills were
followed by stitches in the region of the liver.
Treatment.-Chamonlilla 200, afforded no relief from early
in the morning until 10 o'clock at night; then Chanlom. 3,
three drops in solution, one teaspoonful every hour was given
with relief in the course of an hour, and the next day she was
well.-Genl. Hom. Jour., vol. 33, p. 101.-KALLLENBACI.
Dose, —Cham. is rarely or never suitable in the cure of chronic
headaches. It is such a very mild remedy that in acute attacks several
drops of the pure tincture may be given every half, one, two or more
hours; or the same quantities of the first, second or third dilutions may
be used for children or very sensitive adults. In the very rare' cases in
which these doses do not suffice, the higher potencies may be tried, viz.:
six globules in a wineglass of water, one teaspoonful per dose, as often
as above directed.-PETERS.
17. CHINA.
GENERB A, REMARIKS.-(a.) According to Hiering, China is
often useful in the headaches of sensitive persons when the
pain is pressing and prevents sleep at night, or causes such
tearing in the temples that it seems as if they would burst;
also against boring pain in the vertex, with feeling as if the
brain were bruised; or jerking, rending, sense of fluctuation
and bursting pain, aggravated by stepping, walking, by every
movement, and by opening the eyes, and relieved by lying
down and by quiet. It is also indicated when the scalp is
very tender to touch; and for the headaches of discontented
and irritable persons, and those of disobedient and obstinate
children, who are fond of stuffing themselves with all kinds of




CHINA.                      35
improper food, have pale faces, who are only occasionally red
and warm, and then become very talkative, or are restless the
whole night. Often suitable after Coffea.
(b). Tietze thinks China most suitable when the pain is a
pressing rending, or tearing pressing, especially when most
severe in the temples, worst at night, preventing sleep, the
pain being aggravated by the slightest touch, by stepping,
draughts of air or wind. Also when there is excitement of
the mind and imagination, and the patient is wayward, abusive
and angry.-Genl. Hom. Jour., vol. 34, p. 22.
(c). According to Black, China is indicated in drawing,
rending, pressing headaches, which abate from quiet, but
increase from the slightest motion, and do not remain fixed in
one spot; also against the passive congestions of the head
which follow great losses of blood, violent purgings, and loss
of semen; when there is a feeling of emptiness in the head,
ringing in the ears, weakness of sight, with rending, drawing
and squeezing pains.-Genl. Hom. Jour., vol. 36, p. 232.
CASE 46.-A  girl, aged 15, not yet menstruated, had
suffered for six months, with longer or shorter intervals of
relief, from headache.
Symptoms.-Very painful movement and beating of the
brain against the skull; she could not keep her head still, but
shook it up and down; severe pain on the left side; feeling as
if the upper part of skull would burst off, the pain being
increased by motion and stepping; the left eye was affected;
the left side of neck was painful and stiff; and she was
lachrymose and dejected.
Treatment. —Rhus did not help; but China 12, half a drop,
removed the pain in four hours; it returned in six hours more,
and was then removed entirely by a second dose of China.Annals, vol. 10, p. 414. Dr. HARTLAUB.
CASE 47. —Irs. D., suffered with severe pain on the top of
her head, with a flushed face, but not a frequent pulse; consequent upon immense losses of blood after miscarriage, and
at other times.
Treatnment.-B]ellad. 3 was given without relief, and the




36                      HEADACHES.
pain became distracting. Nux 3 was also given without
benefit, as she was worse if possible on the third day; then
China 6, one dose, cured her promptly and completely. —Dr.
SHARP.-Brit. Jour. Hom., vol. 9, p. 585.-PETERS.
REviEw.-The pains relieved by China consisted of rending
or pressing, or of both combined, attended by a feeling of
fluctuation and of beating in the brain as if the head would
burst; they were worst at night, aggravated by the slightest
touch, by moving or stepping and by currents of air, and
relieved by rest and lying down. The mind was excited,
irritable, or inclined to scolding and anger. It was also found
useful against passive congestions from loss of fluids.
[NOTE.-China and Quinine have been used much more
freely in old school practice than in the homoeopathic. Wood
says: "In relation to the permanent cure of headache, sulphate of quinine should always be employed in intermittent
and periodical cases and may be tried with the hope of good
in others. In hemicrania he has found Quinine in connexion
with Oil of Valerian almost uniformly successful; he gives
from ten to thirty grains of the Sulphate and about twenty drops
of the Oil daily, divided into six or eight doses, and persisted
in, if necessary, for a week or more; and thinks that enough
quinine should be given to induce its peculiar effects upon the
brain, such as buzzing in the ears, &c."  Dr. W. tells us that
"' it very often happens that the pain is increased for the first
day or two, after which it gradually subsides;" and perhaps
takes the patient along with it. Johnson says Quinine and
Arsenic are the most potent of all remedies in this disease;
they seldom fail to put a stop to the complaint.-PETERS.]
Dose.-Noack advises one, two or several drops of the pure tincture
of China per dose; or like quantities of the first, second or third dilution, repeated every half, one or two hours in severe cases, or every two,
four or six hours in milder attacks. Children and delicate adults may
take from one or two, to three or five globules as often.-PETERS.
18. COCCULUS.
GENERAL REMARKs. —(a). Hartmann relieved several headaches by it, which were increased after eating and drinking,




CocCULUS.                   37
attended by a sense of emptiness and hollowness in the head,
and by pains which the patient could not describe accurately.
(b). According to Black, Cocculus is most suitable for hypochondriacal and melancholic persons, inclined to anxiety and
fright; for nervous gastric headaches attended with nausea or
actual vomiting; for headaches during menstruation, especially
when that occurs too soon. Black also says he has had frequent occasion to observe in chronic headache with vomiting,
that the remedies first check the latter, and then the headaches
become less severe and diminish in frequency. When the
headache is severe and attended with vomiting, he has found
Cocc. the most useful intercurrent remedy in checking the
vomiting; also Ignat. and Eugenia.-PETERS.-Genl. Hom.
Jour., vol. 36, p. 232.
The only case recorded by Ruckert in which Cocculus was
used, is case 60, in which it was given in daily alternation
with Phosphor.
As the English physicians have used it more frequently and
successfully I subjoin the following additional case.-PETERS.
CASE 48. —Miss H., aged 35, of full habit, had been subject
to headaches for 15 years; they came on shortly after menses
first set in and have regularly appeared at that time ever
since; the pain was violent and dull, affecting the whole head;
she was obliged to lie on her side, and could not rest for a
moment on the back of her head, nor bear the least light;
while the slightest noise excited nausea and vomiting; the
attacks lasted from 36 to 48 hours, generally commencing on
the third or fourth day of menstruation; menses were abundant but not painful.
]Treatment.-Cocculus 6, from every half to every six hours
during the paroxysms, almost freed her from her headaches in
three months. Then Bellad. 6 and Cocc. 18 were given and
she had no return of pain for twenty months.
The principal indication in this case for the selection of
Cocculus was the marked tendency to nausea resembling sea
sickness, as if the stomach heaved up and down. So great was




38                      HEADACHES.
this peculiarity that travelling in a carriage made the patient
feel ill, and nausea had often been brought on by looking at a
vessel pitching up and down on the sea. —BLAcK.-Brit. Jour.
Hom., vol. 5, p. 430.-PETERS.
Dose,-One or two drops of the first, second or third dilution of
Cocculus may be given every half, one or two hours in severe cases; or
every two, four or eight hours in milder attacks. When the stomach
is exceedingly irritable the doses should not be given in water, but on
a bit of sugar, or granules should be prepared and given dry upon the
tongue, from one to three per dose, as often as above directed.-PETERs.
19. COFFEA.
GENERAL REMARKs.-(a). According to I ering, Coffea is
useful in violent one-sided, drawing, pressing pains, as if a
nail were driven into the side of the head; or as if the brain
were crushed, torn or bruised; arising from  slight exciting
causes, such as thinking, vexation, taking cold, eating too much,
&c., attended with disgust for accustomed coffee, with sensitiveness to noise and music; the pains seeming quite insupportable, forcing the patient to weep; or the patient gets
quite beside himself, screams, cries, tosses about, is extremely
anxious, fearful of the cold air, and chilly.
The remedy may be frequently repeated, and followed by
Nux v. or China, or at times by Ignat. or Puls.
(b). According to Tietze, Coffea is useful in migrane when
the pain is drawing and pressing as if from a nail driven into
one side of the brain, or as if the whole brain were bruised or
crushed; when the pains drive one to distraction, force one to
walk around the room, and are attended with great sensitiveness to noise, and fresh air, with chilliness; and are increased
after eating. If such a headache has been produced by mental
exertion in a person who seldom or never takes coffee, then
Coffea will almost certainly relieve.-Gen. Hom. Jour., vol.
34, page 21.
(c). When the above state of mental irritability is present
with headache, Coffea often relieves with wonderful celerity.
[INOTE.-Coffee and tea are also used much more largely for
the relief of headaches in the old practice than in the new;




COFFEA.                      39
Wood says: " on the whole, he has found nothing more effectual for the relief of severe headache than two or three cups
of strong tea; but when the disease depends upon the use of
tea or coffee (there is some homceopathy here), they act simply
like ardent spirit in relieving the horrors of intemperance, and
then should not be employed, as they aggravate the evil in the
end."  Trousseau (see Traits de TUerapeutiqze) says, common
usage has sanctioned the efficacy of coffee in headaches, especially in that form which sets in after eating, in nervous persons; slight attacks of migrane almost always are removed by
it. Sandras (see Trait'e pratiue des mnaladies nerveuses, vol,
1, p. 354) says that the only remedies that he has used with
any success in migrane are: tea, morphine and emneticocathartics. Tea, he says, if taken in very strong doses during
the first few hours of the attack, will sometimes dissipate it, as
if by enchantment; but to obtain this result one must drink
several cups of strong tea, with but very little sugar, and no
milk or alcohol. Valleix (see Gzuide du Mlfdecin practicien,
vol. 4, p. 766) says: In some cases a cup of the infusion of
coffee will drive away an attack. Formey recommends an
infusion of crude coffee as follows: coffee, finely ground but
not roasted, and perfectly dry, 15 grammes; boiling water,
sufficient for a cup; make an infusion and drink at once. The
regular daily use of the Tinct. of Crude Coffee and the Tinct.
of Green Tea, deserve a much more extended trial than they
have yet received. Good says, as a general palliative strong
coffee has often proved serviceable, and where its own sedative
virtues are not stfficient, it forms one of the best vehicles for
the administration of Opium; it diminishes in some measure
the hypnotic power of Opium and counteracts its secondary
disturbing effects; still if Opium be given mixed with strong
coffee for the cure of many modifications of headache, tranquillity and ease will often be produced though no sleep
follows; but when Opium is taken alone, sleep will perhap
follow, but it is mostly succeeded by nausea and a return of
pain. For similar reasons the Turks and Arabs make coffee
their common vehicle forytaking Opium.-PETERS.]




40                      HEADACHES.
Dose.-Noack advises one, two, or four or more drops of the pure
tincture of raw coffee per dose at short intervals of time; in some
rare cases the first, second or third dilution may be used, or several
globules per dose, either dry upon the tongue or dissolved in a teaspoonful of water. —PETEnS.
20. COLOCYNTH.
(a). According to Hering, Colocynth will help the most
severe and raging rending pains; or one-sided, drawing,
pressing, squeezing pains; or aching in the forehead, increased
by stooping and by lying upon the back; and, finally those
attacks which set in every afternoon or evening, affecting the
left side, attended with great restlessness and anxiety, especially when the sweat of the patient has a urinous smell; when
but little urine is made, and that which is passed at first is
very offensive, but becomes very abundant and clear during
the severity of the pains.
(b). Tietze thinks that Coloc. is most indicated when the
one-sided pains are aching and pressing, or else drawing, and
attended with nausea and vomiting; when they affect the
forehead and left side of head, and the attacks generally set
in in the evening, the pain being increased by stooping, moving, shaking the head, moving the eyelids; also by mental
emotions, such as indignation, bitter feelings, or mortification
about unworthy treatment. Great restlessness and anxiety
often attend the pain. —Genl. Hom. Jour., vol. 34, p. 22.
(c). According to the Austrian provers, the forms of hemicrania curable by Colocynth depend upon an increase of sensibility, aroused by rheumatic, arthritic or gastric irritations.
It cannot cure megrims arising from thickening of the arachnoid, adhesion of the membranes, or other organic changes.
Generally, the hemicrania which Colocynth cures most readily
is seated in the course of the frontal nerve, is attended with
violent pain in the eye, and alternates with neuralgia of the
cceliac plexus.-Austrian Jour., vol. 1, p. 148.
CASE 49.-Coloc. 30, cured a violent, piercing pain in the
forehead and eyes, shooting from without inwards, and
which had lasted for 90 hours, both by day and night; the




COLOCYNTH.                    41
pulse was hard, thirst excessive, there was a bitter taste of all
food, general dry heat and constipation. Entire relief followed
in six hours.-Gen. Hom. Jour., vol. 4, p. 13. —ATTromR.
CASE 50.-A young lady, aged 24, of delicate constitution,
formerly scrofulous, was attacked with intensely violent,
pressing, rending, headache; she could not lie still, was constantly getting up, bent herself together, wept and screamed.
When the headache abated attacks of suffocation set in, with
oppression of chest, gasping for breath, clenching of the hands,
&c. The paroxysms recurred every half or one hour. Coloc.,
six doses, relieved the whole suffering.-Practical Observations, vol. 2, p. 9.-DR. SCHINDLER.
CASE 51.-An old lady, aged 50, had suffered for several
years with headache on the left side, occurring periodically
in the afternoon about five o'clock.  She had been treated
allopathically without relief.
2Treatmnent.-Asarum afforded some relief, but Colocynth
cured her in a few days permanently.-Archiv., vol. 11,
part 2, p. 114.
CASE 52. —Mr. W., aged 29, of robust frame and choleric,
phlegmatic temperament, suffered with:
Periodical headache, recurring every morning about half
an hour after awaking, being rending, piercing and jerking
in its character, and affecting the right temple in particular,
but extending from thence over the whole right side of the
forehead. He also had dulness of the head; turning out of
the right eye, which was red and watery, and seemed smaller
than the other; flimmering before and dimness of the same
eye. The pains extended to the teeth, where they became
raging, aching, and jerking, attended with sensitiveness of the
right side of the head, especially about the eye, with soreness
to touch; he also had loss of smell; flowing catarrh; cough, with
greenish expectoration and increase of headache; white coated
tongue; inclination to vomit; contraction of the stomach, with
soreness to touch; heaviness of the limbs; coldness and thirst.
The attacks lasted from 6 A. M. to 3 P. M., attended with
great anxiety and restlessness, so that he walked about the
room in agony.




42                     HEADACHES..Treatment. —Nux v., Bell., Bryon., China, Cham. and Sulphur were given without much benefit; then Coloc. 2 was
given and rendered the next attack lighter, and seven more
doses effected a perfect cure.-Genl. Honm. Jour., vol. 27,
p. 293.-DR. HAIJSTEIN.
REvIEw.-The above cases presented the following striking
peculiarities: the pains occurred in paroxysms, generally lasting
from morning till afternoon; they were violent, rending, compressing, drawing, pressing, piercing and jerking. In three
cases they were on the left side of the head, in one case on the
right, in others more in the front-head and forehead, and
were attended with nausea, vomiting, great restlessness and
anxiety; with perspiration of urinous smell, with scanty and
offensive urine; the attacks were excited by vexation and
mortification, increased by stooping and lying on the back,
by moving, especially of the eyelids, by shaking the head and
by touching it.
[NOTE. —The use of Colocynth as specific to some forms of
neuralgia of the head, hip and other parts, has long been
known to the homceopathists, but Watson tells us that Sir
Charles Bell, drawing a bow at a venture, achieved a cure of
a patient upon whom much previous treatment had been expended in vain, by some pills composed of Extract of Colocynth, Croton Oil and Galbanum. He mixes one or two
drops of the Oleum Tiglii, with a drachm of the compound
extract of Colocynth, and gives five grains of this mass, with
ten grains of the compound Galbanum  pill at bed-time.
Watson says he mentions the exact proportions and dose because other cases have been since reported, both by Sir
Charles and others, in which the same prescription was followed by the same success. The small quantity of Colocynth
in the above farrago would probably have been equally useful.-PETERS.]
The Doses were Coloc., 2d dilution, 6th and 30th; the cures took
place quickly. [Noack advises one or two drops of the 1st, 2d, or 3d
dilution, repeated at longer or shorter intervals, according to the severity of the headache.]-PETERs.




CREOSOTE-CROCUS.                  43
21. CREOSOTE.
CASE 53.-A man, aged 40, strong and plethoric, was
attacked three weeks after having the influenza, with:
Violent pain in the whole back head, extending to the
nape, and most severe on the right side; the pain commenced
at five o'clock, A. M., with great severity, increased for several hours, then lessened, and finally ceased about eleven,
A. M. These paroxysms occurred daily, but anticipated and
postponed somewhat. Every movement of the head increased
the pain; the sexual desire was much lessened, and the
attacks were more severe after gratification of it. Every kind
of cure, together with Bark and Quinine, had been tried in
vain.
Treatment.-Creosote 3d, one dose per day, for ten days,
produced a marked alleviation, then it ceased to cause improvement, and finally the disorder commenced again to increase in severity. Creosote 2d was given, and after being
continued, one dose daily, for some time, the patient was
entirely cured.-Vehsemeyer's Journal, vol. 2, p. 228.-REISIG.
[D0Se.-Noack advises one or two drops of the 1st, 2d, or 3d dilution every two, four, six, eight, twelve or twenty-four hours, according
to the acuteness or severity of the attack.-PETERS.]
22. CROCUS.
GENERAL REMARKS.-The pains in the head so frequently
occurring during the change of life in women, may often be
relieved by Crocus, especially when they are of a pushing,
throbbing character, with pressure upon the eyes, attacking
first one spot, then another, with distension of the bloodvessels, not confined to the head only, but spreading to other
parts of the body; also when the pains are most severe at the
times when the menses used to occur, and persist uninterruptedly for two or three days, having but few intermissions
even during the night, sufficiently long to allow of sleep; becoming less severe and continuous after the menstrual period
has passed. Dose. Crocus 3d, repeated two or three times a
day, and resumed again at each monthly period. —Genl.
Hom. Jour., vol. 18, p. 111.




A44                      HEADACHES.
[DOse.-Noack advises one drop of the pure tincture, or of the 1st
or 2d dilution, every.half, one, two or three hours in severe attacks, and
two or three times a day only, in mild cases.-PETERS.]
23. DULCAMARA.
CASE 54.-A healthy woman, aged 40, was attacked with
headache on coming to, after suddenly falling senseless to the
floor.
Symptoms.-Violent boring burning in the forehead and
vertex, with digging in the brain from within outwards;
sensation as if a board before the forehead pressed back the
brain; increase of pain from every motion, even from speaking; heaviness of the head; accumulation of saliva in the mouth;
dryness of the tongue and thirst; hard, tense pulse; great
weakness and bruised feeling of limbs; attacks of sickness
during damp, rainy weather.
Treatment.-Ten minutes after Dulc. 8, increase of pain set
in and lasted an hour, followed by sleep for three hours, from
which she awoke well.
See Mat. Med. Pur., Symptoms 11, 16, 23, 27, 34, 37, 59,
95, 97.-Annals, vol. 1, p. 234.-DR. GAsPARY.
Dose.-Dulcamara is one of the milder remedies, of which Noack
advises one or two drops of the pure tincture, or of the first or second
dilution every one, two, four or six hours. In appropriate cases the
higher dilutions may be used, or three globules solved in a wineglassful
of water, one teaspoonful to be taken per dose as often as above directed.
-PETERS.
24. GRATIOLA OFFICINALIS.
[Chapman has used it in sick headache with benefit when
there is nausea, disgust for food, giddiness relieved by being
in the open air, heaviness of head and constriction of forehead. A drop of the second or third dilution will sometimes
cut the attack short, but its effects are generally merely palliative; one patient has frequently succeeded in breaking up
the attacks during the course of several years, but still
remains subject to them.-Brit. Jour. Hom., vol. 8, p. 226.PETERS.]
[Dose.-Gratiola is an acrid remedy, and apt to cause aggravations,
hence Noack advises but one drop per dose, of the 2d, 4th or 6th dilu



DULC A M A RA-GRATIOLA-HEPAiR SULPHURIS.        45:
tion, once or twice a day, or only every two days in chronic cases. In
acute and severe attacks, two or three drops of liquid Gratiola may be
put in a wineglassful of water, and one teaspoonful given per dose
every half, one or two hours, until relief ensues, and then only every
two, four, six or eight hours. For children aud delicate adults, as
many globules may be put in the same quantity of water, and one teaspoonful given as often as above directed.-PETERas.]
25. HEPAR SULPHURIS.
CASE 55. —Miss J., aged 17, had suffered with headache
almost constantly for three months; she had dull, pressive pain
over the root of the nose, and a little over the eye, worst in the
morning, increased by reading and mental exercise, generally
relieved by rest; also weakness of back  and occasional
derangement of stomach.
Treatment.-Hepar. 6 caused an aggravation for seven
days, then Hepar 15 caused a relief for a month, and Hepar
18 effected a complete cure. —BLACK, Brit. Jour., vol. 5,
p. 428.
CASE 56.-Lady A., highly nervous, had suffered -more
than eight years with severe headache, consisting first of a dull
pain in forehead, then becoming acute and extending to the
whole head.
Treatnment.-Hepar for six weeks, when decided improvement commenced, followed by extreme languor and weakness, which lasted fully more than a month-when this curative weakness, denoting a great change taking place in the
organism, disappeared, the headaches were also gone.-BLAcK,
Ibid, p. 429.-PETERs.
[Dose.-Hepar sulph. is generally given dry upon the tongue, one
dose of the 1st or 2d trituration every hour or two, in severe attacks; or one
or two grains or granules of the 3d, 6th or 12th dilution every one or two
days in chronic cases.-PETERS.]
26. IGNATIA.
GENERAL REARKcS.-(a).  According to Tietze, Ignatia is
suitable in hemicrania as a purely spinal remedy; also for
sensitive, irritable, hysterical persons of a sanguine nervous




'46                    HEADACHES.
temperament; for delicate persons, where there is an inclination for visionary dreaming; when grief is borne silently;
when slight clonic cramps are apt to occur after fright and
vexation; when the pain is pressing, piercing, from within
outwards, especially in the forehead and root of nose, or as if
a nail was pressed into the temples or sides of the head.Genl. iom. Jour., vol. 34, p. 11.
(b). Dr. Black says it is a good remedy in the nervous
headaches of hysterical women, when they set in and subside
suddenly.-Genl. IHom. Jour., vol. 36, p. 233.
(c). According to IHIering it cures pressing pain over the
nose, when relieved by stooping; pressing from within outwards; jerking and throbbing; rending in the forehead as if
a nail were driven into the head; piercing and boring deep
into the head with nausea, darkness before the eyes, and
dislike for light; paleness of the face, much watery urine; the
pains ceasing for a while when one changes his position,
returning frequently after eating, coming on again in the
evening after lying down, and in the morning soon after
rising; rendering the patient very timid and changeable, or
silent and dejected.-P. 140.
CASE 5T.-A young lady, aged 24, blond, pregnant for the
fourth time in seven years, had suffered with migrane before
her pregnancy, and been troubled for four weeks with the
following:
Symptoms.-Pain beginning in the middle of the forehead,
extending down to half of the nose, upwards to the middle of
the vertex, where it presses like a weight, followed by nausea
and inclination to vomit; most severe from early morning to
mid-day, then remitting but at times persisting till night; every
noise and loud speaking irritated her very much; she was pale,
had a suffering appearance, and great lassitude of the limbs.
Ignat. 6, repeated every four or five days, removed the whole
difficulty.-Dr. SCHWARZE, P. 9, see case 90.
REvIEw.-The sphere of action of the remedy is sufficiently
given in ~ a and e; it is especially suitable for nervous hysterical persons, other circumstances not forbidding.




