• A deep-acting remedy affecting nerve and skin tissue.

• Marked coldness, especially in extremities.

• General lassitude and sleepiness, tending towards stupor.

• #

• are present.

• Symptoms often develop insidiously.

• There are sensations of constriction, tightness, and stiffness throughout the body.

• General weakness and prostration.

• Emaciation occurs, despite adequate nutrition.

• There are burning sensations, internally or on the skin.

• Bluish discoloration of the skin (cyanosis) is present.

• A tendency towards paralysis.

• The patient has great sensitivity to cold air and drafts.

• A lack of vital heat.

• Apathy and indifference to surroundings are present.

• Confusion, disorientation, and difficulty thinking clearly is experienced.

• #

• occurs.

• Anxiety and apprehension, especially about health, are experienced.

• Irritability and moodiness are present.

• Fixed ideas are present, difficult to dislodge.

• Mental sluggishness and torpor are present.

• Depression and despondency are experienced.

• Forgetfulness and memory impairment is present.

• Difficulty in expressing thoughts and ideas.

• Delirium is present, muttering and incoherent.

• Fear of death is experienced.

• An inability to perform mental work.

• Irritability from slight noise is present.

• Vertigo is experienced, especially on motion.

• Sticking pain is felt in temples.

• Headache with a sensation of tightness or constriction is present.

• Frontal headache extending to the eyes is experienced.

• Head feels too large.

• Dull, throbbing headache is present.

• Scalp feels tight and constricted.

• Visual disturbances; blurred vision is experienced.

• Sensation of a circle before the eyes is present.

• Photophobia is present.

• Burning sensation is felt in eyes.

• Diplopia (double vision) is experienced.

• Dim vision is present.

• Pupils are dilated or contracted.

•

• Blurred vision.

• Dilated pupils.

• Dark circles under the eyes.

• Sensitivity to light (photophobia).

• Decreased hearing acuity is present.

• Buzzing or humming in the ears is experienced.

• Pain is felt in the ears.

• Coryza, with watery discharge, is present.

• Nosebleeds occur.

• Loss of smell is experienced.

• Dryness of the nasal passages is present.

•

• Frequent nosebleeds.

• Pale or bluish discoloration of the nasal mucosa.

• Trismus; jaws firmly clenched is present.

• Stiffness and pain is felt in facial muscles.

• Pale or dusky complexion is present.

• Facial neuralgia is experienced.

• Swelling of the face is present.

• Lips are cracked and dry.

• Difficulty swallowing is experienced.

• Sensation of constriction is felt in the throat.

• Hoarseness is present.

• Sore throat with burning pain is experienced.

•

• A feeling of constriction or tightness in the throat.

• Difficulty swallowing.

• Dyspnea; shortness of breath is experienced.

• Oppression of chest is present.

• Cough is dry and hacking.

• Cough is worse at night.

• Wheezing respiration is present.

• Difficult, labored breathing is experienced.

• Feeling of suffocation is present.

• Asthma-like symptoms are present.

• #

• Irregular pulse, either rapid or slow is present.

• Coldness is felt around the heart.

• Palpitations are experienced, especially on exertion.

• Angina pectoris-like pain is experienced.

• Cyanosis of the extremities is present.

• Feeble pulse is present.

•

• #

• Loss of appetite is experienced.

• Nausea and vomiting are present.

• Abdominal distention is present.

• Constipation with hard, difficult stools is experienced.

• Diarrhea, offensive and watery, is present.

• Burning sensation is felt in the stomach.

• Heaviness and fullness after eating is experienced.

• Flatulence is present.

• Colicky abdominal pain is experienced.

• Vomiting of blood is present.

• Thirst for cold drinks is present.

• Tongue is coated white or yellow.

• Offensive breath is present.

• Abdomen is sensitive to touch.

• #

• Dark-colored urine is present.

• Frequent urination is present.

• Burning sensation during urination is experienced.

• Involuntary urination is present.

• Albuminuria is present.

• #

• Decreased libido is experienced.

• Impotence is present in males.

• Amenorrhea is present in females.

• Leucorrhea, offensive and excoriating, is present.

• Premature menses is present.

• Dysmenorrhea is present.

• Weakness of the back is present.

• Pain is felt between the shoulder blades.

• Cervical stiffness is present.

• Coldness of the hands and fingers is experienced.

• Numbness and tingling is felt in the arms and hands.

• Weakness of the arms is present.

• Pain is felt in the shoulders and arms.

• Trembling of the hands is present.

• Coldness of the feet and toes is experienced.

• Numbness and tingling is felt in the legs and feet.

• Weakness of the legs is present.

• Cramps are felt in the calves.

• Restless legs are present.

• Swelling of the feet and ankles is present.

• Pain is felt in the hips and knees.

• Herpes zoster is present.

• #

• is present.

• Ulceration of the skin is present.

• Cold, clammy skin is present.

• Cyanosis is present.

• Vesicular eruptions are present.

• Dry, scaly skin is present.

• Itching, burning eruptions are present.

• Skin is sensitive to touch.

• Easy formation of bedsores is present.

• Insomnia is present.

• Frequent waking during the night is experienced.

• Dreams are vivid, anxious, or disturbing.

• Sleepiness is experienced during the day.

• Unrefreshing sleep is experienced.

• Cold, motion, pressure, night, damp weather.

• #

•

• Exertion.

• Warm room.

• Lying down.

• Mental effort.

• Alcohol consumption.

• #

• Rest, warmth, open air (in some instances), lying down.

•

• Complementary remedies: Carbo Vegetabilis, Arsenicum Album.

• Comparisons: Lachesis, Crotalus Horridus, Hydrocyanicum Acidum.

• Useful in cases of suppressed eruptions.

• Often indicated in chronic or degenerative diseases.

• Especially suited for the elderly or debilitated patients.

•

• Open air.

• Rest.

• Cold applications.

• Fanning.

• Confusion and difficulty concentrating.

• Mental dullness, a sense of being disconnected from reality.

• Anxiety, especially related to health concerns.

• Irritability and a tendency to be easily angered.

• Depression, characterized by apathy and a lack of motivation.

• Fear of impending death or suffocation.

• Restlessness and fidgeting, despite feeling weak.

• Memory impairment; forgetfulness.

• Intense, throbbing headache, often with a sensation of pressure or fullness.

• Vertigo, especially when rising or moving the head.

• Head feels heavy and congested.

• Ringing in the ears (tinnitus).

• Impaired hearing.

• A feeling of suffocation or being unable to get enough air.

• Rapid, shallow breathing.

• Cough, often dry and hacking.

• Palpitations, rapid or irregular heartbeat.

• Chest pain, often constricting or oppressive.

• Weak pulse.

• Angina-like pains.

• #

• Nausea and vomiting.

• Abdominal distension.

• Loss of appetite.

• Diarrhea or constipation.

• #

• Frequent urination, with pale urine.

• Scanty urine.

• #

• Decreased libido.

• Impotence in men.

• Amenorrhea (absence of menstruation) in women.

• Weakness and heaviness in the limbs.

• Trembling of the hands and feet.

• Coldness of the extremities.

• Numbness and tingling in the fingers and toes.

• Muscle cramps.

• Arsenicum Album, China, Lachesis.

• Ammonia.

• #

• Carbo Vegetabilis, Laurocerasus, Hydrocyanic Acid.