IGNATIA-IRIS VERSICOLOR-LACHESIS.             47
Dose.-Ignatia is a powerful remedy, of which one or two drops of
the second, third or sixth dilution may be given every one, two or four
hours in severe attacks, or every six, eight or twelve hours in milder
cases. Or one, two or three globules may be given dry upon the
tongue. In chronic cases the dose should be repeated once or twice a
day, or only once every two, four or more days.-PETERS.
27. IRIS VERSICOLOR.
Dr. James Kitchen says it is the most prompt and effectual
remedy against sick headache that he has ever given in this
truly annoying disorder. The first dose will arrest the trouble
in some patients, as he has witnessed in several cases. He has
made comparative trials with it and other remedies, telling
his patient to observe which medicine would relieve them
most speedily; they have invariably, on the return of the
attack, pointed-out the Iris.  This he conceives conclusive
respecting this complaint, so that he need not comment on it
further than to recommend it very highly so far as his experience goes. —North Am. Hom. Jour., vol. 1, p. 464.
Dose.-Dr. Kitchen recommends an alcoholic tincture of the root,
diluted as required from the first to the sixth dilution, a few drops in a
tumbler half full of water, a teaspoonful per dose. It is particularly
useful in allaying the nausea and vomiting. —PETERs.
28. LACHESIS.
GENERAL REMARKS.-According to Black it is indicated
in one-sided tense headaches extending from the occiput to
the eyes, with vomiting, stiffness of the neck and soreness of
the scalp. —Genl. Hom. Jour., vol. 26, p. 233.
NOTE.-In British Jour. of Homceopathy, vol. 5, p. 404,
Black reports several severe chronic headaches mainly cured
with Lachesis and Sepia.
Henderson, Ker and Russell, also report favorably of
Lachesis in chronic headaches.
CASE  58.-C. B. has suffered  severely with  headaches
after a bilious attack; they commence with dimness of vision,
which continued for an hour, then go off, leaving a dullish
pain over the eye, causing him to feel exhausted and disinclined for any occupation. Bowels rather costive.




48                     HEADACHES.
Treatment. —Lachesis 15; had one headache only in a week, 
leaving deafness, twitching of the lids and lips and twitching
and throbbing under one eye. Lachesis relieved his head for
a week more, but the twitching still remained. Bellad. 12 and
Lach. 15 quickly removed the rest.-RussrELL, Brit. Jour.
Hom., vol. 5, p. 433.
In another similar case Russell found the headaches to
disappear entirely under the use of Lachesis for one year, but
then they returned again and Lachesis was useful for a few
months longer in arresting the vomiting, which attended severe
attacks, but the headaches remained. Drysdale found Cannabis useful in such cases.-Ibid.
CASE 59. —Miss B., aged 24, had suffered with headaches
for four months, with a general feeling of numbness and
faintishness, great giddiness and paleness; the pain was generally shooting and throbbing over one eye, frequently
attended with nausea, increased by motion and always worst
in the morning; is seldom a day free from headache, and when
she is, giddiness takes its place; acid taste in mouth, everything turns sour, fulness and weight in stomach after eating;
tongue clean and bowels regular. Menses regular, but attended
with pain in back and lower part of abdomen, and more severe
headache than common. Lach. 15, almost entirely effected a
cure in six weeks. The indications for its use were the onesided headache, often attended with sickness, the vertigo with
paleness, the tendency to faint and general sensation of numbness.-Dr. KER, Brit. Jour. Hom., vol. 5, p. 434.-PETERS.
Dose.-The credit of introducing this powerful remedy into practice is entirely due to the veteran Dr. Hering of Philadelphia; he advises
one dose of the 6th, 15th and 30th dilution once or twice a day in
acute cases, every two, four, eight, ten or more days in chronic cases.
29. MAGNET. SOUTH POLE.
GENERAL REMARKS.-After the use of Nux vom. (see case
80) the following state remained.
CASE 60.-Confusion of the head, dizziness, tottering and
staggering while walking, with rush of blood to the head;
formication in the brain, about the root of the nose and in left




MAGNET. SOUTH POLE.-MERCUR. SOLUB.       49
temple; at 12 o'clock violent but transient stitches set in, with
smarting and dryness of the eye-lids, and watering of the
eyes.
Treatment. —After stroking the painful part for two minutes
with the South Pole of the Magnet the whole was relieved in
twenty-four hours. —Archiv., vol. 5, part 1, p. 89.
30. MERCURIUS SOLUBILIS.
GENERAL REMARKS.-(a). According to lHering, Merc. is
indicated when the head seems so full that it feels as if it would
burst, or as if it were pressed together with a band; worse at
night, the pains being rending, burning, boring or piercing.
(b). Black says it may be used against rending and drawing
pains in the head, seated in the pericranium and bones of the
face; also in rheumatic headaches, with vertigo, pain in the
forehead, and derangement of liver.-Genl. Hom. Jour.,
vol. 36, page 233.
(c). Schelling recommends it in headaches and toothaches
of a peculiar kind, especially when accompanied with an
affectionof the mouth; with jerking, throbbing pain in the
forehead, temples and vertex; with digging in the head,
rending and piercing in the teeth, which become loose; the
pains extending over the cheek, behind the ear into the occiput,
and attended with:
Vertigo, chilliness, shuddering with flushes of heat, thirst,
congestions, and inclination to perspire; with moist skin and
great sensitiveness to every change of temperature; with
yellow color of the face, and blue rings about the eyes, rumbling in the bowels, oppression of the stomach, &c.; the symptoms being most severe in the evening or at night. It cures
in from two to seven days. —Hygea, vol. 17, p. 359.
(d). Rademacher points out the following kinds of headrheumatism which Mercury will cure. In general, he remarks,
the affection is always periodical, at first perhaps almost as
regular as a fever and ague, and the aggravations occur more
4




so                   HEADACHES.
frequently in the forenoon, than afternoon. When the disorder
becomes chronic the paroxysms become irregular, or even
continued.
The different forms are:
(1). When the pain has its seat under the skull, and shoots
from the region of the eye-brows into the back of the head.
When the pain lessens, the scalp becomes tender.
(2). When the pain involves the region of the supraciliary
arch of one side and the temporal bone, extending to the eye
of the same side, which becomes fiery red and lachrymates
during the paroxysms.
(3). Against dull rheumatic pain over the orbits of the eyes.
In one case the patient had a dull pressing pain over the
eye-brows, lost his sight entirely, and the pupils became
sluggish and immovable; he was also weak minded, and
repeated one thing very frequently.
IMerc. solub. given to the point of salivation restored him
entirely.
CASE 61.-Mrs. N. had suffered for nine days with:
Violent rending in the left side of the head, extending to
the teeth and muscles of the neck of that side, with piercing
pain in the left ear; either cold or warm things taken into the
mouth, or the slightest touch, aroused the pains; she had three
severe paroxysms per day, followed by chills without heat or
thirst; was relieved by lying down, and she staggered when she
attempted to walk. On the eighth and ninth days delirium
set in during the attacks, with perspiration in the palms of the
hands, and fits of partial unconsciousness; she had no appetite, got no sleep, and her mood was irritable and lachrymose.
Treatment.-After an evening attack Bryon. 30 was given,
and only a few slight attacks occurred, always in the morning; after the lapse of fourteen days more severe attacks
again set in, in the evening, marked by rending pains in the
forehead, shooting with the speed of lightning into the teeth,
forcing her to get up and walk about. Profuse salivation set
in, but she was able to hold both warm and cold things in




MERCURIUS SOLUBIIS.             51
her mouth; violent chills occurred after the paroxysms, and
she became very weak, irritable, and inclined to anger. Merc.
12 was given with rapid relief to all the pains.-Annals,
vol. 1, p. 235.
[CASE 62.-Lady J. D., aged 30, when weakened by nursing, was attacked with pain on left side of the face, from decay
and filling of a tooth; she had severe pain in the lobe of her right
ear, extending down into the jaws, over the side of her head,
and into one eye; it commenced with slight jagging, and
then became severe and shooting; it generally came on at
night and left a sense of throbbing. Cured by Merc. 6, 15
and 3d in about 6 weeks. —RUssELL.-Brit. Jour., vol. 5,
p. 431.
CASE 63.-T. F. had suffered with rheumatic pains in the
head and gums for six weeks, also with slight pains in the
legs. He generally awoke at 7 A. M., with pain in the head,
followed by soreness of the gums when it ceased; the pains
were most severe in the back and top of the head, and in the
right side of upper jaw; aggravated in the morning and when
in bed, relieved by getting up and by pressure. Mere. 6,
three or four doses, removed the pains entirely for five
months.-MAxDDEN.-Brit. Jour., vol. 5, p. 438.
CASE 64.-A spinster, aged 30, had suffered for seven or
eight months with severe pain in her head, arising from
inflammation of the bone or periosteum; the pain was dull
and constant over both occipital prominences, but on the left
side it extended along the side of the head as far as the eye;
she was unable to turn her head to the left side; the pain was
worst in bed, aggravated by motion, and attended with great
tenderness to pressure, and occasional throbbing. Merc. 3
and Ruta 3 effected a cure in two months. —MADDEN.-Ibid,
p. 438.-PETERS.]
REVIEw.-The headache for which Merc. is most suitable
is generally of a rending character, although at times it
may be piercing, boring, burning or drawing; with feelings
as if the head would burst, or as if it were bound with a
band; involving the pericranium, bones of the face, region of




52                       HEBiADACHES.
the eyebrows and temples, and from thence extending to the
back of the head, or into the teeth, or muscles of the neck;
occurring periodically at times, attended with flushes of heat
intermixed with chills, inclination to perspire, with bilious
derangement, yellowness of the face, dark rings around the
eyes; being worst at night, and relieved at times by lying
down. The bilious and rheumatic character of the whole
disorder is not to be mistaken at times.
Dose.-This should always be comparatively small; I have noticed
several times, even in headaches which were evidently connected with
decided bilious derangement, that a dose of Mercurius sufficiently large
to act on the liver and bowels would always be followed by more frequent and severe attacks of headache. One or two grains of the 2d or
3d dilution of Mere. viv., Mere. solub., or Mere. corros., or from two to
four globules may be given night and morning in chronic cases. In
acute cases the same quantities of Mere. solub. or Merc. corros. may be
put in a wineglassful of water and one teaspoonful given every half, one
or two hours until relief ensues, and then every two, four, six or eight
hours. For children or delicate adults the same quantities of the medicine may be put in a tumbler half or quite full of water, and from a
teaspoonful to a tablespoonful given per dose.-PETERS.
31. NATRUM MURIATICUM.
GENERAL REMARES. —According to Hahnemann, this
remedy comes in play against daily headaches, especially
when seated in the back of the head and forcing one to close
his eyes; also when there is a pressing in the whole head and
temples; in headaches with feeling as if the head would burst,
commencing early after awaking in the morning; against
rending, piercing pains in the head, forcing one, to lie down;
against stitches and pressing over the eyes, and beating,
hammering and throbbing in the head.-Chronic Diseases,
vol. 4, p. 349.
CASE 65.-Miss L., aged 30, of delicate frame and inclined to sorrow and melancholy, had suffered for many
years with periodical headaches, especially after taking cold
about the head.
Symptoms.-Violent stretching, drawing, rending pain,
extending from the top of the head towards the temples and
cheeks, and persisting without cessation for several days,




NATRUM MURIATICUM.                53
although not always equally severe; always attended with
toothache and violent salivation, the spittle often gushed violently out of her mouth, her gums were reddened, the whole
cavity of the mouth sore, and her teeth painful, especially the
front ones.  She often had stretching pains in the whole of
her face, the scalp was sore to the touch, as if ulcerated,
especially when she was dejected and sorrowful. Her menses
returned somewhat too soon; she complained of continued
excessive lassitude and a certain uneasiness in the whole
body, as if everything within her were in motion, and
trembled so that she could not sit quietly in one place.
These attacks had become more frequent during the last
eight months, and arose from the slightest cold.
Treatment.-Cham., Bell. and iMerc. were given without
relief; then Natrumn Muriaticum, 22, one dose, night and
morning, sufficed to cure the disease in a short time. Three
weeks after, a slight return of the old trouble occurred from a
violent cold, but disappeared rapidly and permanently under
the use of the same remedy.-Austrian Hom. Jour., vol. 4,
p. 1, p. 169.
Here belong also the following interesting cases cured by
the so-called " Sool," or Saline Baths.
CASE 66.-A lady, aged 28, in whose family head affections with congestions were hereditary, received an accidental blow three years before, upon the left temporal bone;
this spot remained sore and sensitive, and the slightest
touch of it caused trembling of the whole body; the pains
persisted night and day, and were attended with general
cramps of the limbs.
After the use of twelve general, and daily foot baths at the
"Sool" baths of Ischl, in Austria, she was entirely cured.
-Austrian Hom. Jour., vol. 10, p. 1, p. 173.
CASE 67.-A lady, aged 32, without children, of a mild
but irritable disposition, and disposed to melancholy, suffered
with paroxysms of one-sided headache, attended with sudden
distension of the abdomen, rumbling in bowels, inclination to
vomit, fainting fits, and cramps of the limbs.




54                   HMEAnCA]ES.
Thirty "Sool" baths relieved her considerably, and a repetition of the baths the next year cured her entirely.-Austriau
Hom. Jour., vol. 10, p. 1, p. 174.
CASE 68.-A spinster, aged 34, had suffered with daily
attacks of headache, ever since she had got rid of a tape
worm, by heroic means, several years before.
Symptoms.- Violent pains with congestion of the head, to
which were added cramps, pains in the breast and limbs,
and distension of the abdomen. During the intervals of
relief she had great nervous weakness, and constipation.
The use of the Ischl " Sool" baths for six weeks restored her
entirely.-Austrian Hom. Jour., vol. 10, p. 1, p. 1T4.
CASE 69.-A young married lady was attacked with varioloid after confinement, followed by necrosis of the leg, after the
cure of which she was visited with one-sided headaches,
recurring frequently with increased severity.
Symptoms. —She had suffered for thirteen years with these
headaches; for ten years with very profuse leucorrhcea of bad
appearance, attended with pain in the region of the ovaries,
in the loins and thighs; her menses had been suppressed for
several months; the os uteri was beset with ulcers with a grayish
base. Her appetite was poor, digestion slow, she had desire
for acids and farinaceous food; her abdomen was distended,
the mesenteric glands were evidently enlarged and indurated,
and she had obstinate constipation.
Treatmzent.-She took two or three glasses of Wildegger
water per day, with meat diet, and in a few weeks all the
morbid symptoms and appearances ceased, and she recovered
perfectly.-Austrian Hoem. Jour., vol. 4, p. 1, p. 175.
CASE 70. —A forester, aged 40, was attacked with violent
headache after a severe cold, which headache continued to
return periodically every eight or fourteen days, for five months,
with such severity that the previously robust man was reduced
to a skeleton.
The pain extended from the middle of the left temporal
bone over the left eye-brow, and from thence to the cheek, so
violently and suddenly that he often fainted away; in the




NATRUM MURIATICUM.               55
course of a few hours with the increasing severity of the headache, violent retching and vomiting usually set in, and a
slimy, watery fluid was ejected from the stomach, after which
the pains diminished.
The use of twenty-eight baths at Kissingen, in the course
of four weeks did not produce much relief; in the sixth week
of this treatment' improvement commenced, in the seventh
week he was almost, and in the eighth week, quite restored.
-Ibid, vol. 4, p. 1, p. 172.
[CASE 71i.-A young lady had been subject to headache for
eight years. The pain generally commenced in the morning
on getting up, was incessant, dull, wearing and aching, seated
in the forehead over the eyes, and attended with intolerance
of light, tenderness of the scalp, and such trembling of the
hands that she,could not lift a cup without spilling some of
the contents. She was seldom free from the pain at any
time, although a walk in the open air often relieved it some,
what. Her menses were irregular and painful; she always
had much thirst.
Treatment.-Pulsat. and Graph. restored the menses to a
natural state, but left the headaches unabated in severity.
After using Natrum IMlur. she was so completely relieved, that
with one or two exceptions she had remained free from headache, for six years, at last accounts.-Dunsford's Practical
Advantages, p. 103.-PETERS.]
REVIEW.-In the above cases we find old chronic headaches, some of them hemicranias, cured by Natrum Mur.
in the form of " Sool" baths; in two cases only, a homceopathic preparation, the 22d dilution, was used.
[NOTE.-The experiments of M. Plouviez throw some light
upon the action of Natrum Muriaticum when taken in large
quantities. From careful chemical analysis it seems to diminish the quantity of the water or serum of the blood quite
decidedly, thus rendering the blood thicker; it also increases
the quantity of blood globules in a marked degree, viz.: from
130.08 to 143.00; and these effects were always most decided
in feeble and lymphatic subjects. It increases the quantity of




56                      HEADACHES.
fibrin in the blood in a slight degree, and diminishes the quantity
of albumen in about an equal proportion; i. e. it tends to
cause a fibrinous dyscrasia rather than an albuminous. Finally,
it slightly increases the quantity of fat and iron in the blood.
It is said to increase the appetite, but its most frequent and
certain effect is increase of strength, while the heat of the
body is more readily generated, and exposure to cold is better
borne. MI. Plouviez increased in weight under its use to the
amount of 13~ lbs. Troy in about two months, and repeatedly
became so plethoric, with fulness about the head, that he felt
himself obliged to be bled. —PETERS.]
Dose.-One or two grains of the 2d, 3d or 6th dilution may be
taken night and morning; in appropriate cases the higher dilutions may
be tried. When salt baths are used in conjunction with the internal
use of the remedy, more massive doses must be given, viz.: from two
or three, to five grains of the 1st, or decimal dilution. Children and
very delicate adults may take from two to five globules per dose, every
one, two or four hours in acute attacks; or once or twice a day in
chronic cases.-PETERS.
32. NUX VOMICA.
GENERAL REMARKS.-(a). Schroen says as follows about
the use of Nux vomica in general:
Youths and maidens who have weakened themselves by
masturbation often suffer with headache of the following
kind:
Suddenly that part only of an object on which their sight
is directly fixed appears steady, while all the rest of it
seems to move and float around the fixed part: thus, of
a hand they will see only a finger, of a chair only one leg;
they can spell printed letters with some exertion, but cannot
see a whole word at a time; they often see luminous appearances like a fire-wheel, reaching from the external angle of the
eye towards the pupil. Watering of the eyes often precedes
the commencement of a frightful, gradually increasing headache, lasting for 24 hours and attended with vomiting.
Nux v. 12, a few drops per dose, will soon lessen and finally
cure this disorder.-Hygea, vol. 5, p. 197.




NUX VOMICA.                    57
Nux v. will also often cure the headaches of hysterical
women, when taking the form of boring Clavus hystericus, or
of a dreadful pressure upon the temporal region, forcing one
to lie down, and attended with retching to vomit.-Ibid.
Nux will also help, or cure the headaches of men in the
prime of life, arising from sedentary pursuits, or great mental
exertion, especially when there is an aching in the forehead
and temples, commencing soon after awaking in the morning,
attended with noises in the ears when they sit up, and
synchonous with the pulse; it is most useful in those who have
weak digestion, sluggish bowels and an irritable temper.
Dose.-Nux v., 6th or 12th, a few drops repeated every three or
four days.-Ibid.
(b). Knorre found it useful in headaches from congestion of
blood to the head, attended with pressing and squeezing in
the forehead, especially over the eyes; with dulness and
heaviness of the head, vertigo when walking or stooping, heat
and redness of the face, and vomiting of tasteless substances,
night and morning.-Genl. Horn. Jour., vol. 5, p. 274.
(c). Knorre also found Nux useful in periodical headaches,
beginning every morning soon after rising, increasing till
mid-day, and then diminishing; the pain being aching and
rending, attended or not with pain in the region of the liver,
with nausea, inclination to vomit, bitter eructations and
vomiting, constipation and choleric disposition.-Ibid.
(d). According to Tietze, Nux is most useful in males, when
the headache or hemicrania proceeds from an affection of the
ganglionic system, especially if the patient be subject to
hkemorrhoids, is of a choleric temperament, apt to indulge in
drinking, or is studious and sedentary in his habits.
The pain is most frequently of a drawing, aching character,
with the feeling as if a nail were driven into one half of the
head, on which side the brain seems bruised or jarred. It is
also useful in the headaches of women who are apt to have
their menses too frequently and profusely, especially when the
attacks set in early in the morning, or immediately after eating, or after mental exertion.-Genl. Hom. Jour., vol. 34, p. 11,




58                     HEADACHES.
(e). Lobethal thinks Nux most useful against headaches
from excessive drinking, and from mental exertion when
attended with congestion to the head; especially when they
occur in sanguine, excitable persons and consist in a dull
confusion of the head, and are complicated with aching in the
pit of the stomach, or pain in the hypochondria, with nausea,
eructations and constipation.
Nux v. also relieves more readily than any other remedy,
those congestions to the head, dependent or not upon habitual constipation, which arise from a plethoric state of the
abdominal blood-vessels. Such conditions are most apt to
occur in men who lead a sedentary life, and who by constantly
renewed mental efforts, induce repeated congestions to the head.
-Genl. Hom. Jour., vol. 13, p. 274.
(f). According to Hering, Nux is useful in headaches from
constipation and excessive use of coffee; also against pains as
if from a nail driven into the brain, or consisting of a succession of piercing throbs, attended with nausea and sour vomiting; or of stitches and pressing on one side of the head, commencing early in the morning and increasing in severity
until the patient becomes unconscious or half delirious; or of
pains which increase until the head feels as if it would burst
whenever one attempts to think; also when the brain aches as
if it were lacerated, the face being pale and distorted, the
head heavy with noises therein, attended with dizziness or
trembling when walking; the pains being increased by motion,
even of the eyes, in the open air, early in the morning, after
eating, or from stooping; and finally when the head is sore to
the touch, increased by cold.
CASE 72.-An active woman, aged 40, had suffered for
nine years with hysteric headaches, occurring paroxysmally
every ten or fourteen days, and had been treated allopathically
for five years, without benefit.
SymVtoms. —The attacks commenced with dull, aching
pain in the whole head, but rrost severe in the vertex and
forehead; attended with vertigo, dulness of the head, violent




NUX VoMICA.                   59
pressure over the eyes, sensitiveness of them to light, and increased secretion of tears; followed by paleness of the face,
with distortion; nausea, bitter-sour taste in the mouth, vomiting of bile, asthma, palpitation of heart; finally, when the pain
became most intense, a heavy sleep set in, from which she
could hardly be aroused.
During the intervals of the paroxysms she had frequent,
but endurable headaches, constant feeling of coldness in the
head, and gastric derangements; but mental emotions, and the
neighborhood of disliked persons, would bring on an attack
immediately. Nux effected a cure. —Genl. Hom. Jour., vol. 5,
p. 274. DR. KNORRE.
CASE 73.-A lady, aged 27, of sanguine temperament, apt
to be violent, and excessively irritable, had the following:
Symptoms.-Sensation of wavering in the brain, dulness of
the head, as after a debauch; pressing pain in the occiput,
almost as soon as she awoke in the morning; pressing, pushing
headache from the slightest exertion of the mind, increased by
the use of coffee and wine. After eating she had drawing pains
in the teeth and temples; looseness of the teeth; bitter taste in
the mouth. Nux v. 24 effected a cure in 6 days. —Annals,
vol. 1, p. 73. DR. SCHROTER.
CASE 74.-A blooming maiden, aged 11, had suffered for
half a year with headaches, recurring periodically, every four
or five days, affecting one side, being pressing and boring,
commencing early in the morning, forcing her to lie down,
and attended with bilious vomiting. Nux v. 18, two doses,
effected a cure. DR. DIEZ, P. 180.
CASE 75. —A powerful man, aged 52, had suffered for ten
days with severe headache on the left side. Nux v. 24, one
dose cured him in two days.-Ibid.
CASE 76. —A delicate man, aged 48, had suffered for
twelve years with intermitting nervous headache, occurring
every four or six months, lasting from three to four weeks,
and persisting every day from 7 to 12 A. M. It affected the
left side of the forehead, and left eye, in particular; was
attended with much eructation, nausea, and vomiting. Nux




60                    IHEADACHES.
v. 18, two doses, broke up one attack entirely; a later attack
was cured by Nux v. 9, and he remained well subsequently.
DmIEZ, p. 181.
CASE 77.-A man of powerful constitution and choleric
temperament, had suffered for years with periodical headaches,
affecting the left side, recurring every ten or twelve weeks,
lasting from sixteen to twenty days, commencing early in the
morning, increasing gradually to an almost insupportable
degree, then ceasing about 2 or 3 P. M.) but returning on the
following morning with renewed violence.
They were preceded by oppression of the chest, anxiety,
and palpitations. The pain was boring and rending; it extended over the left side of the head and eye, concentrating
itself in the region of the left orbit, in a spot about the size of
a sixpence which became slightly reddened, swollen, and sore
to the touch. The headache was attended with nausea, bitter
eructations, vomiting of bile, and by constipation. Nux v.,
24th, given on the fourth day of the attack, removed it in
twenty-four hours, and it never returned again.-DIEz, p. 180.
CASE 78.-A  man, aged 30, of healthy but irritable
constitution and sedentary'life, had suffered for five years with
periodical headaches.
Symptoms. The attacks came on daily, very early in the
morning, forcing him to lie down; increased in severity till
mid-day, and often were so violent that the patient was in the
greatest despair. He had a piercing pain over the left orbit,
at times also a pressing pain which shot into the eye, and was
increased by pressure; contraction of the eyelids from sensitiveness to light, and lachrymation; heat about the whole
of the eye, obstruction of the nose; the attacks were relieved
by sneezing, which it was hard to provoke; he also had an
inclination to vomit; confusion of thoughts from the severity
of the pain; great irritability, and dislike for all noise. Nux
v. 24, two doses effected a cure.-Archiv., vol. 2, part 1,,
p. 146. DR. WISLICINUS.
CASE 79.-A woman, aged 35, of choleric, irritable and
vexatious disposition, had suffered for three years with vertigo
and periodical headache on the left side.




NUX voMICA.                   61
Symptoms. The pain involved the left side of the forehead,
as if from an ulcer, or a wedge pressed into the head, or as if
the left side would press asunder, or burst; it always set in
suddenly, early in the morning, continued until 1 P. M., and
then ceased quickly; it was most violent in bad weather, and
attended with constipation.
Treatment.-Nux v. 9, effected a speedy cure, after a
previous aggravation.-Archiv., vol. 5, part 3, p. 31. DR.
H. in Z.
CASE 80.-A lad, aged 14, had suffered with headache
from his fourth year, after a fall.
Symptoms.-Almost every day, and sometimes several
times a day, he was attacked with an undefined pain, or a
heavy, dull pressure, extending from the back of the head to
the top, and attended with nausea, obliging him to keep very
quiet; the pain set in almost every morning, just after rising,
and was also brought on by mental exertion.
Treatment. —Nux vom., 1st, one dose every other day,
effected an improvement in fourteen days, and twenty-two
doses in all, effected a cure.-Hygea, vol. 6, p. 499. GRmss,LICH.
CASE 81.-A powerful man, aged 40, of fiery, angry dispositioni, had suffered for eight days with violent headache,
on the right side.
Symptoms.-The pain was pressing and piercing; it commenced every morning early, about 7 A. M., above the root of
the nose, and extended from thence over the right eyebrow
into the right temple; it increased in severity from 9 A.M. to
12 M., to such a degree that the patient tossed about frantically in the bed; his face became pale and covered with cold
sweat; when he stooped forward it seemed as if a ball
would fall out of the root of the nose; the scalp was painful,
and he had a dry catarrh of the head.
Treatment. —Nux v., 15, one dose removed the majority of
the sufferings in four days, and the south pole of the magnet
removed the rest.-(See case 59.) Archiv., vol. 5, pt. 1, p. 89.
DR. PLEYEL.




62                    HEADACEMs.
[CASE 82.-A pale little boy, aged 6, had suffered for six
months after an attack of hooping cough, with frequent attacks
of the most violent pain in the forehead, coming on suddenly, and lasting ten or fifteen minutes. He took Nux in
the evening and had an attack at night, which had never occurred before; in less than a week the headache had entirely
ceased, and did not return for two years. —IDUNSFORD, p. 104.
CASE 83.-Professor Fourdrin was attacked suddenly with
severe pressing pain in the eye and brow, attended with
nausea, and straining to vomit; his pulse was feeble and
quick, his agitation extreme; he was forced to move his
head about from side to side; his eyes were weak and
fatigued. Prolonged study was the exciting cause..Treatment.-Nux 30, three globules; the next day he was
well. A similar attack, three months after, was relieved by
the same remedy in ten hours. After great fatigue he had
alternate chills and heat, severe pain in left temple, heaviness
of the eyelids, and heavy pain over the brows; nausea and
vomiting.-MALAISE, p. 11.
CASE 84.-A young lady had suffered for four years with
great heat in the forehead, tearing and lancinating pains in
the skull, occurring at short intervals, and attended with
beating in the forehead and temples; the pains were always
most severe after dinner and after mental exertion; she also
had pain in the loins, palpitations and sleeplessness.
_Treatment. —Nux vom., 30, effected a cure in a month.MALAISE, p. 14.
CASE 85.-Baroness L. had suffered for five days with
pain, principally in the forehead, increased after dinner, with
painful commotion in the nape when walking, and her face
and eyes were slightly bloated.
Treatmenent.-Nux effected a cure in three days.-MALMsE,
p. 17.
CASE 86.-Miss C., aged 11, languid, sallow and tall, had
suffered almost every day for four years with severe headaches, causing great prostration, with inability for physical or
mental exertion; the pain was chiefly over the eyes, causing




NUX vOMICA.                    63
her to frown, and producing dimness of vision; her eyes were
dull; head, heavy and aching; she was relieved by lying
down and by pressure; her pains were aggravated by motion
and intellectual exertion; her tongue was pale and slightly
coated, bowels costive, abdomen swelled, but not painful;
sleep heavy, with dreams and starts, her pulse slow, feet very
cold, and appetite capricious.
Treatment. —Xux 30; on the second day after commencing
treatment the headache left her, and did not return for three
months, at last report. —KER, Brit. Jour. Hom., vol. 5, p. 434.
-PETERS.]
REvIEW.-Of the ten cases, by Rickert, six were in males and
four in females, all of different ages; with one exception all the
patients were of robust constitution; or sanguine, see ~ e, or
choleric temperament, ~ c & d; they were active, irritable,
and inclined to anger.
According to Schroen, see ~ a, Nux cures the faulty vision,
with pains in the head and vomiting, which are apt to occur
in both sexes, when weakened by masturbation. Schroen
says it cures clavus hystericus, see ~ a, also Hering, see ~ f;
and the headaches of women with too frequent and copious
menses, see ~ d; also of men who sit much, study hard, see ~
a, d & e; after the abuse of coffee and spirituous liquors, see
~ d, e & f; headaches of haemorrhoidal subjects, see ~ d & e 
from constipation, disorders of the ganglionic system, and
consequent congestions of the head, see ~ d, e & f.
As regards the locality of the pain, we find it affecting the
back of the head and extending to the top; but most frequently
it attacks the forehead, temples, the parts over the eyes, and
the root of the nose. Of the ten cases cured, no less than
seven were one-sided headaches, and of the seven, no less than
five were on the left side, see ~ a and f.
The paroxysms occurred periodically in six cases; were
intermitting in one case, and returned in longer or shorter
paroxyms.
The pains were generally pressing, violent or dull; aching
and pushing; aching and boring; aching and piercing; but




64                      IHEADACHES.
the piercing pains were the least frequent; besides, in a few
cases they were boring and rending, involving a small spot
which became red; or felt as if a wedge was pressed
into the head, or like an ulcer, or as if the brain was torn, or
pressed outwards.
In the majority of the cases the attacks commenced early in
the morning, increased during the day, and lessened towards
evening.
The pains were excited by mental emotions, from the
approach of disliked persons, from mental exertion, by bad
weather, and were increased by bright light and noise, by
exposure to the free air, and after eating.
The accompanying disorders, were: confusion of thought,
intolerance of light, dimness of vision, flow of hot tears, dry
catarrh of head, toothache, paleness of face, bitter-sour taste
in the mouth, eructations, nausea, vomiting, especially of bile,
constipation, asthma with palpitation, chilliness and coldness
of the body, and finally perspiration at the end of the attacks.
In two cases the disease had lasted only eight or ten days;
in eight cases it had persisted for a half, five, or twelve years.
The cures took place rapidly in most cases, and decidedly.
As regards the dose:
1 dose sufficed to effect a cure in 5 cases.
2 doses    "       "        "    4   "
22  "       "        ".  1   "
The 1st, 9th and 15th potencies were used each in 1 case.
18th              potency was    "          "2  "
24th                    "          "        ( 4  cc
30th                         "                 2  "c
Dose.-The proper dose is sufficiently indicated in the above cases
and review. It seems that cures have been effected with the every
dilution from 1st to the 30th. No cures have as yet been reported from
the exceedingly high dilutions. One or two drops of the 1st, 2d or 3d
dilution may be taken by adults every one, two, four or more hours in
acute and severe cases until relief ensues; then every six, eight or twelve
hours until a perfect cure follows. Delicate adults and children may
take like quantities of the 6th, 12th or 30th dilution, or one or two
granules, as often as above directed. In chronic cases, one dose may be
taken night and morning, or every second or fourth day. —PETERs.




OPIUM.                      65
33. OPIUM.
GENERAL REMApKS.-The headaches which can be relieved
by Opium, are both those which have their seat solely in the
brain, and those which are essentially connected with other
disturbances of the body; the latter is the case in the socalled migranes.
CASE 86.-A lady had suffered with headaches for many
years, occurring at uncertain periods of time. Many remedies
had been used in vain, but the severity of the attacks and the
length of time which they continued (generally several days)
always obliged her to seek fresh relief from medicine.
Symptoms.-The pain occupied the left supra-orbital region,
and was pressing, stitching or piercing; motion, noise or fresh
air increased it, hence she always sought rest, solitude and
darkness; her pulse was feverish, she had chills, yawnings,
loss of appetite, and an irritable state of mind, both previous
to and during the paroxysms of headache; also nausea and
vomiting. Her urine was at first clear and spasmodic,
afterwards it became darker, with a sediment. The temperature of her skin alternated at first, then became moderately
and permanently increased, and finally a gentle, general perspiration set in with evident relief to all the symptoms. The
attacks occurred at irregular periods of time, and the menses
had less influence upon them, than the state of the weather.
The intervals were characterized by an uninterrupted state of
good health.
After trying almost all other means, the patient finally took
nothing but Opium during the attacks, which then ceased in
a few hours, and became much less frequent in their occurrence. —Iygea, vol. 14, p. 147. —Dr. SCHMID.
CASE 87.-Dr. Schmid himself had suffered for several
years with attacks of headache, which were violent, and if left
to themselves lasted from four to eight days; they incapacitated him for any unusual exertion, and at one time verged
closely upon a decided affection of the brain, when he finally
concluded to use Opium. Among all the remedies which he
5




66                    HEADACHES.
had used, Opium was the only one which relieved him, not
only certainly, but quickly.
It is to be regretted that Dr. S. did not describe the character of his headache, but he seems to have thought more
about the dose than the peculiarities of his case. Whenever
the attacks reached a considerable degree of severity, he took
from five to ten drops of the concentrated tincture; one or two
doses sufficing to relieve the attack rapidly. But after the
cessation of the headache, constantly recurring disturbances
of the abdominal organs always set in. —ScHMIm.
[NoTE.-Opium is of course used far more frequently and
freely in the ordinary practice, than in the homoeopathic.
SANDRAS (see.Maladies nerveuses, vol. 1, p. 355) advises the
use of from -1th to -ath of a grain of the Muriate of Morphine,
to be taken every quarter of an hour, at the commencement of
an attack of nervous or sick headache; and says, that he has
not only frequently noticed a very decided relief from present
suffering, but that subsequent attacks would be less frequent
and severe. He always expects relief to follow by the time that
the third or fourth dose has been taken, and never pushes the
remedy beyond the fifth or sixth dose. MIAGISTEL asserts that
he has succeeded in more than fifty cases by the endemic use
of Morphine about the brow and temples. Others, speak
highly of the regular use of two or three drops of Morphine,
night and morning, between the intervals of the attacks; also
of giving a larger dose, say, from five to six, or more drops,
immediately at the beginning of a severe paroxysm, and
smaller ones occasionally, during the first few hours of suffering. I have heard of several cases in which this treatment
was apparently very useful, and others in which the suppression of the disorder plunged the patient into a profoundly melancholic, or some other nervous state.
Still Morphine and its Acetate exert a remarkable and
specific action upon the right side of the head. According to
the experiments of Chevallier and Beraud it is homceopathic,
when there is an intolerable pain on the right side of the;
head, with redness and perspiration of the face, heavy and




OPIUM.-PHOSPHOR.                 67
dull expression of the countenance, and excessive itching of
the skin. Also, when there is a violent burning in the occiput, redness of the eyes, heaviness and fulness of the head as
if it would burst, increased by reading and mental exertion,
attended by coldness of the extremities and back, sour eructations and acid vomiting; all followed by hot perspiration
and excessive itching of the skin.
Opium  and China are both homeopathic to congestive
headaches, but Opium is specific against passive congestive,
or venous headaches, China to the active or arterial congestive
form. Again, China and Quinine exert as decided an action
upon the left side of the head, forehead and left temple, as
Opium and Morphine do upon the right side and occiput.
China and Quinine are homceopathic to violent semi-lateral,
periodical and intermitting headaches, particularly when
involving the left side of the head, and attended with throbbing of the temporal arteries, ringing in the ears, partial
deafness, with excessive hunger and thirst, followed by eructations, nausea, great flatulency upwards and, downwards, and
excessive debility, similar to that which succeeds a long fit
of illness. —PETERS.]
34. PHOSPHOR.
GENERAL REMARKS.-(a). According to Dr. Lobethal,
Phosph. is often very useful against stormy congestions of
blood to the head, especially of the vessels of the eye and ear,
when they are either too obstinate to give way before the use
of Acon., Bellad. and Nux v., or depend upon a general
erethism of the system.-Genl. Hom. Jour., vol. 13, p. 291.
(b). Hahnemann recommends it in stupefying headaches,
congestions of the head, morning headaches, and against
piercing pains externally on the side of the head.-See Hahnemann's Chronic Diseases, translated by Dr. Chs. J. Hempel.
CASE 88.-A man, aged 30, several weeks after falling
from a scaffolding, was attacked with the following sufferings,
shortly after being thoroughly wet through.




68                    HEADACHES.
Symptoms.-Burning in the nape of the neck, and between
the shoulder-blades, but most severely in the back and top of
the head. Throbbing, raging and pressing forwards towards
the forehead, as if the head would burst and the eyes be forced
out; the eyes then becoming fixed and staring; every motion
increased the pain, so that he was obliged to hold his head
perfectly stiff and creep about gently; when eating he only
dared to move his jaws very gently; changes of weather also
aggravated the suffering; pressure upon the second cervical
vertebra increased the pains and the formication, which was
almost constantly present in the arms; he was feverish, with
profuse night sweats.
lTreatment.-Arnica, Bryon., Silex and Hepar. were given
without benefit. Rust's inunction cure was then tried for a
time, with relief at first, soon followed by an increase of the
whole disorder. Phosphor. 1st was now given, two drops per
dose, in alternation with Cocculus 1st, two drops per dose, one
remedy only each day, and continued for three months. In
fourteen days signs of improvement commenced, which
gradually increased, so that at the end of three months a
perfect cure was effected, and the patient could return to his
work.-lygea, vol. 20, part 2, p. 160. —Dr. BoscH.
[NoTE.-Phosphor. is also one of the best remedies against
the headaches which attend the so-called irritative dyspepsia;
especially when there is a periodical twitching, beating pain
in the forehead and about the root of the nose, for many days
in succession; commencing every morning about 9 o'clock
becoming most violent towards noon, and followed by vomiting.  In many morning-headaches, particularly when the
patient has a capricious appetite, sense of weight and fulness
in the stomach after meals, irregular bowels, severe lancinating pains darting between the shoulder-blades from the pit
of the stomach, and much flatulence; white tongue, often with
red points on its tip and edges, quick and irritable pulse, dull
heavy aching pain over the loins, excessive depression of spirits,
and despondency so intense as to excite the most painful
ideas. Phosphorus enters so largely into the composition of




PHIOSPHOR.-PLATINA.                  69
the brain and nervous system, and exerts so specific an action
upon the sexual and urinary organs, that it deserves particular
attention in nervous headaches and in those arising from, or
connected with derangements of the kidneys, ovaries, &c.PETERS.]
Dose.-Noack advises one or two drops of the tincture, or ethereal
solution of Phosphor., or of the 1st, 2d or 3d dilution in severe cases
every half, one, two or four hours; or the same quantities of the 6th or
12th dilution, in milder cases, every six, eight, twelve or twenty-four
hours. Very sensitive males, delicate females or children, may take
two or three globules as often, or solve from three to five pellets in a
wineglassful of water, and take one or two teaspoonfuls per dose as often
as above directed. -PETERS.
35. PLATINA.
GENERAL REMARKS.-(a). Dr. Seidel recommends it in
violent compressing pain in the forehead, especially over the
root of the nose, attended with heat and redness of the face,
lachrymose disposition, too frequent and profuse menstruation.
-Archiv., vol. 12, part 3, page 148.
(b). According to Black, Platina is suitable for headaches,
connected with excessive leucorrhcea, the pains being nervous,
stretching and spasmodic, and involving the forehead and
eyebrows. —Genl. Hom. Jour., vol. 36, p. 234.
[CASE 89.-Miss C., aged 18, had been suffering for about
seven or eight months, with severe but dull pain, commencing
behind the ear, extending to the side of the face, lips, forehead
and crown of the head; it was increased by light and touch;
was preceded by coldness of the feet; commenced on waking
in the morning, gradually increased in severity until about
noon, then became sharp, and continued so for two or three
hours, when it gradually declined till evening; her tongue
was apt to get red and dry, she had oppression of the stomach,
her bowels were costive, appetite poor, with dislike for animal
food; her menses regular and natural, and the pains always
ceased during them.
Treatment.-Platina 6, was followed by increase of pain
for seven days; then Plat. 12, produced almost entire relief;
still her bowels remained costive and passages clay-colored,




70                     HEADACHES.
or white. Digitalis quickly corrected the state of the bowels,
and she had no return of pain for more than one year. —
RUSSELL.-Brit. Jour. of Horn., vol. 5, p. 432.-PETERS.]
Dose —Noack recommends one or two grains per dose, of the 1st,
2d or 3d dilution in severe cases, every two, four or six hours; or of the
6th or 12th dilution every eight, twelve or more hours in milder
attacks. Delicate adults or children may take two or three pellets as
often as above mentioned; or night and morning only in chronic cases.
-PETERS.
36. PULSATILLA.
GENERAL REMARKS. —(a). According to Hering, Pu8ls. is
useful against rending pains, which become worse in the
evening; or throbbing, piercing pains soon after rising in the
morning, and in the evening after lying down; against pushing, piercing and rending in the temples, especially when the
pains are confined to one side; or are attended with vertigo,
inclination to vomit, heaviness of the head, darkness before
the eyes, and great sensitiveness to light; by roaring in the
ears, or pricking, jerking and tearing pains in them; or by
pale and tearful face, no appetite or thirst, but with chilliness 
anxiety, bleeding of the nose, and palpitation of the heart.
Also, when all the above complaints are worst when quiet or
sitting, are relieved in the open air, and the headache is lessened by pressing on the head, or tyinig something around it.
It is most useful in the headaches of slow, good-natured people.
(b). According to Tietze, Pulsat. is especially indicated
when the pains are rending, throbbing, piercing or jerking,
affect the temples and back of the head most severely, and
are accompanied by the well-known general indications for
the remedy.-Genl. Homrn. Jour., vol. 34, p. 21.
CASE 90.-A puerperal woman, aged 24, was attacked
with headache after taking cold; her gentle nature, inclination
to weep and pale appearance indicated Puls.  After the
fruitless use of Bellad., she was relieved by Puls. 30 —-Revue
Hom. M[ar. 1846.-Dr. SOLLIER.
CASE 91.-An obstinate, censorious and irritable woman,
aged 30, who mrenstruated profusely, always suffered with




PULSATILLA.                   71
severe headaches, both before and after menstruation; the
pain was on the very top of the head, pressing, boring and
digging there until she was almost driven to distraction; she
could not bear anything upon the head, which seemed as if
festered, still she could not avoid carrying her hand involuntarily to the painful part. Bowels not constipated, but difficult to move; her sleep was full of dreams; she was chilly,
but not thirsty. Puls. 200, relieved the pain in half an hour.
— New Archiv. vol. 1, part 3, p. 59. —GRoss.
CASE 92.-A girl, aged 8, of gentle lachrymose disposition,
had suffered for six months with headache on the left side.
The pain involved the left side of the forehead, was throbbing
and piercing; occurred alternately either early in the morning, or in the evening soon after lying down; was relieved by
external pressure and by the open air; increased in the warm
room, by lying down, by stooping and by moving the eyes;
it lasted several hours, and then increased to an almost insupportable degree, so that the little patient tossed about in
agony. When the pain lessened severe stomach-ache set in,
followed by sour and bilious vomiting; which was succeeded
by griping, pressing and squeezing pain in the bowels. At
times these three varieties of pain occurred in alternation, and
at other times, on successive days. After the use of Puls. 3,
the whole disorder ceased on the fifth day of treatment, for
ever.-Archiv., vol. 5, part 1, p. 93.-Dr. PLEYEL.
CASE 93.-A lady, aged 43 years, troubled with irregular
menstruation, thin, pale and of a gentle disposition, was
attacked with permanent headache after using mercurial
ointment for the cure of sore throat.
Symrptoms.-Persistent headache, increasing towards evening, relieved at night, but not allowing of sleep; the pain
seemed to rise up from the nape of the neck, and extend to
both temples, leaving the neck cramped; the attacks were
violent, forcing her to lie down, were attended with noises in
the ears, dizziness when walking, and appearance of black
gauze before the eyes; the pains were boring and piercing,
occasionally slightly tearing, and extended at times between




'72                    EADACHEs.
the shoulder blades; or were attended with twitching of the
left eye-lid, by smarting, aching and weeping of the left eye,
with piercing pains in the limbs, with chilliness, and constipation. Bryon. did not afford relief; Puls. 6, one drop per
dose, effected a cure in eight days.-Archiv., vol. 3, part 2,
p. 115. —Dr. SCHNIEBER.
CASE 94. —A young lady, aged 24, of strong constitution
but gentle disposition, and subject to irregular menstruation,
was attacked with headache; at first it affected the forehead and then the whole head, which finally seemed as if
screwed up into a vice; she also had vertigo, and heaviness of
the head when she attempted to sit up in bed; the pain was
increased by thinking and reading; lassitude, trembling and
shaking of the limbs were present, with alternating ypaleness
and redness of the face, nausea, sense of crawling in the pit
of the stomach, dryness of the mouth without thirst, disgust
for food, tightness of the chest, transient shivering, weak,
scarcely perceptible pulse, excessive sensitiveness, weeping,
&c. Pulsat. 12, one drop, cured her in twenty-four hours.Archiv., vol. 2, part 2, page 135. —Dr. HARTMANN.
CASE 95.-A man, aged 25, had suffered for two months,
in consequence of taking cold, with piercing, boring headache,
extending from the right temple to the back of the head;
increasing to a frightful degree in the evening and at night,
and shooting into the ear and towards the side of the neck.
His head seemed numb, his mind as if paralyzed and unfit for
any occupation. Pulsat. 24 in solution, one dose every morning, cured him entirely in eight days.-Genl. Hom. Jour.,
vol. 37, p. 96.-Dr. RAMPAL.
CASE 96.-A lady, aged 30, eight days after confinement
was attacked with chills, heat and headache from taking cold.
She had an insupportable tearing pain in both temples,
attended with vomiting of bitter substances; vertigo and
constant nausea, compelling her to maintain a half sitting,
half recumbent posture, with closed eyes and the greatest
quiet. Every movement, even opening the eyes, increased
the pain, as if the head would burst; her pulse was frequent




PULSATILLA.                  73
and full, skin hot but slightly moist, and the lochia were not
suppressed. Bryon. 200, caused improvement up to the
fourth day; then the pains returned again, and were so much
relieved by Puls. 200, that she was quite well on the fifth day.
CASE 97.-A lady, aged 30, of healthy constitution, but
suffering for several years with attacks of cramp in the
stomach, and used to being bled, had been nursing a child for
three months, when she was attacked with headache persisting for several weeks, and for which she had already been
bled without relief.
Synmptoms.-Violent one-sided headache consisting of piercing pain in the forehead, temples and right ear, extending
into the teeth, and attended with general throbbing in the
head, as if from the beating of the pulse. The pain lasted
the whole day, and became especially violent in the evening,
and at night after lying down. She had thirst, constipation,
chills, and evident loss of strength.
Treatment.-Puls. 6, removed the headache and chills
entirely; but transient gnawing pain in the stomach and constipation, required Nux v. 12, for their removal. She then
continued to nurse her babe in health and comfort.-Annals,
vol. 1, p. 85.-Dr. RUCKERT.
[CASE 98.-A woman, aged 54, had suffered with headache
for three weeks; she had tearing pains in the forehead, worst
in the evening and at night; it seemed to her as if her head
must burst if she did not tie something around it; the
pains were so violent as to force her to cry out; she had
various stiange noises in the head, also photophobia, bruised
and tired feeling in the limbs, sleeplessness and despondency.
Treatment.-Bellad. was given for one day, without benefit;
then Pulsat. effected a cure in twenty-four hours.-Malaise
Clinique, p. 9.-PETERS.]
[NoTE. —Pulsatilla acts especially upon the eye, like Bell.,
but on quite different parts; it acts primarily upon the mucous
membranes of the lids and ball, and upon the nerves and
bloodvessels which supply them; while Bellad. acts upon the
Iris and Retina and the nerves and bloodvessels which supply




'74                    HEADDACHES.
them; to be more precise, Pulsat. acts upon the ophthalmic
branch of the fifth pair of nerves, Bellad. upon the optic, or:second pair of nerves. Pulsat. has been found almost specific
by Herz and Hufeland against nervous headache when
attended with the following very peculiar affection of the eye,
viz.: when there is a spasmodic affection of the eyelids, commencing at the external angle of the eye, and attended with
a peculiar fimmering, so that all objects whose rays fall upon
the eye from that side, seem to be in a very rapid and waving
motion; or the patient seems to look through very rapidly
moving water, or through rapidly vibrating air, which appears
heated to an intense glow; accompanied with a number of
light colored, circular, serpentine, or zig-zagged appearances,
especially about the external angle of the eyes. The above
mentioned authorities say that this peculiar disorder will yield
rapidly, to a few grains of Extract of Pulsatilla, although it
-will obstinately withstand even massive and heroic doses of
Bellad., Hyosycam. or Opium. Again, while Bellad. is specific against the purely nervous and congestive headache,
Pulsat. is a principal remedy against the sick headache,
strictly so-called. We have already seen that in the Belladonna headache sympathetic affections of the stomach may
arise, but when indigestion, or irritation of the stomach, or
dyspepsia, is the primary affection and the head disorder a
secondary affair, Bellad. will never afford certain relief:
Exactly the converse of this holds true with regard to Pulsatilla. The headache which Pulsatilla most readily relieves, is
one which has its starting point in the stomach, brought
on by the use of indigestible, rich, or fat food, or from excess
in eating or drinking, or from indigestion produced by great
bodily fatigue, loss of rest, extraordinary mental inquietude,
or exertion just before or after meals. The pathological state,of the stomach, is irritation of the mucous membrane induced
either by an excess of acid, by undigested food or regurgitated
bile, or by venous congestion arising from a sluggish state of
the liver. Under all these circumstances the affection of the
brain is'secondary; the predisposition is said to consist for the




PULSATILLA.                    75
most part in debility of the stomach, and in a peculiar state of
the nervous system which renders the brain especially sensitive to gastric irritation'. —PETERS.]
REvIEw.-Of the eight cases reported by Riickert, seven
were in females of gentle, delicate and yielding dispositions,
and most of them were middle aged.
In two cases, taking cold was the exciting cause of the
headaches; in case 92, the pain attended a profuse flow of the
menses.
The pains occupied the forehead and temples, as well as the
top, a whole side, or the back of the head; in one case it was
confined to the right side; and in one, to the left.
The pains were generally pressing, piercing or boring; at
times slightly tearing, or throbbing and digging, with the
feeling as if the head were festered, or screwed up.
The attacks were especially violent in the evening and at
night, but in one case they occurred early in the morning, as
well as in the evening; the sufferings were increased by being
in a close room, by lying down, by stooping, by moving
the eyes; in one case also by thinking and reading; while
they were relieved by pressing on the head, and by the
free air.
In case 92, the paroxysms appeared on the setting in, and
also towards the end of menstruation.
As accompanying complaints, we notice disinclination for
food, absence of thirst, presence of nausea, sour, bitter and
bilious vomiting; straining at stool, which is not hard;
oppression of the chest and chilliness.
In two cases Bell. and Bryon. had been previously used
without benefit, and in one case Bryon. had materially relieved
the patient before Puls. was given.
The cures took place rapidly in all the cases.
The doses were Pulsat. 3, 6, 12, 24, 30 and 200. In the
majority of cases one dose sufficed to cure; still Puls. 24, was
given repeatedly in solution, one dose per day.




76                       HEADaCHES.
Dose. —Noack prefers the 2d dilution, which he asserts has proved
more serviceable than any other preparation; still he advises one or two
drop doses of the pure tincture, or of the 1st, 2d, 3d, 6th or 12th dilution, to be repeated once or twice a day, in chronic cases; or every quarter,
half, one, two or more hours in severe attacks; or every two, four, six or
eight hours, in milder ones. Delicate adults and children may take
two or three globules as often; or three, five or more globules may be
solved in a wineglassful of water, and one or two teaspoonfuls given per
dose.-PETERS.
37. RHUS TOXICODENDRON.
GENERAL REMARKs.-According to Schelling, in 1849, when
the whole epidemic constitution of the period frequently called
for Rhus, violent headaches also occurred frequently; they
were one-sided, attacked the forehead, temples, ears and teeth
in particular, and recurred periodically; the pains were
drawing and tearing, as if a sharp knife were run through the
affected parts, or as if the eyes, ear or forehead were being
cut out; they were severe enough to make the stoutest persons complain loudly, and even to cause cramps in others.
In one such case, Arsen. produced relief immediately, but
only transiently; in many other cases Rhus afforded relief
effectually.-I-Iygea, vol. 17, part 3, p. 274.
CASE 99.-A young man was attacked suddenly, after
suffering for some time with pain in the back and loins, with
a piercing pain in the forehead soon after rising in the morning; followed by a sense of creeping, dashing and digging in
the brain, also by a stupefying dizziness and an indescribable
aching and pain in the left temple, forehead and eye, so that
he fell back fainting upon his bed again; he also had oppression of the chest, sore-throat and thirst; his tongue and left
side seemed partially paralysed; he could scarcely speak intelligibly, and could move the limbs of the left side imperfectly.
Treatment. —Rhus 1st, restored him in 2 days. —Dr. SCHELLNG.-l bid.
Dose.-Noack advises one or two drops of the pure tincture, or of
the 1st, 2d, 3d or 6th dilution, repeated frequently in acute and severe
cases, but to be given only once or twice a day in slighter attacks.
Schelling, it will be seen above, also used the low dilutions. Still Rhus




RHUS TOXICODENDRON.-SAlNGUINARIA.           77
is an acrid remedy, and apt to cause aggravations in delicate persons and
children, who should use from one to three granules per dose, or for
whom from three to five globules may be solved in six tablespoonfuls of
water, and one teaspoonful given per dose.-PETERS.
38. SANGUINARIA.
GENERAL REMARKS.-According to HERING, Sanguinaria
is the best remedy against most cases of 3Migrane, or sick
headache; still it will prove most useful when the attacks
occur paroxysmally, viz., every week or at longer intervals; or
when the pains begin in the morning, increase during the day
and last till evening; when the head seems so full that it must
burst, or as if the eyes would be pressed out; or when the
pains are digging, attended with sudden piercing, throbbing
lancinations through the brain, involving the forehead and
top of the head in particular, and being most severe on the
right side; followed by chills, nausea, vomiting of food or
bile, forcing the patient to lie down and preserve the greatest
quiet, as every motion aggravates the sufferings, which are
only relieved by sleep.-New Archiv., vol 2, part 2, p. 132.
CASE 100.-A man was attacked with frightfully severe
headache; the only relief he could obtain, was from pressing
the back of his head against the head-board of the bed.
Treatment.-An infusion of Rad, Sanguinar. removed the
headaches permanently.
CASE 101. —A lady suffered with frequent and severe
attacks of headache, with such sensitiveness during the paroxysms, that no one dared to walk across the room.
Treatment. —The first dose of Sang. 6, produced such an
aggravation that the patient became almost beside herself;
after the second dose, she fell into a pleasant sleep from which
she awoke refreshed. Dr. Helfrig always gave Aeon. and
Bellad. during the paroxysms of sick-headache, and used
Sanguinar. 30, during the interval, unless some other remedy
was more indicated.-IHERING.-Ibid.
Dose. —The proper dose is sufficiently indicated in the above cases.
-PETERS.




78                    HEADACHES.
39. SEPIA.
GENERAL REMARKS. —(a). According to Hahnemann, it is
indicated when there is dulness of the head, and inability for
mental occupation; in attacks of sick headache, attended with
boring pains forcing one to cry out with agony, and with
vomiting; against throbbing headaches most severe in the
back of the head; congestion to the head while stooping;
coldness on the top of the head.-See Hahnemann's Chronic
Diseases, translated by Chas. J. Hempel.
(b). Hering assumes that Sepia is suitable against piercing,
boring, or throbbing headaches, most severe in one temple,
or under one frontal protuberance, which is often sensitive to
the slightest touch; especially when the paroxysms are so
severe as to force one to cry out, and are attended with
nausea and vomiting; also when the slightest motion increases
the sufferings and the patient is obliged to remain very quietly
in a darkened room, with his eyes closed; sleep then being
easily induced and the whole attack passing off after a long
slumber.-P. 143.
(c). Dr. IREUSSLER found Sepia most useful in the following
kinds of headache:
In aching, piercing, drawing, and rending pains, affecting
all parts of the head, and attended with heat in the face,
noises in the ears, nausea and vomiting, vertigo, and great
weakness; all the sufferings being generally greatly aggravated by warmth. The piercing pains, however, were not so
severe as those which Acon., Rhus, or Pulsat. relieve so
readily, and were not constant, but occurred in paroxysms of
longer or shorter duration. The aching or pressing pains
were most frequent and severe in the back of the head.
-Genl. Hom. Jour., vol. 29, p. 172.
(d). According to Dr. Tietze, Sepia acts upon the nervous
and vascular system, wherever it finds a passive congestion
connected with a dyscrasial suffering; and all diseases to be
cured by Sepia must be traced to some such source. In
general, we should bear in mind that both Bellad. and Sepia,
if they are to cure hemicrania, pre-suppose the existence of




SEPIA.                     79
congestion of blood to the brain; but for Bellad. the congestion
must be decided and active; for Sepia, rather passive; for
Bellad. to afford help, there need be no dyscrasia present;
for Sepia, a dyscrasia should never be absent. Tietze found
Sepia most useful in the headaches of females, especially of
hysterical patients; in obstinate and deeply-seated cases, in
which derangement of the nervous system had already lasted
for a long time; when the pains were.piercing and confined
to one side; and when leucorrhcea was present during the
intervals of the paroxysms. He found it almost specific in
cases attended with Sudor hystericus, or a peculiarly sweetish
smelling perspiration of the arm-pits and soles of the feet.
He assumes that it is most indicated against those hemicranias
which arise slowly out of an affection of the assimilation, andthe whole bearing of the patient expresses the presence of a.
deep-seated affection; his skin being pale, dingy or sallow,
the frame delicate, and the features marked with traces of
frequent and severe suffering.
The pains it most readily relieves are piercing or pressing,
or aching and piercing, boring, rending, and pricking, and
attended with passive congestion to the head.-Genl. Hom.
Journal, vol. 34, p. 10.
(e). Black contents himself with asserting that it is most
suitable against nervous, rheumatic and arthritic headaches,
especially when they occur in delicate and sensitive women.
-Genl. Hom. Jour., vol. 36, p. 234.
CASE 102.-Mrs. B., aged 21, of venous constitution, suffered in the middle of pregnancy, with frequently recurring
rending, piercing pains on the right side of the head.
Treatment.-Sepia 30, removed the pains in 2 hours, permanently.-General Homceopathic Journal, vol. 29, p. 72.
-Dr. KREUSSLER.
CASE 103.-Mrs. M., aged 25, of bilious constitution, suffered with drawing, rending pains on the right side of the
head, intermingled with sharp stitches; the attacks being most
severe every morning and evening, and much relieved during
middle of the day. Her menses had commenced to become
rather scanty.




80                    HEADACHES.
Treatment.-Aconit., Pulsat., and Rhus were given without benefit, but Sepia removed the whole disorder rapidly
and permanently.-Genl. Hom. Jour., vol. 29, p. 191.-Dr.
KREUSSLER.
CASE 104.-Miss H., of venous temperament, had suffered for some time with headaches, which were becoming
more and more severe. She had violent pressing or aching
pains in the back of the head, attended with heat and redness
of the face, painfulness of the eyes, lassitude and weakness of
the limbs, lachrymose disposition, and disinclination to any
occupation.
Treatment.-Two doses of Sepia 15, removed her sufferings
permanently, although the first dose produced an aggravation.-Ibid. p. 172.-Dr. KREUSSLER.
CASE 105.-A stout girl had suffered for several months
with constant headache, frequently attended with nausea; her
face was flushed, but her pulse small and weak, and menses
regular.
iTreatment.-Sepia 30, in solution, cured her perfectly in a
week.-Archiv., vol. 20, part 3, p. 58.-Dr. GOILLON.
CASE 106.-A lady, aged 32, who had suffered for many
years with cramps, and congestions of the head and chest, had
had violent headache for 14 days.
Symptomns.-Soreness and pain in the left eye and temple;
throbbing, rending, and piercing in the left temple; pricking
as if from an ulcer in the left zygoma and in the molar
teeth; soreness of the scalp to touch; aggravation of the
pains at various times of the day, followed by fainting fits.
She also had shivering, coldness of the feet, flushes of heat,
thirst, anxiety and despair of recovery.
Treatment.-Seven doses of Sepia 2, were given, one dose
every night and morning; she was entirely restored on the
4th day.-Genl. Honl. Jour., vol. 33, p. 23.-Dr. HAUSTEIN.
CASE 107.-A young lady, aged 19, a brunette of sanguine
temperament, who had been rheumatic for several years, had
now suffered for several months, generally after a slight cold,
with violent pains in her head.




SEPIA.                     81
Symptoms.-Tearing and boring, intermingled with acute
stitches, more frequently on the right side, than the left;
when the pain was very severe, she was obliged to keep very
quiet, close her eyes, and press her hand upon the painful
part; chilly weather increased the pains, which were scarcely
ever present at night, but occurred at almost any time during
the day; she had disinclination for food, her passages were
rather loose, her menses occurred too frequently and lasted
5 or 6 days.
Treatment.-Sepia 30, produced a decided improvement
about and after the 12th day; she relapsed slightly at the end
of 5 weeks, and then was cured entirely by repeated doses of
Sepia 30, in solution.-Dr. HImscI. —Genl. Ilone. Jour., vol. 7,
page 132.
CASE 109.-A lady, aged 40, and of an hysterical habit,
had suffered since her fourteenth year with headaches recurring every 2 or 4 weeks, affecting the left side, commencing
early in the morning, with rending and drawing pain under
the left temporal bone, passing over into aching and throbbing
in the back of the head, and followed by nausea and vomiting;
she could not open her eyes or bear light, and had obstinate
constipation.
Treatment.-Sepia, several doses, repeated every 8 days,
removed the disorder.-Practical Observations, vol. 2, p. 10.
-Dr. SCHINDLER.
CASE 110.-A man aged 30, of medium stature, and with
blackish brown hair, had been speedily cured of an ulnicer up mn
the leg, by external applications. Since then, he had suffered
with headache on the left side, extending to the left ear and
eye, commencing with violent stitches in the forehead, recurring every five minutes, day and night, with such violence that
his face became distorted, and he screamed out with pain;
his scalp became exceedingly sore, he knew not where to lay
his head; every noise, even the speaking of others, increased
the pain; his tongue was white and he had a bitter taste in
the mouth.
6




82                    HEADACHES.
Treatment.-Sepia 6, relieved the pains in two hours, and
he was cured in four days.-Genl. Hom. Jour., vol. 10, page
220.-Dr. S.
[CASE 111.-A nursing mother had suffered with headache for three weeks, characterised by acute pain in the
forehead, attended with throbbings which occasioned pain in
the teeth, and eyes; with noises in the ears; constipation,
nausea, and sometimes vomiting.
Treatment. —Sepia (two doses) was followed by a severe aggravation; the pains changed to one side, and the disorder
assumed the form of megrim; but in two days almost all
traces of the disorder were removed. A few doses of:Nux
subsequently removed the constipation.-MALAIsE, p. 12.
CASE 112. —Miss V., aged 17, had had headache more or
less for eighteen months; the right side of the head was principally affected with violent pulsations, especially severe in
the right side of the back of the head, attended with dimness
of vision, itching of the nose, dilatation of the pupils, and
frequent nausea; her tongue was coated, she had a bad taste
in the mouth, and irregular appetite; her sufferings were
more severe in the morning than in the evening; scarcely
a day passed by without some pain, ordinarily commencing in
the occiput. Her menses were regular.
Treatment. —Nux, Bellad., Aconit., Spigelia, China, and
Cina, were used for twenty days without benefit; then Sepia
30, (several doses) was given, and effected a perfect cure
in fifteen days, which lasted for at least two years and a half.
-Ibid.] -PETERS.
REvIEw.-Among eight patients, reported by Riickert,
seven were females; of these, three were said to be of a venous
constitution, and one of sanguine temperament; two had
dark hair, and all were middle-aged.
Among the causes of the headache, we find: taking cold in
one case; and suppressed ulcer in one case.
Of the eight cases, six had the pains confined to one side
of the head; three times on the right side, and three times
on the left.




SEPIA.                     83
Among the localities involved by the pain, we find: the
forehead, extending to the eye, mentioned most frequently,
then the sides of the head, next the temples, top and back of
the head.
As to the character of the pain, we find it most frequently
rending or tearing, frequently attended with stitches; less
frequently we find drawing, aching or throbbing; boring pain
occurred only once.
As regards the time when the pains appear, we do not find
them confined to any particular period.
The pains were increased by rough weather, by moving or
opening the eyes, by noise, or the speaking of others, by the
slightest touch, by every movement, and by warmth. They
were relieved in one case by external pressure, by rest in a
dark place, by closing the eyes, and by a long sleep.
As accompaniments of the pain, we find: soreness of the
scalp, in case 105; heat and redness of the face, in cases 103
and 104; disgust for food, in case 106; white tongue and
bitter taste, in case 108; nausea and vomiting, in cases 104 and
107; constipation, in case 107; too frequent menstruation, in
case 106; scanty menstruation, in case 102; fainting fits, in
case 105; shivering and coldness of the feet, in case 105;
anxiety, in case 105; disinclination to work, in case 103; and
inclination to weep, in case 103.
Among the indications for the use of Sepia, we find:
hysteria, with long-continued derangement of the nervous
system, in ~ d and e; leucorrhcea between the paroxysms, in
~ d; sudor hystericus in ~ d; chronic expression of suffering
in the features, in ~ d; pale, sallow, dingy complexion in ~ d;
congestions in ~ b and d; passive congestions in ~ d; delicacy
of frame in ~ d and e; and return of pains at intervals, in ~ c.
Almost all the cases were chronic, and the cures followed
very quickly.
Sepia effected a cure in all eight cases without the aid of
any other remedy; in three cases, but one dose was used; in
two cases, two doses;,in one case, nine doses; in one case
Sepia in solution was given, in repeated doses.




84                       HEADACHES.
The 2d, 6th and 15th potency were used each in one case;
the 30th, in four cases.
Dose.-Noack prefers one-grain doses of the 2d or 3d trituration, to
be given once or twice a day in sub-acute and chronic cases; more frequently in acute attacks. In the above cases the use of the 2d and 6th
dilutions was not followed by aggravations, but by speedy recoveries;
while the higher potencies, such as the 15th or 30th, sometimes either
caused aggravations, or more probably allowed the disorder to progress
unchecked to an extreme degree of suffering. Delicate and nervous
adults, and children may use the granules or high dilutions, either in
solution, or by drops or globules.-PETERS.
40. SILICEA.
GENERAL REMARSs. —(a). According to Hering, Silex is
useful against pushing, throbbing pains, with heat and rush
of blood to the head, especially when they are excited by
exertion, speaking, or stooping; in nocturnal pains, extending
from the nape, up to the top of the head; against rending
pains setting in every forenoon; when it seems as if the forehead would be pushed out; when lumps arise upon the head,
the hair falls out, and the scalp is very sensitive to touch;
also against tearing pains in the head, p. 142.
(b). Hahnemann advises it against headache ascending
from the nape to the top of the head, and preventing sleep
at night; for daily headache in the forenoon, with tearing
pains and heat in the forehead; for heaviness in the forehead
from noon till evening; for pain as if the head would burst;
sweating of the head at night.-Chronic Diseases, vol. 5.
(c). Black advises it against headaches fiom organic disease,
excessive study, or nervous relaxation arising from any other
cause, when vertigo and weakness of memory are present, &c.
— Genl. Horn. Jour., vol. 36, p. 235.
CASE 113. —A young lady, aged 28, a brunette, of middling stature, had suffered for a long time  with  violent
headaches.
Symptoms.-The pain involved either the vertex, back of
the head, or forehead; at other times when it extended over onehalf of the head, the one-sided pain consisted in a bruised feeling, so that even external pressure caused pain; in the forehead




SILICEA. —SPIGELIA.                86
the pain was of a pushing character, attended with great weakness of the eyes; when the pain became very violent, nausea
and vomiting set in; touching the head, walking about, and
exposure to the free air caused aggravation; the paroxysms
came on every two or three days or weeks, sometimes lasting
only a few hours, at others several weeks. At times, all food
tasted like clay; bits of tape-worm were discharged; she had
trembling of the limbs, and general feeling of weakness.
ireatment.-Silicea 30, in two drachms of diluted alcohol,
ten drops to be taken daily, from July 24 to the middle of
September.  Reszult.-The  first four doses always caused
aggravations; afterwards a perfect cure was effected. —Genl.
Hom. Jour., vol. 22, p. 11. —DR. TIETZE.
Dose.-Trinks says in obstinate and chronic cases he has always
used the 2d or 3d dilution, one or two grains per dose, night and
morning, for weeks and months together, not only without producing
any unpleasant or stormy aggravations, but always with the most
gratifying curative results. Those who prefer them may use the higher
dilutions and globules, at long intervals.-PETERS.
41.  SPIGELIA.
GENERAL REMARKS.-(a). Spigelia, according to Tietze, is
indicated in hemicrania of the left side, the pain often involving the whole of that side of the head, and extending to
the face and teeth. Also:
When the pains consist in a digging-tearing, or in an aching-pressing; are increased by stooping, the slightest movement in the free air, and by every loud noise. It is especially useful when gouty affections in various parts of the
body are also present.-Genl. Hom. Jour., vol. 34, p. 21.
(b). According to Black, Spigelia is suitable against nervous
rheumatic headaches, when the pains are aching and
piercing, extend to the nape and face, and are increased by
touch, motion, and noise.
(c). Dr. Nehrer says, in the winter of 1845, he cured six
cases of one-sided headache, involving one or the other eyebrow, the pain being violent and throbbing, or else throbbing




86                    IIEADACHIS.
and piercing, or tearing, and attended with redness and
lachrymation of the affected eye; the paroxysms followed a
perfectly regular twenty-four hour type; the weather at the
time was icy-cold and rainy.-Spigelia 20, afforded relief
quickly and certainly. —New Archiv., vol. 3, part 1, p. 63.
(d). According to Hering, the typical character of the pains
relieved by Spigelia, is remarkable; the head, eyes, face, or
teeth may be affected; the paroxysms occur generally in the
morning or forenoon, before twelve o'clock; and motion,
especially stooping, causes an aggravation.  Among the
other indications for the remedy, are noted: aggravation
from stooping; aching and pressing in the head; sensation
as if the brain would be forced out through the forehead, &c.
The latter symptom occurs in fifteen or twenty other remedies; the first symptoms in many remedies also, especially
Ign., Pulsat., Coloc., Bryon., Bell., &c; but in no other ren'edy
do we find so many pains increased by the same causes, and
hence this possesses a peculiar significance for Spigelia. In
Spigelia-lleadaches, the face is often pale.-CorrespondenzBlatt, vol. 6, p. 80.
CASE 114.-A man, aged 25, of choleric sanguine temperament, and powerful constitution, had had violent headaches, off and on, for three years.
Symptoms.-Constant, violent and partly jerking or rending
pain; partly sawing pain, as if the nerves were lacerated
with fine instruments, involving the right side of head and
temples, and extending over the eye into the cheek-bones.
The right eye was much affected, and wept freely; it pressed
and pushed itself forward, and was very sensitive to light;
there was a burning heat in the affected part, and in the face;
the veins of the temples were distended and pulsating;
there was coryza and disturbed sleep.
Treatment.-Bellad. and other remedies were given without
benefit, as the pain increased to an extreme degree, and
extended to the teeth. Then Spigelia 30, was given, followed by profuse sweat in half an hour, lasting all night, and
the, patient awoke well after a sound sleep.-CorrespondenzBlatt, 6. —ROMIG.




SPIGELIA.                   T87
CASE 115.-A woman, whose menses recurred too frequently, preceded by weakness of the chest with fainting, and
with great weakness fromn the slightest exertion; also complained of violent stitches in the left temple, worse when
moving about. A few doses of Spigelia 30, cured her entirely.
-Ibid.
CASE 116.-A boy, aged 7, had suffered for several weeks
with headache; first here, then there, but especially in the
forehead and back part of the head; increased by motion,
by running, jumping, even by walking, but especially by
stooping, or shaking the head, by coughing, and every concussion of the body, even by noise, and the warmth of a
stove. He frequently became pallid in the face, with blue
about the eyes, and sometimes became so sick as to vomit.Spigelia 30, effected a cure.-Ibid.
CASE 117. —It also cured a case in which pains in the
eyes occurred every morning, followed by piercing in the
head, face, teeth, and throat. In a week after were added,
chilliness and heat every night, without thirst; the headache
became throbbing on one side, so that he could not stoop,
and it seemed as if his head would fall off. There was
throbbing over the left eye, burning and piercing therein,
commencing early in the morning behind the eye, and finally
extending forwards; the eye seemed smaller, but was
swollen (Dulcam. and Scilla cause the same); the patient had
fever the whole day, with dryness of lips, and whiteness of
the tongue. The whole disorder, after lasting three weeks,
was cured in a few hours by Spigelia 30. —Ibid.
CASE 118.-Beating and throbbing in the vertex and
under the eyes, especially the left, increased by the slightest
motion. There was a discharge of thin green muonus from
the posterior nares; the gums were swollen, and there was
pain in the teeth. Spigelia 30 effected a cure.-Ibid.
CASE 119. —Chronic catarrh of head, violent headache,
with feeling as if the head would burst when stooping, worse
on the right side, and increased every morning till twelve
o'clock, after which it diminished; there was such tearing




88                    HEADACHES.
pain when stooping, that he was obliged to support his head.
Cured by Spigelia 30.-HERING.
CASE 120.-A widow, aged 56 (born in the East Indies),
of choleric and irritable temperament, with dark hair and
complexion, and of large stature, received a blow upon the head
many years before, and frequently suffered with headaches
since then. After a severe cold, taken at the end of June,
1850, the headache set in, and persisted with greater or less
violence, until the last of October. The disorder remained
about the same, for, if single symptoms ceased awhile, they
were sure to return again.
Symptoms.-Pain, especially in the forehead, where she
had received the injury; feeling as if from an internal ulcer
on the left side above the eyebrow, extending to the temples,
and occasionally to the back of the head; the pain often shot
into the eye, rendering it so painful that it could not be
moved; it consisted of a sore feeling, or of a boring or heaviness, more rarely of throbbing, especially on laying the head
down; it was increased every night and forenoon, also from
every movement, especially from stooping, which she could
not do without pain, even when free from headache. The
pains were also increased by every concussion, by noise, by the
loud speaking of others, with nausea from the same causes.
The only relief she obtained was from absolute quiet, and
from resting the head against something.  Otherwise, she
was generally well, with the exception of being costive.
_Treatment.-She used many remedies, among them Sulph.
30, twice with benefit; still, the increase of pain from stooping remained.  Mere. and China produced transient relief.
July 13th she received Spigelia 22, with relief for several
days; on the 16th, she took Coffea without benefit; the relief
afforded by Spigelia was thus neutralised, and the old disorder returned in full force. In August, several doses of China
27, and Bellad. 15, produced some relief, and in September,
Mere. 15; but October 21st, the old disorder again returned
severely, and she received Spigelia 200, in solution, one
dose, soon followed by slight aggravation with toothache, and




SPIGELIA.                     89
bleeding of the gums; a repetition of the same dose was followed by a fiightful aggravation, more severe than ever
before experienced, and attended with chills, shivering of the
whole body, and walking round the room in agony. After
using Camphor the aggravation subsided, and on the. following day the pain was all gone, so that she could even stoop
without re-producing it. She then remained free from all
pain until March, 1851, when she took Staphysagria 15, in
solution, for gum boils; after using Staphysag. for two days,
a violent aggravation again set in, followed by severe headache, feeling of ulceration, and as if the eyes would fall out,
from every motion or touch; with chills and spasmodic shivering from the severity of the pain; she was again obliged to use
Camphor as an antidote; in a few days she was restored, and
remains well to the present time, December, 1851. —R CKERT.
REVIEW.-This peculiar and important remedy was used
in thirteen cases; two, are described as occurring in those of
powerful constitution, and choleric or choleric-sanguine temperament.
The character of the pains relieved by it differed very
widely; in some cases it was boring, ulcerating, or throbbing,
see ~ c, e, and g, and case 112; in others it was aching or
pressing, tearing or digging, or jerking and rending, see
~ c and a, and case 112; or finally sawing and piercing.
Hering calls particular attention to the fact that no other
remedy relieves such a variety of pains arising under the
same circumstances. Finally, it also relieves a feeling as if
the eyes were pressed, or turned out.
The situation of the pains relieved, was generally in the
fore part of the head. In eight cases the parms were confined
to one side, viz., in two cases to the right, and in five cases
to the left. In several instances the region of the eyes, and
the eyes themselves, were attacked with pain; they even
became inflamed and watery.
The regular, typical recurrence of the pains was peculiarly
marked, generally in the night or in the forenoon; the pains
spread not only to the eyes, but also to the whole side of the




90                      HEADACHES.
face and to the teeth, in ~ a and case 112; to the nape of the
neck in ~ b; and are apt to be associated, according to TIETZE,
with arthritic pains in various parts of the body. Dr. Nehrer
effected cures with Spigelia when the weather was damp,
cold and rainy, and Black thinks it cures nervo-rheumatic
pains most readily.
Among the causes of aggravation, stooping is the most
prominent; then every motion, concussion, loud noise, the
speaking of others, straining at stool, &c., see case 112,
and ~ g.
Among the accompanying symptoms, Hering draws attention to a peculiar paleness of the face, see ~ d and case 114.
The doses were Spigelia 30 and 200 in repeated doses.
The cures occurred speedily and decidedly, in cases more
or less chronic or resent.
DOSe,-Noack and Trinks as usual prefer comparatively large doses,
such as two or three drops of the 2d or 3d dilution, repeated at short
intervals, in acute attacks; at longer intervals in chronic and milder
cases. Still the high dilutions seem to have been decidedly useful in
the above cases, and we can only regret that Romig, Hering and
Riickert did not note more carefully the intervals of time allowed to
elapse between each dose. The same doses as those recommended for
Rhus., may be used.-PETERS.
42. SULPHUR.
GENERAL IREMARKS.-(a). iHahnemann recommends it
against night-headaches, which arise from the slightest movement in bed; against heaviness of the head, especially in the
occiput; daily drawing headaches, with sense of bursting;
piercing headaches with buzzing; throbbing pains in the
vertex; coldness, and cold spots on the head.-See Chronic
Diseases, translated by Dr. Chas. J. Hempel.
(b). Ilering advises Sulph. against throbbing and rending
pains, with fever heat, occurring early in the morning, or in
the evening, attended with nausea, aggravated in the open
air, and relieved by being in a warm room; also against rending, stupefying pains and aching, occurring every week,
followed by falling out of the hair, and occurring after the
suppression of eruptions, or ulcers.-Page 142.




SULPHUR.                     91
(c). According to Black, Sulphur is indicated against headaches affecting the forehead and vertex, in which the patient
complains of heat of the head and coldness of the feet, and
has a sense of compression of the head, with noises in the
ears and hammering; also, against the congestive headaches
of persons who lead a sedentary life, saffer with constipation,
or piles, or in whom old ulcers or eruptions, or hemorrhoidal
fluxes have been suppressed. —Genl. Hom. Jour., vol. 36,
page 235.
CASE 121.-A robust woman, aged 62, was attacked with
the following:
Symptoms. —Vertigo, crawling and pricking in the vertex,
rushing and noises in the ears, aching in the forehead, tightness around the head as if from a band, piercing pain in the
temples and cheeks, mucous state of the mouth, oppression
of the stomach, heaviness and anxiety in the proecordia;
with irritable disposition, great weakness and emaciation.
]Treatment.-Pulsat. occasioned very little relief, which,
however, followed quickly when Sulphur was used, and she
was cured in 10 days.-Hygea, vol. 15, page 512.-Dr.
SCHELLING.
CASE  122.-A  lady, shortly after confinement, was
attacked with violent tearing pain in the forehead and upper
half of brain, especially about the eyes and nose, with the
greatest sensitiveness of the affected parts to touch, and feeling as if they were blistered; her head and body felt cold,
although the external air was warm, and her pulse was quick;
these attacks came on several times a day, and also at night;
they were preceded by tickling in the nose, like that which
precedes sneezing, by coughing and yawning; and were
followed by perspiration.
Treatment.-She was cured by four doses of Sulphur, at
intervals of from nine to twelve days. —Annals, vol. 4, page
258.-Dr. HARTLAUB.
CASE 123.-A young man who had formerly suffered
with herpes rodens on the legs before he was attacked with
headaches, had complained for thirteen years with:




92                   HEADACHES.
Throbbing, tearing headache in the occiput, extending
forwards, and attended with nausea, vomiting, and aching
of the eyes; the attacks were preceded by flatulence, and
the headaches lessened somewhat at the end of two or three
days, when fever set in, and canker-sore mouth, followed by
sore throat; they recurred every three or four weeks.
Tireatment.-Bellad., Mere., Nux, and Pulsat., were given
without benefit; but after taking several doses of Sulphur,
itching of the legs and perspiration of the feet set in, followed
by a diminution of the headaches, and in the course of a few
months he was perfectly restored.-Genl. Hom. Jour., vol.
10, p. 136.-DR. BERNSTEIN.
CASE 124.-A robust youth, aged 18, was attacked, one
year after the suppression of itch, every morning about nine
o'clock, with violent aching pain in the forehead, fever, rushing and roaring in the head, gradually increasing until noon,
and then entirely subsiding by four o'clock in the afternoon.
He had already suffered for several months in this way.
T7reatrnent.-Sulph. 30, cured him entirely in ten days.Genl. Hom. Jour., vol. 4, p. 305.-DR. HIRSCH.
CASE 125.-A girl, aged 11 years, had already suffered
for two years with headaches, which had been of daily occurrence for the last three months.
Symptoms. —Aching pain in the forehead and whole front
head, commencing immediately upon waking in the morning,
and persisting the whole day. She was unfit for thought or
study, and much debilitated.
T'~eatmnent.-Tinct. Sulph. effected a perfect cure in three
weeks. —Annals, p. 2'1.-DR. HARTLAUB.
CASE 126.-Captain R. had suffered for a long time with
headaches; shortly before they set in he had suppressed an
attack of itch, with ointments.
Symptoms.-Violent throbbing, pressing pains in the head,
especially after partaking of warm food, when in a warm
room, or exposed to the heat of the sun; congestion of blood




SULPHUR.-THUYA.                     93
to the head, with vertigo, relieved by the application of
cold water. He was troubled with itching about the rectum,
with flatulence and derangement of the bowels.
Treatment.-After the use of Sulphur, at first in alternation with Nux, and then of Sulphur alone, one dose every fifth
day, he was seized with more troublesome itching and pricking about the arms, and finally with itching of the legs,
when his other troubles ceased entirely.-Genl. Hornm. Jour.,
vol. 10, p. 138.-Di). BERNSTEIN.
REvIEw.-Of the six cases one-half were males; in three
cases the exciting cause of the headaches was suppression of
itch or herpes, see ~ b and c; inclination to constipation,
and hemorrhoids were also present, see ~ c.
The pains were most frequently seated in the forehead;
their character was generally aching and tearing, or as if
there were a band around the head; in one case there was
throbbing, pressing, rushing, and roaring. They occurred
either daily, at a particular hoIur, or in paroxysms several
times a day, also at Vight; were increased by warm things;
they were also attended by various disorders of the stomach,
flatulence, nausea, or vomiting.
Of the six cases, Sulphur cured four, without aid from any
other remedy.
The size of the doses is unfortunately not mentioned in
most of the cases, although we learn that they were fiequently
repeated.
Dose. —Noack advises one or two grains of the 1st or 3d trituration,
or from olle to three drops of carefully plrepared tinct. of Sulphur, once
or twice a day in subacute or chronic cases; more fiequently in severe
attacks.-PETrEus.
43. THUYA.
GENERAL REMARKS. —Tietze uses Thuya against hemicrania
when he finds that it has been preceded by sycosis. It is
most serviceable wheml the pains involve the left side, extend
from thence in rays, and become tearing in their character in
the forehead and face, as far as the zygonma. It is especially




94                      HEADACHES.
indicated when a peculiar sensation is present, as if a convex
button were pressed upon the head, particularly in the neighborhood of the sutures of the skull, or as if a nail were thrust
into the head.
If such pains are present, and we have reason to suspect
sycosis; if the disorder has become chronic and inveterate;
if the'pains are increased by rest and warmth, especially that
of the bed, and are relieved by looking upwards and bending
the head backwards; and if they have been preceded by rheumatic or arthritic affections, with nocturnal exacerbations,
then Thuya will assuredly prove the only curative remedy.Genl. Hom. Jour., vol. 34, p. 19.
Dose. —Noack recommends one or two drop doses of the 1st, 2d or
3d dilution, every one, two or four hours in severe attacks; every six,
-eight, twelve or more hours in milder paroxysms; and once or twice a
_day:in chronic cases. It is thought to be most useful by some physicians, in cases attended with the most obstinate constiDation, with
ieucorrhoea or other uterine, or urinary trouble.-PETERS.
44. VERATRUM.
GENERAL REMARKS.-(a). Lobethal says that Veratrum  is
very useful against the nervous headaches of young maidens
and hysterical women, when they are attended with nausea
and vomiting, and the face is pale and cadaverous. —Genl.
Horn. Jour., vol. 13, p. 371.
(b). Black recommends it against aching, throbbing, nervous
headaches, affecting one side of the head, attended with stiffness of the neck, feeling as if the head Would burst, and
with vomiting.-Ibid., vol. 36, p. 235.
(c). Hering asserts that Veratrum is useful when the scalp
is very sensitive to touch, when diarrheea is present, and the
pains become so severe that the patient is rendered quite
delirious, or at least very weak and inclined to faint; when
the pains are increased by rising up, or lying down, and are
accompanied with cold sweat, coldness and thirst. Also,
when long continued constipation has produced congestion of
blood to the head, with unilateral pains, and aching-throbbing
feeling as if the brain were bruised or compressed; with




VERATRUM.-ZINCUM.                   95
choking in the throat, or pain in the stomach, stiffness of the
neck, profuse flow of urine, nausea and vomiting.-Pp. 137
and 140.
Dose. —Noack advises one or two drop doses of the 2d, 3d, 6th or
12th dilution every few hours in severe cases; once or twice a day in
chronic attacks.-PETERS.
45. ZINCUM.
CASE 127.-A young lady, aged 24, of robust frame and
regular menstruation, had suffered for four years with:
Aching, tearing pain in the back of the head, piercing in
the right eye, rending and piercing in the ears, and occasionally in the teeth. These attacks had increased yearly in
severity, until they had begun to affect her mental powers.
Treatment.-Bellad. 30, relieved the pain in the eye, but
merely lessened the other sufferings; then Zinc. 30, cured her
entirely in thirteen days.-Practical Observations, vol. 2,
p. 187.-Dr. SCHULZ.
Dose. —Noack advises one or two grain doses of the 1st, 2d or 3d
trituration every two or three hours in acute attacks, once or twice a
day in chronic cases.-PETERS.
GENERAL REVIEW.
It must be expressly understood that this general review
applies mainly to the forty articles and eighty-five cases,
supplied by Riickert; a general review of the forty additional cases, numerous additional articles and notes, will be
given at some other place.-PETERS.
Spigelia was used successfully in thirteen cases; Bellad., in
twelve cases; Cale., Nux, Puls. and Sepia, each in ten cases;
Bryonia and Sulph., each in six cases; Arsenic., in five cases;
Colocynth, in four cases; Camphor and Causticurn, each in
three cases; Aconite, Opium, Sanguinaria, China, Cocculus,
Carb. v. and iepar sulph., each in two cases; Agaricus, Arnica,
Asarum, (Creosot., Dulc., Ignat., Magnet., Merc., Phosph.,




96                    HEADACHES.
Silex, and Zinc., each in one or more cases. Although no cases
have been reported in detail, still Auruin, Arum, Coffea. Carb.
an., Caps., Chainomilla, Crocus, Lach., Plat., and Iris versicolor, have been found useful by various observers.
According to Riickert, these forty remedies were used
against the following groups of symptoms, and under the
following circumstances.
(1). Against NE:Rvous headaches in general: Agaricus,
Aurum, Carb. an., Cocc., Ign., Plat., Sep., Silex, and Verat.
Against ONE-SIDED headaches, or Higranes in particular:
Acon., Ars., Bell., Calc., Caps., China, Coffea, Coloc., Ign.,
Nux, Opium, Puls., Sepia, Spigel., and Thuya.
(2). Against CONGESTIVE headaches: Aeon., Belladonna,
Bryon., Calc., Carb. an., Nux, Phosph., Sepia, Suilph., and
Veratrum; againstpassive congestions, Opium, China, Sepia.
(3). Against CATARRHAL headaches, Aconit., Chain., Coffea.
[Pulsat., Agaricus, and Arsen.-PETrEIs.]
(4). Against RHEUIMATIC headachies: Bryon., Acon., Mere.,
Cham., Nux, Sepia, and Spigelia.
(5). Against ARTHRITIC headaches: Sepia and Spigelia.
(6). Against headaches attended with GASTRIC disturblances:
Bellad., Nux, and Pulsat.; with nausea and vomiting in particular: Acon., Arn., Asar., Bellad., Bryon., Cale., Caps., Caust.,
Coloc., Ign., Lachesis, Pulsat., Nux, Sanguinaria, Sepia,
Sulph. and Veratruml; with violent vomiting: Ars., Ipec.,
Tart. enmet., Sulph., Zinc., Cuprumn and Veratrum; with
retching, Acon. and Nux; with vomiting of bitter substances:
Bell., and Puls.; with vomiting of bile: Calc., Nux, Puls.,
Sanguinaria; with so.ur vomiting: Nux voln. [Dr. Black
prefers Cocculus when the nausea is very great; others advise
Creosote; Dr. Chapman prefers Gratiola; Dr. Kitchen, Iris
versicolor; while I have given Cuprum acet., with the most
marked benefit. —PETERS.]
(7). Against PERIODICAL headaches: Bellad., Bryon., Cham.,
Coloc., Nux, Sanguinaria, Sepia, C0/ina and Alrsen.
(8). Principally against ACUTE attacks: Aconite, Agaricus,
Arnica, Bellad., Bryon., Camphor, China, Cocculus, Coloc.,




GENERAL REVIEW.                  97
Creosot., Dulc., Ignat., Magnet., Merc., Nux, Op., Phosphi,
Puls., Sanguinaria, Arum, Gratiola, and Iris versicolor.
(9). Principally against CHRoNIC and inveterate cases:
Arsenicum, Calcarea, Causticum, Carb. animalis, tIepar
sulph., Phosphor., Sepia, Silex, Sulphur, Thuya, and Zinc.
(10). Principally according to the LOCALITY of the pains.
(a). When the pains involved the whole of the head: Bryon.,
Caust., Natr., Nux, Pulsat. and Sepia. (b). When they seem
to be seated in the brain: Arn., Bry., Cale., China, Dulc. and
Ignat. (c). When they affected the forehead in particular:
Arn., Bell., Bry., Cale., Coloc., Ign., Merc., Nlux, Puls., Plat.,
Silex, Sulph. and Thuya. (d). When the pains were principally
over the eye-brows: Bellad. Over the root of the nose: Acon.,
Ignat. and Plat. (e). On the vertex, or top of the head: Bell.,
Bry., Cale., Dulc., Nux, Natrum m. and Sulph. (f). In the
temples: Bell., Caust., Cham., China, Ign., Nux and Puls. (g).
In the occiput, or the back of the head: Calc., Camyh., Carb.
an., Creos., Natr., Nux, Puls., Sepia and Sulph. (h). When
the pains were confined to one side in general: Bell., Calec.,
Chain., Coffea, Coloc., Lach., Natrum m., Nux, Puls., Rhus,
Sepia, Silex, Spigelia. When limited to the right side: Bell.,
Bryon., Calec., Coloc., Nux, Puls., Rhus, Sanguinaria, Sepia,
and especially Opium. To the left side: Acon., Asarum,
Bryon., Calc., Cham., Coloc., Merc., Natrum, Nux, Puls.,
Sepia, Spigelia, Thuya, and especially China.
(11). According to the CHARACTER of the pains.
Against sore or festering pains, Puls. and Sep.; boring pains,
Cale., Puls., Sep. and Spigelia; boring pains, as if in the brain
itself, Ignat.; burning pains, Bryon.; boring-burning, Dulc.
Against aching pains; Ars., Bell., Bryon., Cale., China, Coffea,
Coloc., Natrum, N1ux, Sepia, Sulph. and Veratrum.
Against aching from within outwards: Ign., Caps.
"   stupefying aching: Arsen.
"   dull aching: Calc.
digging aching: Bryon.
7




98                   HEADACHES.
Drawing-asunder pains: Bryon., Caps. Throbbing, pushing
and hammering pains: Bell., Calc., Camph., Caps., Cham.,
Croc., Natrum m., Pulsat., Sanguin., Sepia, Silex, Spigelia,
Sulph., Verat.
Squeezing pains: over the nose, Aconit.; compressing pain,
Plat.; aching and compressing, Coloc. Feeling of emptiness,
Cocc. Pain, as if from a nail driven into the brain, or the
true hysterical pain: Coffea, Ignatia, Nux, Evon., Hell.
and Thuya.
Pressing pain: Bell., Bryon. and Natrum; pressing-asunder, Arsen., Bell. and Bryon.; aching-pressing, Spigelia;
out-pressing, Bryon. and Ignat.; throbbing-pressing, Sulphur;
pressing together, Bryon.
Rending, tearing or drawing pains: Bell., Cham., China,
Coloc., Ignat., Mere., Nux, Pulsat., Sepia, Spigelia, Sulphur,
Thuya; boring-rending pains, Nux; aching-rending, China;
throbbing-rending, Arsen. and Spigelia; piercing-rending,
Natrum; rooting or digging and rending, Spigelia; rending
in small spots, Bryon.; drawing and rending, Rhus.
Stretching or tensive pains: Puls. Piercing, or pricking
or sticking pains: Bryon., Caust., Cham., Coloc., Nux, Puls.,
Sanguin., Sep. and Sulphur; outwards, Ignat.; inwards,
Coloc.; as if in the brain, Ignat; like needle-stitches or lancinating or pricking, Sepia; boring, Acon., Bellad. and Puls.;
aching or pressing and piercing, Pulsat.; throbbing, Acon.,
Bellad. and Spigelia; rending and piercing, Caps.
Sensation of rocking to and fro in the brain, Nux; of
wavering, Bellad.; of digging, Dulc. and Sanguin.; drawing,
Calc., Cham., China, Coffea, Coloc., Merc. and Sepia; achingdrawing, Nux; twitching or jerking, Coloc.; throbbing-jerking, Ignat.; as if compressed together by a band, Mere. and
Sulph.; screwed together, Pulsat. and Verat.; as if torn or
comminuted, Coffea, Nux and Verat.; as if the head would
burst, Calc., Merc. and Natrum; forcing one to cry out,
Acon., Coiff, Cham. and Veratrum.
When the scalp was tender, Bellad., Carb. an., China and
Natrum m., were found the best remedies; when the hair




GENERAL REVIEW.                 99
was sensitive, Verat.; when there were hot spots upon the
head, Bellad.; coldness of the head, Calc. and Sulph.; sweat
upon the head in the evening, Calc.; rushing and roaring in
the head, Aurum, Bellad. and Calc.
(12). The following remedies were found most serviceable
when the headaches were EXCITED OR AGGRAVATED BY:
Touching the head, Bry., Calc., China, Coloc., Sep., Sulph.
Movement in general, Acon., Bellad., Bry., Caps., China,
Creos., Nux, Sanguin., Sep. and Spigel.; at night, when in
bed, Sulph.; of the head and eyes, Bellad., Bryon., Coloc.,
Puls., Sepia; from opening the eyes, Sepia; when rising,
Veratrum; from stooping, Bellad., Bryon., Caps., Coloc.,
Nux, Puls., Sepia, Silex., Spigel.; when walking, Bryon. and
Caps.; when walking in the free air, Spigel.; after walking
in the open air, Calc.; while talking, Calc., Dulc., Ign..From concussion, or jarring: Aeon., Bell., China; from
the talking of others, Aeon., Bellad., Sepia, Spigel.; from the
walking about of others, Bell.; from every pulsation, Bell.;
fiom every step, or going up steps, Bellad.
From noise: Acon., Bellad., Coff., Sepia and Spigel.; from
music, Coffea.
From  mental emotions in general: Coloc. and Nux;
depressing emotions, Bryon.; from vexation, Coff.; from
fright, Cale.; from mental exertion, Cale., Coffea, Nux.
After partaking of food: Arn., Coffea, Cocc., Nux; of
coffee or wine, Nux; of warm food, Sulph.
From bright light: Asarum, Bryon. and Nux; from rays
of light upon the eyes, Bellad.
From the influence of air: In the open air, Cale., Nux,
Spigel. and Sulph.; particular sensitiveness to the free air,
Caps., China, Coffea; sensitiveness of the head to air, Ars.;
draught of air or wind, China; air of a room, Ars., Puls. and
Sulph.; warm air in particular, Caust.
At the time of menstruation: Bryon., Coccul., Spigel.
From rest, or quiet or sitting: Pulsatilla.
From lying on the back: Coloc. and Verat.
From taking cold: Acon., Bryon., Coffea, Nux v.




100                   HMEDACHES.
(13). The following remedies were useful when the headaches were RELIEVED by:
Closing the eyes, Calc.; binding up the head, and external
pressure, Calc., Puls. and Sepia; by vomiting, Bryon.; the
free air, Acon., Ars. and Puls.; moving the limbs to and fro,
Ars. and Bellad.; the arms, Bellad.; by lying still, Calc.,
China and Mere.; the pains forcing one to lie still, Cale.,
Coloc., Nux and Sanguin.; by rest, China, Sepia and Spigel.;
by bending forwards, Ignat.; by external warmth, Arsen.
(14). When the pains and aches occurred early in the morning, Bellad., Bryon., Calc., Ignat., Natrum  mn., Nux and
Sanguin., were found most useful; in the forenoon, Spigelia;
in the afternoon, Bell., Coloc.; in the evening, Bryon., Caust.,
Coloc., Pulsat. and Ignat.; at night, China, Merc., Silex and
Sulphur.
Riickert reports eighty-five cases of cure of headache,
effected by fifty-one different physicians; in eighty-four cases
the exact dose used is mentioned.
Strong doses were used, viz.: from the pure tincture to the,d dilution, in twenty-one cases; one dose sufficed to cure
in five instances; one dose in solution was repeated in one
instance; repeated doses were required in fifteen cases.
The higher dilutions, viz.: from the 4th to 30th potency
were used in fifty cases; one dose sufficed to effect a cure in
thirty instances; one dose in solution and repeated in three
instances; repeated doses were required in seventeen instances.
The very high potencies were used in thirteen cases; single
doses in ten instances; in solution, repeatedly  in  three
instances.
Olfaction of the remedies was used in a few cases only.
Two-thirds of the cases were cured by the higher dilutions;
one-third, by the lower potencies.




SYNOPSIS
AND
ADDITIONAL CASES.
TimE original intention of this chapter was simply to furnish a
condensed statement of the principal indications, both clinical
and theoretical, for the selection of remedies against the
different varieties of headache. This had been accomplished,
when it was discovered that among the sixty-three cases of
headache collected by BEAuvAIS-in his Clinique Hfomceopathique, no less than thirty-seven were not to be found in
Riickert's; hence, it was regarded as imperative to sacrifice
somewhat of the symmetry and methodical arrangement of
the present treatise, rather than have it go forth incomplete,
or less than it pretends to be, viz.: " A complete collection of
all the cures and practical remarks upon the Homceopathic
treatment of Headaches, which have been published since
the year 1822." A few of the cases collected by Beauvais
have been rejected as unfit for republication here, as they
required the use of from four to five, or even six or seven
different remedies to effect a cure; but ten cases, translated
from  ATTroMR'S  Primordien einer Nratur-geschichte der
ETrankheiten, have also been added, and eight cases, cured by
Glonoine, reported by Dr. CoXE, of Philadelphia.
Of these additional cases, eight were cured by Sepia; eight,
by Glonoine; four, by Bell.; three cases, each by Ars., Nux,
Puls., Rhus, and Sulph.; one, by Staphysag.; and one, by
Sulph. and Sepia.




102                     SYNOPSIS.
ACONITUM NAPELLITS.
It has been recommended in headaches from suppressed
perspiration, and to induce those critical perspirations which
sometimes cure chronic headache;
In severe rheumatic headachles, when attended with pains
in the fibrous sheaths of the nerves; in other fibrous tissues,
such as the dura mater, falx cerebri and cerebelli, in the
fibrous tissue of the scalp, in the periosteum of the skull and
bones of the face; especially when severe pains in the back,
bones and joints are also present, the urine and perspiration
having the well known rheumatic characters.  (See Mere.,
Mezereum, Iod. pot. and Bryon.)
In headaches attended with great and peculiar numbness
and tingling in various parts, and tending to falling asleep
of the limbs, and night-mare.
In severe one-sided headaches, especially on the left
side.
In violent congestive and sub-inflammatory headaches, with
fever, heat and redness of the face, some contraction of the
pupil, and without active delirium.
In  the most violent nervotus or neuralgic headaches,
when the patient is utterly prostrate and exhausted from the
severity of the pain, is cold and almost pulseless, with a
sinking feeling and great irritability of the stomach, and
coldness of the limbs, with tendency to livor, or blueness of various parts.
AGARICUS MUSCARIUS.
In the headaches of persons subject to nervous twitchings
and St. Vitts' dance, with spinal irritation, feeling of great
uneasiness and weakness down the spine, especially in those
unusually subject to frost-bites, and suffering with derangement, or enlargement of the liver.
In the headaches of those who become delirious whenever
they are feverish or in pain, attended with twitchings, startings, grimaces, and a state resembling pleasant intoxication.
(See Bellad., Stramon., &c.)




ACONITUM, AGARICUS ARNICA, ARSENICUM.   103
In the headaches of persons suffering with softening of the
brain, or spinal marrow. (See Nux, and Iodide of Baryta.)
ARNICA MONTANA.
Against headaches arising from mechanical injuries; those
of persons subject or liable to apoplexy; and of women during the change of life.
Against headaches similar to those relieved by Nux, Ignat.,
Strychnine, the Magnet, and the alternate use of electrical
remedies, such as Zinc and Cuprum, Zinc and Argentum,
Zinc and Platina, especially when there is heat and burning
in the head, with coolness of the rest of the body, pain over
the eyes and temples, with feeling as if the integuments of
the forehead were spasmodically contracted.
Against aching with lancinating and tearing in the left
half of the head, left temple, or left frontal protuberance.
In headaches attended with a feeling of formication or
creeping in the limbs, with prickling, piercing sensations
somewhat similar to slight electric shocks, and a peculiar feeling of coolness over the body, followed by perspiration which
sometimes assumes a reddish hue upon the chest, with scantyr
urine, and great increase of pain from walking about.
ARSENICIJM ALBUM.
Against the headaches of persons inclined to dropsy,
or bloating of the face or feet, with scanty and albuminous urine, especially if the eyelids be red, swollen and
itchy, the tongue white as if rubbed over with chalk or
covered with cream, although the appetite may be ravenous,
and tendency to diarrhoea be present. (See Merc. Corrosiv.,
Camph., and Apis Mell.)
Also when the face is pale and sunken, with blue circles about the eyes and blueness of the lips, dingy appearance of the skin, tendency to boils and eruptions. (See
Carb. an. and Hepar s.)
In the headaches of those subject to catarrh of the head, short
dry cough, and tightness of the chest. (See Acon. and Antim.)




104                    SYNOPSIS.
In the headaches of persons with irritable bowels and subject to frequent diarrhoea; or with sub-inflammatory irritation
of the uterus or ovaries, and having a pale or bloated, cachectic,
suffering or dyscratic appearance.
In regularly intermitting or periodical headaches, affecting
the forehead and right side of the head. (See China.)
CASE 128.-A lady had suffered for two years with neuralgic headache, and under allopathic treatment had been
bled, leeched, blistered, used opium and had the actual
cautery applied three times before she was relieved. The
attacks commenced at 7 A.M. and lasted until 2 Pr.., and were
so severe that the patient was obliged to give up and lie down;
she wept and screamed from the severity of the pain.
Treatment.-China was given without relief; four globules
of Arsen. produced relief in one hour, the next day she was
much better, and on the third day she was well.-Bibliothbeque
Hom., vol. 3, p. 133.-DR. CoNvFRs. —Beauvais Clinique,
vol. 2, p. 23.
CASE 129.-A gentleman had suffered for two months
with violent migraine, commencing every morning at 8 o'clock
and lasting till 1 P.M.
Symptoms.-Severe pains, cutting and lancinating in the
left temple and forehead; they soon became so violent that
he wept and despaired like a child; the left eye became
sensitive to light, red and tearful; a corrosive fluid ran from
the left nostril during the paroxysms; during the interval of
relief he had loss of appetite, debility and great sensitiveness
to the fresh air.
Tlreatment.- Ie had been leeched and blistered without
relief, also had taken anti-spasmodics and anti-arthritic remedies. China 3, and Bellad. 12, were given without much
benefit; Arsenic. 30, was followed by suppuration in the
nostril, discharge of a hard polypus, and entire cure in five
weeks.-Ibid., vol. 1, p. 569.-DR. HERMANN.
CASE 130.-A maiden, aged 15, suffered with pain in the
left- forehead and temple, so severe that she wept and whimpered, and could not bear to be touched. Near the left temple




ASARUM) ARUM, AURIM.              105
there was a small, round, brownish red spot, with a black
point in the centre, painful to the touch.
Treatment.-Arsen. 30, three doses per day, cured the headache; but chills and spasms of the arms and legs, which set in
afterwards, were removed by Ignat. 12.-ArTro~R., vol. 1,
page 474.
ASARUM EUROPIEUM.
Against headaches which come on just before or after
menstruation, with painful weight, tightness and dulness of the
head, and throbbing in the occiput. (See Pulsat., Sabina,
Crocus.)
ARUIM MACULATUM.
In dyspeptic headaches, or those connected with debility
of the stomach.
AURUM MILRIATICUM.
In the most violent congestive headaches, which will not
yield to Acon., Bell., Stramon., or Phosphor., attended with
great redness of the face, hard throbbing of the carotid and
temporal arteries, great rushing and roaring in the ears,
especially when owing to sudden suppression of piles, or
of the menses, and when the attacks are apt to pass off with
the feeling as if all the blood in the head rushed down into
the legs.
It is the great rival of Mercurius in the treatment of headaches connected with disease of the periosteum, or bones of
the nose, ears and skull, arising from secondary syphilis,
although Hydriodate of Potash and Mezereum will often be
required in alternation with it.
In headaches arising from such derangements of the stomach
as are always followed by nettle-rash, especially when there
is a chronic tendency to congestion of the head, with great
despondency.
In headaches which commence in the morning, last all day,
and are increased to an extreme degree of violence by reflecting, reading, talking, or writing. Headaches of literary persons, especially when their urine is rather profuse, thick, and




106                     sYNOPSIS.
has a peculiarly offensive smell, while the perspiration is
copious and peculiar in its odor. (See Nux and Agar.)
BELLADONNA.
In headaches which always commence in the afternoon or
evening; being dull and heavy, affecting the forehead in particular, attended with active delirium, dilatation of the pupils,
partial blindness, and ceasing suddenly on the occurence
of a profuse flow of limpid urine. In headache from
diabetes.
In the headaches of persons affected with active febrile, or
florid scrofula, and having unusually large pupils; especially
if there be great irritability of the uterine system.   (See
Baryta and Stramon.)
Against headaches which always commence about, or in
one or the other eye, attended with great disturbance of
vision, and excessive dilatation of the pupils, being seated in
the retina, optic nerve, or ophthalmic branch of the fifth
pair. (See Stramon., Pulsat.)
Some remedies are peculiarly suited to headaches which
attack one small spot, as if a nail were driven into the brain,
or as if a small part were festered or ulcerated; Bell., on the
contrary is most suited for headaches extending over large
surfaces of the brain. Nux vom. is most indicated when the
pupils are contracted, and the various sphincters in a state of
spasm, the headaches commencing early in the morning and
subsiding towards evening; Bellad. is most suitable against
the exact reverse of all this, although in cases 9, 12, and 15
cured by Bellad. the pains commenced and were most severe
in the morning. It is perhaps most useful against headaches
affecting the right side, especially when the face of the patient
has a mottled appearance, from the presence of large red
spots.
CASE 131.-A lady, aged 36, had suffered for several
years with periodical headache, especially at the time of
menstruation; she had been treated without success by a
number of physicians.




BELLADONNA.                  107
Symptoms.-Severe pain in the head, with great heat and
redness of face, burning heat and throbbing in the head,
followed by delirium.
Treatment.-Bellad. 30, caused relief in six hours, and
although she continued to have periodical attacks, they were
much less severe.-Beauvais' Clinique, vol. 1, p. 514.-DR.
IIERMANN.
CASE 132.-A pregnant lady, aged 35, had suffered for
four days with headache, concentrated especially in the bones
and skin of the left side of the forehead; the pains occurred
in paroxysms, which were at times exceedingly severe; they
were drawing, jerking and rending in their character, and the
skin and hair of the affected part became very sensitive; there
were noises in the left ear, almost entire loss of hearing; mist
before the left eye; the upper lid was sunken, as if paralyzed;
the white of the eye was reddened; there was loss of smell
and taste; also cough, with some expectoration of blood,
tickling in the larynx, and pain in the chest; the throat was
red, painful and swollen; the left arm was numb; there was
no fever.
Treatmnent.-Four doses of Bellad. 2, effected a cure.Attomyr's Primordien, vol. 1, p. 451.
CASE 133.-A student, aged 23, had suffered from his
eighth year with headache, which had ceased for awhile,
when he was suffering with fever and ague, but had returned
-again.
Symptoms. —He generally had pain in a small spot, on the
left side of the forehead, on the evening before an attack of
headache; early the next morning the headache set in, and
the above mentioned spot became raised and red; occasionally
the attacks affected the right side. During the early part of
the night he had unusual wakefulness, and only fell asleep
towards 5 o'clock in the morning.
Treatment. —He was cured by Bell. 3, one dose night and
morning.-Attomyr, ibid.-DR. GRoss.
CASE 134. —A lady, aged 36, had suffered for two years,
with pain commencing over the forehead, extending down the




108                    SYNOPSIS.
right side towards the nose and jaw, and into the neck; the
pain was drawing, throbbing and rending; it generally commenced at 4 A.M., and lasted for half or one hour, and was
attended with itching in the eyelids, sonme swelling of the
affected side of the face, with aching and pinching pain in the
ear, and with perspiration. At times spots came out on
the face.
T'reatment.-Bellad. 30, effected a perfect cure.-Attomyr,
ibid.-DR. KIRscH.
BRYONIA ALBA.
Bellad. and other remedies are indicated when the head is
heavy from great fulness of blood; Bryonia is the best remedy
against heaviness of the head from simple debility, or loss of
energy in the brain, similar to that heaviness which is felt in
an arm or leg that is wearied; just as a debilitated stomach
will feel the least weight put in it, or the bowels feel heavy
from their own weight, will a weakened brain rest heavily
against the skull.  It is most indicated in severe headache,
the brain feeling very heavy, as if it would incline to all sides
of the skull, with pressure in the brain from within outwards,
and great desire to lie down. Headache when stooping as if
all the contents of the skull would fall out of the forehead;
giddiness, and weight in the head.
Also against morning-headaches from debility of the brain
and nervous system. In this form, the patient wakes unrefreshed from sleep, is languid and weary, but not very drowsy,
scarcely able to dress himself, or to exert himself sufficiently
to get his breakfast; shortly after this meal, however, he
becomes revived and active. Bryonia is indicated when the
patient's head aches, and he feels gloomy in the morning, as if
he had over-exerted himself; with gloomy compression in the
forehead, over the eyes; compressive pain early in the morning, with heaviness, intermingled with stitches so violent that
the patient can scarcely open his eyes. Headache early in
the morning, on waking, in the occiput, extending as far as
the shoulders, resembling a weight pressing on a sore spot.




BRYONIA, CALCAREA.              109
Tearing and drawing pain in the cheek and jaw-bones, early in
the morning, just after rising. Beating and heat in the head,
early in the morning. Headaches which set in principally in
the morning, on waking; and those which are aggravated by
walking in the open air. (See Nux.)
Also against rheumatic headaches, when the disorder is
seated, not so much in the fibrous as in the true muscular
tissue, involving the nerves and bloodvessels which preside
over the nutrition of the muscles, rather than their motions; while Nux and Ignatia are more indicated when
the motor nerves are principally involved. Bryonia is also
useful in nervo-neuralgic and rheumatic headaches, in which
the pains spread to the frontal and temporal branches of the
trifacial nerve, and to the temporal and maxillary twigs of the
superior facial nerve; also when the pains extend to the Timuscles of the face, neck or arms; and are much increased by
every motion of these parts. When the paroxysms arise in
rheumatic weather, in cold, raw, and wet seasons, and are
attended with pains or swelling of the joints.
CASE 135.-Bryon. 9, relieved: vertigo in the morning,
throbbing in the head, especially after walking, or being overheated; pain in the teeth and dryness of the throat after
swallowing cold food, or drink; constipation; occasional pain
and tension in the right side.-Beauvais' Clinique, vol. 1,
p. 563.-DR. RUcKERT.
CALCAREA CARBONICA.
It is principally used in chronic and obstinate headaches,
attended with great sluggishness and some drowsiness, occurring in torpid, scrofulous persons, with a pale and
rather fair complexion, and a marked predisposition towards
corpulency.
Against headaches which instead of being relieved by a
walk or drive in the open air, are very much aggravated
by it. In chronic morning headaches, somewhat resembling
the stupid headache of Dr. Good.  In those attended with
coldness of the head in spots, and large dull red blotches upon




110                    SYNOPSIS.
the cheeks; and in females with profuse and frequent flow of
the menses, tendency to sour stomach and canker sore mouth..
CAMPHOR.
In sudden and acute headaches from excessive fatigue
or debility, especially when attended with throbbing in
the back of the head; it is supposed to exert a specific
action upon the cerebellum and medulla oblongata.
In headaches from suppressed perspiration, or those attended with warmth of the skin, hot perspiration, congestion
to the head, redness of the face, sparkling of the eyes, feeling of intoxication, noises in the ears, great anxiety about the
heart, chest, and pit of the stomach, and with nausea and
vomiting.
In apoplectic headaches, with wandering of the mind,
sleepiness, even soporose sleep, with coldness of the skin,
paleness of the face, stertorous respiration, twitching, &c.
CARBO ANIMALIS.
This remedy, or animal carbon, is closely allied in its
action to Carbo vegetabilis, or vegetable carbon; to Graphites, or
mineral carbon; and to Sepia, or fi8h carbon. A careful
study of these four remedies in connection with each other
will lead to a better application of each of them to the
diseases in which they are severally indicated.
It should be remembered in the headaches of some dyscratic
subjects, as Wurm regards it as the best remedy to improve
the blood, especially in cancerous and bilious subjects, and
those with indurations and swellings of glandular organs,
especially if they are also subject to boils, or copper-colored
exanthems. (See Conium.)
In headaches arising from enlarged parotid, or cervical
glands pressing upon the bloodvessels of the neck; and in
women who suffer with enlargement of the ovaries. (See
Graphit. and Staphysag.
But more especially in dyspeptic headaches, when the
patient is incommoded by everything he eats, when the




CAMPHOR, CARBO AN., CARBO VEG., CAPSICUM.    111
occiput and left side of the head are most affected, the
left side of the scalp is sore to the touch, and the pains
are decidedly lancinating, and cutting. It is well known that
shooting or lancinating pains, and sharp, darting and pricking
pains, are chiefly met with in neuralgia and rheumatism, when
owing to some acrid humor in the blood, and in cancer; these
pains either follow the course of the nerves, or the fibres of
the muscular or fibrous parts affected.
CARBO VEGETABILIS.
Especially in headaches connected with indigestion and
great flatulence; some persons find prompt relief from the
most violent headaches by taking an ordinary dose of charcoal. SANDRAS knew of a case of headache, attended with
profuse accumulation of wind in the stomach, always relieved
by exposing the epigastrium to the cool fresh air, aided by
gentle frictions to expel the gas. Against headache connected
with obstinate and chronic fever and ague, of years' standing.
CASE 136.-J. K., aged 32, corpulent, sanguine and
swarthy, had been in poor health for some time, and consulted
several physicians without relief.
Symptoms. —Painful throbbing from the nape up into the
head, commencing before noon with stiffness in the nape, and
cold sweat; becoming worse after mid-day, especially after
eating, but the pain gradually ceased if he would lie down.
He had noises in the ears, dimness before the eyes, slight
constipation, smarting pain in the urethra before urinating;
rheumatic pains in the muscles of the abdomen, coldness of
the knees, fetid sweat of the feet, and frequent crops of boils.
Treatment. —Carb. veg. 18; in two months he was almost
well.-Beauvais, vol. 2, p. 22. —DR. TIETZE.
CAPSICUM ANNUUM.
Against headaches connected with neuralgia, or with
derangement of the stomach, such as a chronic mucous state,
with heartburn, flatulence, flatulent colic, cramps of the
stomach, diarrhoea and haemarrhoids, especially when occurring in persons long afflicted with chronic gonorrhoea.




112                    SYNOPSIS.
CAUSTICUM.
In the chronic headaches of scrofulous and weakly persons,
who have become still more debilitated by long continued
grief; when attended with nausea, irregular appetite, chronic
constipation, menstrual irregularity, and pain in the back,
provided the headaches are most frequent and severe at night,
and attended with pains in the limbs. We have already seen
that the chronic dyscratic headaches most readily relieved by
Calcarea, are such as are most frequent and severe in the
morning.
CASE 137.-A boy, aged 12, after the suppression of itch,
was attacked with St. Vitus' dance, from which he was relieved
in a month under allopathic treatment, but left with: shooting
pains in the forehead, drawing pain in the right arm and
elbow, painful tension in the knee, and vertigo.
Treatment. —Three doses of Sulphur and two of Causticum
cured him entirely in six weeks.-Beauvais, vol. 1, p. 572.DR. IIARTLAUB.
MATRICARIA CHA.MOMILLA.
It is best suited as a palliative remedy against the sudden
and acute headaches of hysterical subjects, especially when
attended with bilious derangement, bitter taste in the mouth,
stitches in the region of the liver, a peculiar feeling of anxiety,
nausea, vomiting and bilious diarrhcea, with more or less flatulence, and menstrual derangement, viz., menstrual colic
with frequent discharge of coagulke.
CHINA (CINCHONA).
It causes active congestion of the head; as it increases
the whole quantity of the blood and favors an unusual
flow of it to the head more than any other remedy, except
Iron; it is easy to understand how it may relieve passive
stagnations of blood in the head, and those headaches dependent upon a deficiency of blood in the whole system, owing
to excessive bloodletting, haelnorrhages, or great loss of any of
the fluids of the body.




CAUSTICUM, CHAMOMILLA CHINA, coccCULUS.   113
It is most homceopathic to headaches attended with great
restlessness, much chilliness, trembling of the limbs, noises in
the ears, some deafness, decided hunger, constipation, frequent
pulse, heat of skin, and redness of the face.
CASE 138.-A robust and very active pastor, had suffered
for several years with an affection of the head, so violent that
he had lost all his former activity; there seemed to him to be
a place in his occiput as large as a closed fist, over which the
skin was as sore to touch, as if an abscess were beneath;
and what was most remarkable, the roots of the hair there
were sensitive to the slightest touch, while they would bear
hard pressure without pain. He also had pain and stiffness
in his loins, so that he was obliged to walk bent over, and
could only straighten himself with difficulty.
Treatment.-Tinct. China, in drop doses, removed the headdifficulty in thirty hours; Bryon. 3, cured the pain in the loins
in two days more. —Beauvais, vol. 1, p. 550.-DDR. BETHMAN.
CASE 139. —Iadam D., subject at all times to headache,
was seized in her forty-eighth year, after an extraordinarily
copious flow of the menses, with pain in the head, sickness,
inclination to vomit, chills, coldness of the feet, and great
debility.
]Treatment.-China being indicated,  th of a grain doses of
quinine were given every two hours; in half an hour after the
first dose, relief commenced, and progressed so rapidly that
by the time she had taken six doses, she was restored to
health and strength.-Beauvais, vol. 1, p. 511. —DR. GRoss.
COCCULUS INDICUS.
It is serviceable against the headaches which follow a
sudden suppression of the menses; those with excessive
dizziness; with an unusual degree of nausea, vomiting and
irritability of the stomach.
In headaches peculiarly marked by a feeling of emptiness and hollowness of the head; just the opposite of China,
Bellad., and other remedies, which cause a feeling of great
fulness, or distension.
8




114                     SYNOPSIS.
It is a main remedy against some forms of dyspeptic
headache, viz., when there is a bitter, salt, coppery, slimy
or bad taste in the mouth; want of appetite, disgust for
food, even for the smell of it; excessive nausea, with great
dizziness, and tendency to fainting.
CASE 140. —A lady, aged 28, suffered with frequent pains
in the forehead, accompanied with vomiting of bile and pressure in the stomach, as if from a stone; pain in the region of
the liver, which became acute when she stooped; constipation,
with scanty, painful and hard stools; painful menstruation,
lasting from eight to ten days, with flow of grumous blood;
followed by piles, great debility, sweats, and disturbed sleep.
Treatment.-Two doses of Cocculus 18, at intervals of eight
days, cured her entirely.-Beauvais, vol. 2, page 14. —DR.
SCHROEN.
COLOCYNTH.
In headaches which are very apt to pass off with diarrhcea,
ieckenberger noticed, when one drop of Tinct. Coloc. was
given every morning, fasting, for several weeks, that thin,
mush-like, and brownish stools would always follow.
Headaches connected with bilious derangement, profuse
menstruation, and frequent and violent colics; especially when
the pains are most severe in the left side of the head, forehead, left eye and upper teeth, occasionally extending to the
left shoulder, followed by soreness of the left side of the scalp.
In some respects this form of headache resembles that for which
Carbo-animalis is most suitable; in obstinate cases, Carbo-an.
may be given as a chronic remedy during the intervals
of relief, to break up the tendency to the attacks; while
Colocynth can be used to produce relief in severe and acute
paroxysms. In such cases, China may also be required.
CREOSOTE.
It has been advised in headaches attended with excessive
irritability of the stomach, severe nausea and vomiting,
although Acid. IHydrocyan. may be required, or the Magnet.




COLOCYNTHI COREOSOTE, CROCUS, GLONOIE.   115
In headaches attended with profuse menstruation, chronic
inflammation of the labia and vagina, ulceration of the
os uteri, with whitish, yellow, serous or bloody leucorrhcea.
CROCUS.
Headaches of women during the change of life; those
which follow obstinate and fatiguing bleeding of the nose;
or profuse, and too frequent menstruation.
In violent headaches which last three or four days at a
time, the pains being most frequent and severe on the left
side, attended with great drowsiness, confusion of the head,
feeling of intoxication, and dimness of vision.
GLONOINE.
This powerful remedy was introduced into practice by the
veteran Dr. Hering, to whose zeal and industry the Materia
Medica owes so many contributions, both elaborate and
fragmentary. Dr. Vlnal has reported two cases of cure, of
headache; and Dr. J. Redman Coxe, four cases, with it.
SOBRERO says, a minute quantity of Glonoine held upon
the tongue produces a very violent headache for several hours.
It evidently exerts a peculiar and decided action upon the
head, and will prove hornceopathic in certain forms of headache, especially in the highly congestive variety, when there
is a feeling of great heaviness and weight in the brain, rush
of blood, beating and throbbing, sense of soreness and swelling
of the head; particularly when the symptoms are most severe
at night.
CASE 141. —Mrs. E. T. C. had complained for several
weeks with: throbbing headache, dizziness, with flushes of
heat to the head and face, and feeling of soreness internally
when moving it.
Treatment.-She had taken various homceopathic remedies
without relief; then took Glonoine 9, two powders, with
relief in half an hour after the first dose, and no return of the
disease for six weeks, at last account.-Brit. Jour. of Hom.,
vol. 7, p. 421.-DR. VINAL.
CASE 142. —Miss Ann R. had suffered for several weeks




116                    SYNOPSIS.
with pulsating headache, and soreness on moving the head,
with dizziness and vertigo after stooping.
Trl'eatment.-She had been treated homeopathically for
some weeks, without permanent benefit, when she finally took
Glonoine 6, four powders, one night and morning; she was
relieved rapidly, and had no return of the disorder for a
month, at last account.-Ibid.
CASE 143.-Mrs. IMI. J. C., aged 35, of bilious, sanguine
temperament, had suffered since her fifteenth year, with
repeated attacks of congestion to the head; had been treated
allopathically for five years without benefit; then was almost
cured by eight months homceopathic treatment, so that she
had no attacks for several years; and for seven years more,.
had only slight paroxysms, which readily yielded to Acon. 9,
and Bellad. 12. In 1848, she had two violent attacks; in
1849, prior to June, she had endured three violent paroxysms,
all of which yielded, but not very readily, to Acon., and Bell.
On June 26th, 1849, she was attacked with the most violent
seizure she had ever experienced.
Symptoms. —Her face was nearly purple; the heat of her
forehead, and vertex exceedingly great; her eyes blood-shot
and protruding, and the pain in her head most excruciating; 
her brain felt twice as heavy, and much larger than usual;
she became perfectly delirious, knew no one, and repulsed her
husband and children; screamed violently, wished to escape
from the house, &c.
Treatment.-Glonoine 3, two pellets; followed by a violent
aggravation in five minutes, and an equally rapid improvement in five minutes more, so that in ten minutes after the
first dose, she was almost well; her head and face were cool,
pain gone, and she had no return of the disorder for five
months, When a slight attack yielded readily to Glonoine 3.
-Am. Jour. of Iion., vol. 6, p. 76.-DR. J. R. COXE, Jr.
CASE 144.-Deborah Gray, aged 40, a colored cook, had
been subject to violent headaches and congestions to the head,
every twelve or fifteen days for many years, and from which
she was never relieved in less than twenty-four hours.




GLONOINE.                   117
Symptomrs.-Headache and vertigo so severe that she was
4obliged to hold her head with her hands; eyes very painful
and bloodshot; face and head very hot; she moaned much,:complained that her brain was being forced out of her forehead, and that it seemed too large.
Treatment.-Glonoine 3, one pellet; followed by evident
aggravation in six minutes, and entire relief in ten minutes;
she had no attack for fourteen weeks after, when a slight
attack was relieved in fifteen minutes, by one teaspoonful of
Glonoine 6, two pellets, solved in four ounces of water. —Ibid.
CASE 145. —Miss S. A. C., aged 8 years, of bilious, nervous
and choleric temperament, had been subject to bleeding of
the nose, pain and fulness in the head with vertigo, and slight
palpitation, three or four times a year for several years, when
she was suddenly attacked with violent headache, great heat
and flushing of the face, bloodshot state of the eyes, and full,
quick pulse.
Treatment.-Glonoine 9, one pellet, without any effect;
she then recovered in six hours under the use of Aeon. and
Bellad. Three weeks after, for a similar attack, she took
Glonoine 12, two pellets; followed by an aggravation in seven
minutes, and a cure in twelve.-Ibid.
CASE 146. —Master L. S., aged 12 years, of bilious, nervous
and slightly lymphatic temperament, after being over-heated,
was seized with violent headache; his face was flushed, head
hot, pulse 106, full and strong; he had violent beating of the
arteries of the head, congestion and protrusion of the eyes,
feeling as if his head was larger than usual, and as if his eyes
were being pushed out, so that he could not sit upright, and
was obliged to keep his hand pressed upon his forehead.
Treatment.-Glonoine 12, one pellet; followed by a very'slight aggravation for eight minutes, and entire recovery in
seventeen.-Ibid.
CASE 147. —Mr. B. M. S., aged 32, of large stature, and
bilious sanguine temperament, after taking a violent cold, was'seized with severe headache.
Symptoms.-Severe pain in head; face much flushed, and




118                    SYNOPIS.
very hot; whole head extremely hot; eyes very much bloodshot, and with a rather wild expression; trembling of the legs
and knees; slight quivering of the hands and wrists.
Iqeatment.-Glonoine 9, two pellets; followed by a slight
aggravation in nine minutes, and perfect recovery in twentysix.-Ibid.-DR. J. R. COXE.
GRATIOLA OFFICINALIS.
In headaches attended with a peculiar biting-burning in
the face and other parts, great languor in the arms and legs,
often followed by an equally peculiar coldness in, and on the
head, and in the stomach and bowels.
In the headaches which attend jaundice, bilious diarrlicea
or dysentery, with yellow, yellowish green and bilious stools,
discharge of brown, fetid and acrid mucus, with great smarting and burning in the rectum.
HEPAR SULPIHURIS.
Especially in those headaches which commence early in
the morning, as soon as one wakes, and are relieved by
exposure to the open air. The Calcarea-headaches are also
morning-headaches, but they are very much aggravated by the
fresh air. Hepar is used even more frequently than Carbo-an. in
headaches arising from an unhealthy state of the system
marked by the frequent occurrence of pimples, boils, felons,
glandular indurations and suppurations.
IGNATIA AMARA.
In the headaches of those who are a prey to long continued and deep-seated grief; although Arsenicum, Aurum,
or Causticum may be required in alternation.
In beating pains in the left side of the occiput, and
especially against those which are most severe over the root
of the nose.
LACHESIS.
From Hering's experiments it seems most suited to oppressive headaches, attended with nausea and giddiness;
those brought on by slight exposure to the sun, soon becoming violent and throbbing, with nausea, vomiting of green




GRAT., HEP.) IGN.5 LACH. LYCOP., MERC., MAGNES. 119
bile, bad taste in the mouth, loss of appetite, flatulence, excessive restlessness, &c. In headaches which last three days,
become severe and congestive, with great drowsiness. In
violent beating and throbbing headaches just before the
menses set in, with nausea, bad taste in the mouth, heartburn, and scanty menstruation.
LYCOPODIUM.
CASE 148.-A lady, aged 50, had suffered for a long time
with painful and violent pressure on the left side of the top of
the head, attended with redness of the face, heat, agitation,
loss of sleep, aching and cramps in the stomach, periodical
vomiting, and constipation.
Treatment.-She had been treated allopathically in vain;
Lycopod. 30, followed in twenty-one days by Nux 30, cured
her entirely in three months. —Beauvais, vol. 1, p. 574.DR. KRAMER.
MERCURIUS.
Especially in simple, recurring, and bilious headaches,
arising frequently from the slightest cold, and being decidedly most severe at night.
In pains about the head connected with irritation of the
fibrous tissues, although Iod. pot., and Aurum, or Natrum m.
may often be required in alternation.
Against rending and tearing pains, and especially against
burning on the top of the head.
MAGNESIA CARBONICA.
CASE 149.-A lady, aged 23, had suffered for several
years with an affection of the head, marked by shooting pains
in the temples and forehead, coming on every morning, but
ceasing after mid-day. These pains were particularly violent.
during the period of menstruation; then they forced her to lie
down, and were attended with vomiting. Her menses were
always scanty; she was constipated; and had a feeling of
anxiety, and palpitation of the heart almost every evening,
after lying down.




120                    SYNOPSIS.
Treatment.-She took Magnes. carb. 30; her menses set in
sooner than usual, were more copious, and not attended with
headache or vomiting; followed by frequent bleedings of the
nose, with relief from  oppression of the chest; her stools
became regular. Very slight returns of headache, &c., were:remroved by Lycopod. 30.-Beauvais, vol. 1, p. 553.-DE.
HARTLAUB.
NATRUM MURIATICUM.
In headaches connected with obstinate and protracted
chlorosis; defective nutrition; dingy, flaccid, torpid skin; with
much nausea and tendency to fainting. Ferr., Cale. or Plumbum may also be required.
In daily headaches persisting for 20 days, relieved in the
open air, but increased by exercise. (See iHepar and Cale.)
Throbbing headaches every morning, especially during
menstruation, commencing in the nape and back of the head,
extending to the forehead, followed by eructations, nausea,
vertigo, and dimness of vision.
NUX VOMICA.
For the fullest information, and a most admirable re'sume of
the action of this, and many other remedies, see Noack and
Trink's remarks, reported in Jahr's New Manual, or Symptomen-Codex, translated by Chas. J. Hempel, M.D.
CASE 150.-M. R., a teacher, had suffered for a long time
with severe pain in the head, frequent eructations, with inclination to vomit, and actual vomiting, sometimes of mucus, at
others of food, followed by more or less relief; his pains were
most violent in the morning, aggravated by smoking, and his
appetite was often poor.
Treatment. —Nux 24, relieved him  entirely. —Beauvais,
vol. 1, p. 552. —DR. JUNGHANSEL.
CASE 151. —J. D., aged 52, a thick-set, healthy working
man was attacked suddenly, without known cause, with pain
on the left side of the head, attended with drawing and shootings; it returned every day at a certain hour, became more and
more violent, especially after dinner, and then lasted for about




NATRUM, NUX V., OPIUM, PHOSPHOR.       121
three hours; during the paroxysms he had an entire loss of
appetite, became feverish, with a quick and hard pulse, redness of the skin, and was obliged to lie down; towards the end
of the attack he perspired a little; he had a bitter taste in his
mouth, but little appetite, no thirst; his stools were regular
and urine normal. He had already been sick for ten days,
and was becoming irritable.
Treatment. — Nux 24, one drop; the next paroxysm was
lighter; th3 second very slight; and he had no subsequent
attack for at least six months.-Beauvais, vol. 1, p. 568.
CASE 152. —A lady, past the critical age, had suffered for
twenty years with severe headache, which changed its locality
frequently; it consisted in drawing and cutting pains, more or
less intense, with throbbing and aching in the temples; it often
commenced in the back of the head, then suddenly spread to
the whole head, attended with pain in the eyes; her head was
hot; urine pale and spasmodic, rarely of a natural color, but
often slightly red during the attacks. The paroxysms were
most severe when the weather was cold and wet, and most
fiequent in winter; her hair was becoming gray, and fell out
in abundance after each attack.
Treatment.-One dose of Nux every six hours, followed by
some relief; then other remedies were used without benefit,
until Nux was again administered; when Nux was omitted
again, the attacks became more frequent and severe; when it
was resumed every two hours, relief again followed, and lasted
for two months.-Beauvais, vol. 2, p. 30. —DR. SCHMrID.
OPIUM.
Has been fully treated of at page 66.
PHOSPHORUS.
Against obstinate tendency to congestion of the head,
which resists Acon., Bell. and Opium.
Chronic irritation of the brain-and headache from the
slightest vexation.
Headache in the forehead over the eyes, for two days in
succession, lasting from morning until evening.




122                    sYNOPSS.
Headache every morning on awaking.
Periodical jerking-throbbing headache over the root of the
nose, for eight days in succession, always commencing about
nine o'clock in the morning, and most violent about noon,
when vomiting sets in.
Headache as if the head would burst, so severe as to force
one to cry out-lasting from 6 A. M., until evening.
Headache in the forehead and over the left eye, every
morning for twenty-one days in succession, waking one from
sleep, and gradually ceasing after getting up and walking about.
CASE 153.-Miss K., aged 24 years, had suffered from
early youth with an affection of the head, marked by constant
slight pain; and by violent paroxysms several times a week,
lasting for a day and night, especially if she had been exposed
to a current of air; in the severe attacks the pain became
lancinating, commencing in the forehead, extending to the
right temple and occiput; her head became heavy, she was
obliged to lie down; the pain was increased by eating; she
was not able to stoop, as her sight became confused, and the
blood rushed to her head; she had but little appetite in general, and often none at all; her bowels were regular; menses
scanty, although they lasted eight days, during all of which
time the sufferings in her head were much increased.
Treatment.-Sepia 30, was given without effect; Calc. c.
30, with partial relief; but after taking Phosphor. 30, she was
entirely cured.-Beauvais, vol 1, p. 566.-Dr. HARTLAUB.
PLATINA.
In headaches of females with an excitable vascular system,
too frequent and copious menstruation; especially when the
pains increase in severity up to 10 o'clock at night, and are
attended with great anguish, burning heat, bright redness of
the face, and violent thirst, followed by perspiration.
PULSATILLA. (See page 74.)
CASE 154. —A young lady, aged 23, had suffered with
headache for twelve days, after her second confinement.




PLATINA, PULSATILLA, RHUS.         123
Symptoms. —Extremely severe pain at intervals, every day,
lasting from six to ten hours, attended with cutting pains in
the top of the head, and burning in the eyes; nausea soon set
in, her mouth became dry and her face flushed; she was
obliged to keep the recumbent posture, and dared not make
the slightest movement; it seemed as if her head would burst;
her pains had increased in severity every day; at first they
had been relieved by tying a handkerchief around her head,
but now, only the most violent pressure by a stout person, with
both hands on her head, afforded her any comfort.
Treatment. —She had been treated allopathically without
benefit, for twelve days; then one dose of Pulsat. was given;
the next day she only felt a little confusion and heaviness of
the head, and on the second day she was well.-Beauvais'
Clinique, vol. 1, p. 556. —DR. BETHMAN.
CASE 155. —A robust woman, aged 32, had suffered for
several months with a disagreeable drawing and twitching
pain in the left temple; it ceased during the day, but returned
regularly every evening and deprived her of rest at night; she
had constant noises in the ears and head, both by day and
night, both when at rest and when in motion, but more severe
in the evening, and then attended with a sensation as if the
left side of the vertex were lifted up, and off. This affection
of the head, and especially the accompanying sleeplessness, had
weakened her very much, and her memory in particular had
suffered. She also had twitchings in the left ear, dimness of
vision, and for six weeks had been annoyed by a discharge of
acrid blood from the vagina; her pulse was small; her temper
quiet and patient, but if she closed her eyes she fell into a
state of mournful reverie.
Treatment. —She had been bled without relief; then Pulsat.
3, was given, and in the course of six days she was almost
entirely well. A relapse, three weeks after, from taking cold,
was cured in nine days by Rhus. —Beauvais, vol. 1, p. 551.DR. BEHTMAN.
RHUS TOXICODENDRON.
In headaches which set in after every meal, from the least
chagrin, or from exercise in the open air, lasting from 5 P. M.




124                    SYNOPsiS.
till bed-time, commencing in the occiput and nape, and
extending to the ears, nose, cheek-bones and teeth. Against
a peculiarly severe degree of heaviness in the head.
CASE 156. —Mrs. F., aged 37, always subject to headache,
had suffered almost constantly for two months, with throbbing,
aching, and tearing pains on the top of the head, and in the
temples, often accompanied with general trembling of the
body; the pains were more severe in the morning, than in the
evening; menses regular; general health good.
Treatment.-Bryon. caused some relief, but Rhus cured her
entirely in five weeks, after an aggravation lasting several
days.-Beauvais, vol. 1, p. 573.
CASE 157.-Mrs. E. suffered with incessant pains in the
whole of the head, in the nape and shoulders, with excessive
debility, and entire loss of sleep.
Tlieatment. —She had been treated in vain by an able allopath with anti-spasmodics, narcotics, vesicatories, &c.; one
dose of Rhus removed the pains in the head and nape,
and restored her sleep; several doses restored her to health.
-Beauvais, vol. 2, p. 24. —DR. PESCHIER.
SANGUINARIA CANADENSIS.
In sick-headaches with excessive vomiting, water-brash,
vomiting of bitter substances; in throbbing headaches with
congestion to the head, noises in the ears and fever; in headaches attended with chills, nausea, rheumatic pains and stiffness in the nape and limbs, pain in the whole left side of the
head, and in the left foot.
SEPIA.
(See page 78.) In the headaches which attend scanty or
suppressed menstruation, watery, mucous, sanguineo-mucous,
whitish and milk-like, yellowish or purulent, and greenish-red
leucorrhcea, with induration of the neck of the uterus. (See
Arsen., Creosote, Platina, and other remedies.)
CASE 158.-Miss N., aged 25, blond and thin, had suffered
for five years with an affection of the head, which had become




SANGUINARIA, SEPIA.             125
especially severe during the last two. It commenced with
aching in the left supraorbital region, so that she was obliged
to press forcibly upon the eye with her hand; she also had a
feeling of dryness and roughness in the eye, and an indescribable pain in all the head. She had such an attack every
week, but the approach of her menses, or any unusual emotion,
rendered them very severe. She generally waked in the
morning with pain, then had no appetite, and was obliged to
keep her bed if the sufferings were severe; the paroxysms
lasted five or six days, were attended with inclination to
vomit, and at times with sudden but transient vertigo, which
almost caused her to fall to the ground.
T1reatment. —She took ten doses of Sepia 30, at intervals of
ten or fourteen days, and although she had two severe attacks
during the three months' treatment, she was then entirely
relieved of her headaches.-Beauvais, vol. 2, p. 8.-GRIESSELICI.
CASE 159.-Mrs. L., a delicate but healthy brunette, had
suffered for several years with attacks of migraine, generally
once a week or month, and lasting from twenty-four to thirtysix hours. The pain commenced in a small spot above the
right or left eye, extended to the back of the head, where the
scalp became very sore to the touch; she was obliged to lie
down and avoid the light, had inclination to vomit, and a bad
taste in the mouth, as if fiom indigestion. She had had Tinea
capitis in her youth, and had been subject to pimples on the
face; her menses were frequent and copious; her sleep was
light and disturbed; she had a tendency to congestion to the
head; and the soles of her feet were inclined to burn..Treatment.-She took twelve doses of Sepia 30, at intervals
of seven or ten days, and was entirely cured of her headaches
in three months, although Sepia rather increased a leucorrhcea
with which she had been annoyed for a long time. —Beauvais,
vol. 2, p. 9. —DR. GRIESSELICH.
CASE 160.-Miss J. C., aged 10, had suffered for a long time
with attacks of headache, especially after active exercise, such as
running or jumping; the paroxysms came on at night, as often




126                   SYNOPSIS.
as every two or three weeks; they consisted of pain above one
eye, attended with copious vomiting of mucus.:Treatment.-Bellad. and Nux were given without much
benefit, but three doses of Sepia 30, cured her entirely. The
attacks at first became milder, and were not attended with
vomiting, then ceased entirely.-Ibid., p. 10.
CASE 161. —Mrs. P. R., aged 33, had suffered with headache since her youth, but more severely for the last six
months; the attacks came on every five or six weeks, always
commencing in the morning as soon as she rose; then the
pain became more and more severe, unless she lay down, when
it terminated in sleep; she had a pressure and heaviness in
the forehead, eyes and root of the nose, attended at times
with beating in the head, extending occasionally as far as the
occiput. For two days after an attack she was so feeble that
she could scarcely rise. For the last six months the headaches
had been attended with retching to vomit, always occurring
about seven or eight o'clock in the evening. During the
intervals of relief, she had confusion of the head with pressure
upon the eyes, often attended with heat in and congestion to
the head; she had but little appetite, and drank but seldom;
had been constipated from her youth; her sleep was heavy,
often with troubled dreams, and a paroxysm was generally
preceded by a very deep sleep, and by very frightful dreams.
Her menses were regular, but rather scanty, and she was often
troubled with leucorrhcea. She was becoming inclined to
melancholy; and was rather subject to coughs.
Treatment. —She took four doses of Sepia 30, one every
eight days; then two doses, one every fifteen days; at the end
of which time she seemed cured, as she had had no headache
for two months, her general health was improved, and her
spirits good.-Ibid., p. 11.
CASE 162.-Mrs. K. R. N., aged 46, stout and strong, had
been subject to attacks of headache every three months, ever
since she became regular for the first time, but they were
becoming more violent, and her physician had announced
that he could not cure her. The attacks for the last year had




SEPIA.                    127
come on every month, at the menstrual period, two days
before which she always felt a vague but very severe pain
above the right eye; her head became hot; speaking, light,
and noise augmented her pains, so that she was obliged to lie
down in a room with closed doors and shutters; she suffered
night and day without cessation; had sleeplessness and vertigo
during the whole period of menstruation, after which the
headache changed to a pain in the left temple attended with
such acidity of the stomach, that it seemed as if she were
under the influence of some corrosive poison, from which,
however, she was soon relieved by vomiting. If the headache
did not come on before, it was sure to set in during menstruation; the attacks lasted about eight days, but occasionally
left behind them a pain on the top of the head, as if it would
be forced open, often extending to the occiput, and plunging
her into despair. Her menses anticipated two days, and were
very abundant, attended with urgency to urinate, and with
diarrhoea; at other times she was rather constipated; she had
had an attack of gout eighteen years before, of which traces
were still present about her hands.
Treatment.-Six doses of Nux 30, at intervals of five or six
days, exerted no effect upon her head, although her menses
became less copious, and her gouty hand improved; then three
doses of Sepia 30, at intervals of eight days, relieved her so
much that she only felt some heaviness of the head at the
next menstrual period; two doses more of Sepia 30, at intervals of fifteen days, cured her entirely.-Ibid., p. 12.
CASE 163. —A lady, vigorous and brunette, aged 30, had
suffered with migraines ever since her youth, and before she
became regular for the first time. For the last six or eight
years they had become more frequent and severe, so that a
day scarcely passed without some suffering, which, however,
was most severe during menstruation. If she rode in a
carriage, or looked at any object attentively for some time,
she was sure to have an attack; the paroxysms generally
commenced in the morning; she was soon obliged to lie down,
and if she could get asleep, she would wake up well; incli



128                    SYNOPSIS.
nation to vomit and actual vomiting often set in; the pain
generally attacked one side of the head, although at times it
settled in both temples; menses, and general health normal.
Treatrnent.-She had but one or two slight attacks after
commencing the use of Sepia 30, one dose every five days.Ibid., p. 13.
CASE 164. —A servant girl, aged 19 years, had suffered
for five years with headache, which had increased in violence
during the last two; formerly she had attacks only every
week, now alhost every day, especially in the afternoon or
evening.
Symptoms.-She had throbbing in the head, especially on
stooping; tearing and lancinating pains in the forehead and
face, as if her head had been bruised, often so violent as to
oblige her to lie down, when vomiting of bile relieved her for
some time. HIer menses were always scanty and infrequent,
coming on only every five or six weeks; her stools were also
scanty, and took place only every second day.
Treatinent.-Pulsat. 12, relieved her head somewhat, and
her menses became more free; Nux 24, rendered her less
costive; and Sepia 30, restored her entirely to health, the cure
lasting for at least two years, at last accounts.-Beauvais,
vol. 2, p. 28.-DR. SCHULL.
SILICEA.
In headaches attended, or followed by severe pain in the
small of the back, with heaviness and uncomfortable feeling
in all the limbs.
Obstinate morning headaches, with chilliness and nausea.
CASE 165. —Mliss N., aged 26, had suffered for several
years with a periodical affection of the head, the paroxysms
of which lasted several entire weeks. Her former physician
had declared her incurable.
Symptoms.-She had lancinating and drawing pains, sometimes commencing near one temple, at times in both, from
whence they extended down into the bones of the face and
lower jaw, where they generally attained their greatest inten



SILICEA1 SPIGELIA, STAPHYSAGRIA.      129
sity, The pain became lancinating in the chin and extended
to the teeth, which were in an imperfect state. The pains
were present during the day, were often felt in the evening,
and commonly awakened her after mid-night. Changes of
air did not influence the pains in the head, but exposure to a
current of air would. At times the localities of the pains
were exceedingly sensitive to touch, at others pressure lessened
them. She had long suffered with decayed teeth; was otherwise healthy, and not subject to eruptions.
2reatmnent.-Bellad. 30, produced no relief in two weeks;
then Silex 30, was followed by relief, more or less great for a
fortnight; in two weeks more, the pain ceased entirely and did
not trouble her again for at least nine months, at last -account.
-Beauvais, vol. 1, p. 567. —DR. HARTLAUB.
SPIGELIA MARILANDICA
Is a main remedy in the headaches of very hysterical
subjects with excitable circulation, subject to violent pain in
the back of the head, vertigo, dimness of vision, dilated pupils,
to the peculiar hysterical spasms of the eye-lids and face, and
even to general convulsions.
Headaches attended with fatiguing palpitations of the heart.
STAPHYSAGRIA.
CASE 166.-An elderly lady had suffered for a long time
with violent headache; she awoke in the morning without
pain, but while engaged in dressing, washing, or brushing
her teeth, throbbing and boring pains set in, in the forehead
and part of the left temple; they were increased by lying
down again, but gradually became more supportable after
sitting down quietly for some time; the pains also diminished
gradually in severity during the morning, and disappeared
entirely during dinner, but recurred immediately afterwards,
although in a moderated degree, and soon ceased entirely for
the day, if the patient did not indulge in an afternoon nap.
Treatment.-One dose of Staphysag. removed the disorder
immediately and it did not occur again; she soon could dress
9




130                    SYNOPSIS.
with comfort, and indulge in her after dinner nap with impunity. —EGIDI.-Attomyr, p. 477.
SULPHUR.
In the most obstinate and chronic rheumatic headaches,
with tearing pains.
In chronic periodical headaches, occurring every other
morning, at 8 or 9 o'clock and continuing till bed-time; or
every eight days, attended with tearing pains and stupefaction;
or violent headache on the top of the head, lasting for twelve
hours, and recurring every morning like a periodical fever.
Headaches followed by fetid perspirations.
CASE 167.-A man who worked daily in brass and tin,
and who also used paint and varnish occasionally, had suffered
for several years with a kind of periodical headache. Every
Sunday he experienced a pressure, aching and heaviness of
the head, which lasted the whole day and was attended with
lassitude, and loss of appetite. On the other six days, he felt
nothing of the kind.
Treatment.-Bryon. and Nux were given without benefit;
then one dose of Sulph. 3, every six weeks, cured him completely.-Beauvais, vol. 1, p. 551. —DR. SCHULER.
CASE 168.-ScnELLnG cured two cases of regularly intermitting Hemicrania, in young persons, with Sulph. 8. One
cure was effected in four days, the other in five.-Attomyr,
page 477.
CASE 169.-An excitable brunette, aged 30, had suffered
for many years with a violent, periodical headache, always
occurring simultaneously with the monthly period, and
characterized by a raging and painful hammering in the
forehead and left temple, which was very much increased by
mental emotions, or exertion. She had great irritability of
all the senses, pulsations in every part of the body, chilliness
of the body with glowing hot face, occasional bleeding from
the nose, far sightedness, and roaring in the left ear, when
she lay upon it; her stools were hard and difficult; her hair
fell out profusely; she was irritable and inclined to anger.




SULPHIUR, VERATRUM ALBUM.           131
Treatment.-Three doses of Sulph. 30, one dose every three
days, followed after the lapse of four weeks by Sepia 30. She
was entirely cured by this course of medication, and it seemed
as if Sulph. was by far the most beneficial remedy.-Attomyr,
p. 4'78.-DR. WURDA.
VERATRUM ALBUM.
It acts upon the nerves of sensation as specifically as Nux v.
does upon the nerves of motion; and acts upon the cerebral
nerves much less decidedly than upon the great sympathetic,
and spinal nerves of sensation. Veratrum and Veratrine
excite and arouse the nerves of sensation, Aconite stupefies or
paralyzes them.
On account of its specific action upon the abdominal organs
and nerves and secondary action upon the head, it becomes a
principal remedy in the true dyspeptic or sICK-headacheo
The indications for its use are numerous and important. It
is useful in headaches attended with vomiting of green mucus;
in those with pain in the small of the back, colic, and desire
to vomit; in violent headache, attended with profuse flow of
urine; aching pain in one side of the head, with pain in the
stomach; severe headache, increased while the patient is
walking, to such a degree that he staggers; drawing pain in
the head, and in the small of the back; excessive headache,
ceasing on the setting in of the menses. Headache with
feeling as if the hairs were electrified, with tendency of them
to stand on end.
In nervous headaches and nervous conditions attended with
electric sensations; electric current in the nerves radiating in
various directions; sensation as if boiling water were running
down the back; electric current shooting to the nervous
plexuses of the abdomen, breast and heart; pricking and
tingling sensations in various parts, or burning and prickling
sensations followed by electric emanations shooting in every
direction; feeling as if cold air were blowing on several parts
of the body, followed or not by sensation as if hot drops were
poured on the limbs. Intense feeling of pain extending over




132                     sYNOPsIS.
the peripheral nerves, with drawing pains all along the spinal
marrow, &c.
In headaches attended with burning, or a peculiar feeling
of coldness in the stomach; with water-brash, disgust for food,
nausea, colic and diarrhcea, irritation of the bladder, pains in
the back, hips and knees, and increased flow of menses.
Headache with constant sickness at the stomach, with
spinal irritation, constant twitchings of the limbs, diarrhoea,
increased secretion of bile.
It cures headaches, and neuralgic pains which shoot to
various parts, much more readily than it does fixed pains.
I have succeeded in curing several most obstinate and
distressing headaches with Tinct. Verat., and with the 2d or
3d dilution of Tinct. Veratrine.




I NDEX.
A.                                                    PAGE
PAGE      Coloc.,...         114
Aconite, remarks on,.   1, 4, 102      Gratiola,....  118
Cases 1, 2,.        2,3      3Merc.,..119
Dose,....         4    Bernard, Experiments on SymAdditional Cases,.  vii, 101       pathetic Nerve..   xiii
Cases 2, 3, 5, 6, 7, 18, 19, 20,     Bryonia, remarks on,.  19,23, 10S
40, 41, 47, 55, 56, 58, 59, 62,      Cases 21 to 26,           20 to 22
63, 64, 71, 82, 83, 84, 85, 86,      Case 135,...    109
89, 98, 111, 112, and 128            Dose....    23, 24
to 169 inclusive.                  Budge, Experiments on Corpus
Acidity of Stomach in Headache,  xv         striatum, &c.,..     xiv
N Nervous-bilious Headache, xvi                      c
Agaricus, remarks on,.. 4, 102
~~~Case 3~.~~               5 alcarea, remarks on,    24, 28,109
Dose,                             Cases 27 to36,.. 25 to 28
Anatomy  of Great Sympathetic            Dose,...         29, 30
Nerve,...          xvi   CCamphor, relmarks on,.   30, 110
Arnica, remarks on. 6, 103      Dose,....   31
Case 4,...        631
Dose,..                       Carbo animalis, remarks on,  31, 110
Aniemic Headache,.   xxvDose,....                     31
Arsen 9.,...'         Carbo vegetabilis, remarks on,   110
Bell.,                         12
Bell,.... 12             Cases 40, 41,..       31
Calc. c.,                 25, 109      Case 136,...  111
China,               35, 112. 113      Dose...        31
Natrun n.,                55e 120   (Catarrlhal Headachnes,           96
Neatrum na.,..        t55, 120 
&Se~pia,....       79    Capsicum, remarks on,.   32, 111
Arsen.              103      Dose,...      23
**.Arsen. remarks on7 3103   Causticum, remarks on,.   32, 112
Cases 5, 6, 7,.3 3
Cases 128, 129, 130,.    104       Case 137,                     112
Dose,.                   10      Dose,                          33
Asarunz europaeum, remarks on,  105    Chamonilla, remarks on, 33,  34,
Case 8,                        10      Case 45,                       34
Dose,                           10 
Arum. remarks on,..   10, 105                                       35
Aurum, remarks on.. 11, 10       Cases 46, 47,                  35
~~~~~Dose,.1             ~.Cases 138, 139,..   113
Dose,....  36, 113
BR.                   Cocculus, remarks on,.    36, 113
Belladonna, remarks on,  11, 12, 16,     Cases 48, 140,..  37, 114
17, 74,106 to 108     Dose,...             44
Cases 9 to 17,. 12 to 16    Coffea, remarks on,          38, 39
Cases 131 to 134,..   107    Colocynth, remarks on,   40, 42, 114
Dose..               17,18       Cases 50, 51, 52,,..   41
Bilious sick Headache,. xv, xvi     Dose,....         42
Agar.,                        102   Claude Bernard, on Sympathetic
Carb. an.,                    110        Nerve.                    xiii
Chani.,....  112    Corpus Striatum,.       xiv




134                               INDEX.
PAGE                                    PAGP
Corpora quadrigemina,..  xiv                       H.
Course of Headache along  thle          Hepar sulph., remarks on,. 45, 118
Sympathetic Nerve,.        ii     Cases 55 56,.                45
Congestive Theory of Headache, xxiii   Headache from irritation of eyes
Congestive Headaches,   xxiii to xxvii           Iris,.  xvii,18, 74
Acon.,.          2, 3, 102
Agaricus,                     4, 5                      I.
Aurum,                     1, 105    Ignatia, remarks on,.    45, 118S
Bell.,          11,12, 13, 23,106       Case 5,...    4
Bryonia,... 19,108         Dose,....    47
Calcarea,.       24,29, 109   INTRODUCTION,... xi to xxviii
Camphor,...  30, 110    Iris versicolor, remarks on,.  47
Carb. an.,                       3      Dose,....       47
Carbo. veg..... 31, 111                               L.
Capsicum,.   32   Lachesis, remarks on,.  47, 118
China,.           34, 35, 67,112      Cases 58, 59,                   47
Crocus,                   43, 115       Dose,                           48
Magoynet.,                      48    Lycopodium, Case 148,            119
Natrum m,. 52, 56   List of Remedies for Headache,      1
Nux vom.,                   57, 63
Opium,...                67                      M.
Phosphor.,.       67, 121   MIlagnet. Case 60,.            48
Sanguinaria,..    7, 124   lMagnesia carb. Case 149,          119
Sepia...           78, 83   lMercurius, remarks on,  49 to 52, 119
Silex,.            84      Cases 61 to 64,.       50
Sulphur,...   91, 93        Dose,...52
Constant Headache, Arse n., case        Menstrual Headaches, Aurum, 11, 105
7; Bell.,cases 9, 11, 14, 17;        Arnica,                        103
Bryon., case 25; Calcarea,            Asaum.    10, 105
p. 25, 26, 29.  Camphor,              Bell.,                         106
case 37; Carb. veg., case 41;        Bryon.,                         22
Causticum, case 42; Hepar             Galc. c.,            25 to 28, 110
s., case 55; Ignat., case 57;         Caust.,                    32, 112
Lachesis, case 59;  Merc              Cin.,.      112
cases 61, 62, 63, 64; Natrum          Cccna,                     35, 114
m., p. 52, cases 68, 71; Nux,
cases 77, 78, 80, 81, 86;             Crocus,                    43, 115
Phosphor., case 88; Platina,          C        eosote,               115
case 89; Puls., cases 92, 93,        Lachesis,                      119
95, 97, 98; Sepia, p. 78,             Mlagnes. c.,                   119
cases 105, 106,110,111,112;           Nalrum,. 54,55
Silex, p. 84. Spigelia, p. 87,120    Phos,                            5
Creosote, remarks on,.   43, 114      Plat.,....  69, 122i
Case 53,.                 43      Puls.,...  71, 72, 75.
Dose,....   43        Sepia,..  79, 81, 124 to 128
Crocus, remarks on,. 43, 115       Spigel.,. 87, 99
Dose,.                         44       Sulph.,.....13
D.                       Verat.,.             1 3
D)oSES, remarks on,.  i,    DMegrim or Migraine,.. xviii
Dulcamzara, Case 54,              44                     N.
Dose,                           44   Natrum m., remarks on,.  52, 120
C.                       Cases 65 to 71,..   52 to 55
Glonoine, remarks on,.. 115       Dose,                           56
Cases 141 to 147,       115 to 117   Nervous Headaches,..   i, ii
Dose,.Ibid.   Nux vomica, remarks on, 56 to 58, 63
Gratiola, remarks on,.      44 118                                  64, 120
Dose,.                     44      Cases 72 to 86,.. 58 to 62




INDEX.                                 135
PAGE                                    PAGE
Cases 150 to 152,              12.. 0                 s.
Dose,...               64   Sanguinaria, remarks on,   77, 124
o.                       Cases 100, 101,
Opium, remarks on,.    65, 66      Dose,..             77
Cases 86, 87,..  65   Sepia, remarks on, 78, 79, 82, 83,124
Dose,.66  Cases 102 to 111,.  79 to 82
P.                       Cases 158 to 164,.    125 to 128
Phosphor., remarks on,  67, 121, 122      Dose,..         83, 84
Case 88,.           67   Sick Headaches,        xi,xii, xx, 96, 74
Case 153,.122   Acon.,..10
Dose,.69  Ars.,                                                       104
Platina, remarks on,. 69, 122      Arum,                          1015
Case 89,.        69      Auruin,..05
Dose,..          70      Carb. an.,.                   1I
Pulsatilla, remarks on,    70, 74, 75     Carb. v.,.                 112
Cases 90 to 98,           70 to 73      Caust.,                        112
Cases 154, 155,. 123       Cocc.,..       1 I 3
Dose,                          76       Creos.,.. 114
PREFACE...       v to x      Lach.,....
Pain, remarks onl,.              viii     Lycopod.,. 11
Periodical Headaches,.   xviii      Magnes,..    119
Agar....               5   Natrum,                           12.)
Arsen.,...   9, 104       Phos.,...         122
Asar.,... 10, 105   Rhus.                               13
Aurum,..             11      Sanguin.,..         124
Bell.,..   12, 13, 14, 106      Sepia,..
Bryon.,.         21, 22   Silex, remarks on,.           84, 128
Calc., Carb. v.,.      31, 111       Cases 113, 165,..  84, 128
China,.            35       Dose,...           85
Cocc.,....  37   Successful cases,.         x
Coloc.,...      41    Spigelia, remarks on, 85, 86, 89, 90,
Crocus,.... 43                                       12'9
Merc.,...   49, 52      Cases 11 4 to 120,       (86 to 88
Natrum mur.,               52, 120      Dose,....          90
Nux,..    57, 58, 59, 60, 63   STATISTICS Of Cures of Headache,  ix
Puls.,.             71, 75    Staphysagria. Case 120,.         89
Sanguinaria,.                        Case 166,...       129
Sepia,... 81, 125, 126    Sulphur, remarks on,            90, 130
Spigelia,...       86, 89      Cases 121 to 126,           91,92
Sulphur,..       93, 130      Cases 167, 168, 169,.       13()
Glonoine,.           116   Dose,.                           93
3Magnes. c.,....119    Thuja, remarks on,.         93,94
Phos.... 122  Dose,... 4
Silex,...                   128                      v.
R.  oVeratrum, remarks on,. 94, 131
Rhus toxicod., remarks on,   76, 123      Dose,..    9
Case 99,.                  76
Cases 156, 157,.           124                      z.
Dose,.          76    Zincunm, Case 127,... 95
Rheumatic Headaches,            xxvii     Dose,....    9
NOTICE.
To obtain the most rapid yet thorough and practical knowledge of the contents of this
volume:
I st. Glance over the Preface and Introdu.ction:
2d. Read caretully the remarks on the action of the different remedies against headache.
in the Synopsps.
3d. Read the General Remarks before, and the Reviewcs and Votes, after the cases given
in the body of the work.
4th. Look over the Cases both in the body of the work, and in the Synopsis.
5th. Finally, make use of the General Review and Ildew.




HOM(EOPATHIC MEDICINES.
WM. RADDE, 322 Broadway, New York, respectfully informs the Homceopathic
Physicians, and the friends of the System, that he is the sole Agent for the Leipzig
Central Homceopathic Pharmacy, and that he has always on hand a good assortment of the best Homceopathic Medicines, in complete sets or by single vials, in
Tinctures, Dilutions and Triturations; also, Pocket Cases of Medicines; Physicians' and Family Medicine Chests to Laurie's Domestic (60 to 82 Remedies)
-EPP'S (60 Remedies)-HERING'S (60 Remedies to 102).-Small Pocket
Cases at $3, with Family Guide and 27 Remedies — Cases containing 415 vials,
with Tinctures and Triturations for Physicians.-Cases with 260 Vials of Tinctures and Triturations to Jahr's New Manual, or Symptomen-Codex.-Physicians'
Pocket Cases, with 60 Vials of Tinctures and Triturations.-Cases from  200 to
300 Vials, with low and high dilutions of medicated pellets.-Cases from 50 to
80 Vials of low and high dilutions, &c., &c. Homceopathic Chocolate. Refined
Sugar of Milk, pure Globules, &c. Arnica Tincture, the best specific remedy for
bruises, sprains, wounds, &c. Arnica Plaster, the best application for Corns;
Urtica urens and Dr. Reisig's Homrwopathic Pain Extractor are the best specific
remedies for Burns. Also, Books, Pamphlets, and Standard Works on the
System, in the English, French, and German languages.
HOM(EOPATHIC BOOKS.
JAIIR'S NEW  MANUAL OF HOM(EOPATIIIC  PRACTICE; edited, -with
Annotations, by A. Gerald Hull, M. D. From the last Paris edition. This
is the fourth American edition of a very celebrated work, written in French
by the eminent Homceopathic Professor Jahr, and it is considered the best
practical compendium of this extraordinary science that has yet been comilposed. After a very judicious and instructive introduction, the work presents a Table of the IIomceopathic Medicines, with their names in Lattin,
English and German; the order in which they are to be studied, with theiir
most important distinctions, and clinical illustrations of their symptoms and
effects upon the various organs and functions of the human  system. The
second volume embraces an elaborate Analysis of the indications in disease,
of the medicines adapted to cure, and a Glossary of the technics used in the
work, arranged so luminously as to form an admirable guide to every medical student  The whole system is here displayed with a modesty of pretension, and a scrupulosity in statement, well calculated to bespeak candid
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JAHR'S NEW MANUAL: originally published under the name of SYMPTOMENCODEX. (Digest of Symptoms.) This work is intended to facilitate a contparison of the parallel symptoms of the various HIiomopathic agents,
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of each drug, and to determine with ease and correctness what remedy is
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with a Preface by Constantine IIering, M. D., 2 vols., bound $11
1




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JOSLIN, B. F., L. D., PRINCIPLES OF HOM(EOPATHIA. In a series of
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MIADDEN, HENRY R., M. D.,  UTERINE  DISEASES, with an Appendix
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RUECKERT ON NERVOUS HEADACHE. Successful HIomceopathic'ures,
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1S53. Bound.'5 cts.
MARCY, E. E., M. D., HOMCEOPATHY AND ALLOPATHY. An Examination of the Doctrines and Evidences of IHomcopathy. By Worthington
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BRYANT, Dr. J., A POCKET MANUAL, or Repertory of I-Tomceopathic
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Family Physician: containing the principal remedies for the most important
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principal pathogenetic effects of the medicines on the most important organs
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JAHR'S CLINICAL GUIDE; or Pocket Repertory. Translated  from the
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IIARTMANN, Dr. F., Practical Observations on the two chief Hommceopathic
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TRANSACTIONS of the American Institute of HIomceopathy. Or Manual of
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4




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130STON  QUARTERLY  HOMCEOPATHIC  JOURNAL. Edited by Drs.
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a7 The North American Homeeopathic Journal commenced on the first of February,
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