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Causticum - Extremities, Limbs symptoms - T.F. Allen

Hahnemann's Tinctura acris sine Kali, Kali hydr, Kali hyd, Caustic, Causticum hahnemanni, Caust.

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HPUS indication of Causticum: Hoarseness

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Below are the main rubriks (i.e strongest indications or symptoms) of Causticum in traditional homeopathic usage, not approved by the FDA.


Extremities, limbs

Attacks of twitching in the limbs, in the evening,

Weakness and trembling of all the limbs (eighteenth day),

Weakness of all the limbs, so that he could scarcely walk, and when sitting the hands must lie stretched out,

Paralytic weakness of the limbs (after three hours),

Painful heaviness in the limbs at night, which did not allow her to sleep (third day),

Feeling in all the limbs as after a great exertion, after rising from sitting,

Intolerable uneasiness in the limbs in the evening,

Gouty pain in all the limbs (after half an hour),

Drawings here and there in the limbs,

Tearing in several limbs, worse in the joints, and extending from these into the long bones,

Tearing in all the limbs, now in one, now in another, at one time severe, at another slight, though constant (after one hour, and for several successive days),

A kind of stitching pain in the joints, after taking cold,

Drawing in the fingers, soles, and toes,

Very transient drawing pain in the right index finger and in the left second toe,

Pressive pain in the arms and thighs,

Crawling in the arms and legs, as if they would go to sleep (after five days),

Beatings in the tendons above the bend of the left knee (after one hour),

Upper extremities

Trembling of the right arm if he holds anything at arm's length,

Convulsions in the left arm (which is weaker) up and down, after some exertion, followed by great heaviness of the arm; then a kind of rumbling along down in the muscles, extending into the bone, as from the crawling of a mouse, with which the twitches disappear,

The left arm is at times spasmodically flexed,

Great heaviness and weakness of the arms,

Waking, with inclination to cramp in the arms, and crawling in them, as if gone to sleep, before midnight,

Dull tearings in the arms and hands,

Drawing pains in the bones of the arm at night, which do not allow him to sleep,

Drawing pain in the muscles of the arm,

Single stitches in the arm, extending into the left side of the chest,

Severe tearing in the arm and hand, extending into the back,

Loss of power in the right arm, almost like paralysis, with feeling of stiffness, especially when writing,

Weakness of the right arm, with a troublesome crawling in front of both shoulders,

Heaviness in the right arm, a sensation like that left by a severe blow upon the thick part of the forearm,

Drawing in the right arm, which seems heavy as if paralyzed (after fourteen days),

Pressive pain in the right arm,

A slow tearing stitch in the right arm from the shoulder, extending into the hand (after an hour and a quarter),

The left arm is inclined to become stiff, at night in sleep, which wakes him,

Stiffness of the left arm, when raising it above the head and holding it upright for a long time; it seems as if the blood flowed back into it, together with pain in the right side of the chest, as from contraction of the muscles,

Tearing in the left arm and shoulder-joint,


Stiffness of the shoulders,

Paralytic pain in the left shoulder (nineteenth day),

The shoulder is painful the whole day, on moving the right arm (third day),

The left shoulder pains as if dislocated, from morning till evening (second day),

At night, the arms pain in the shoulder-joint and in the elbow, as if asleep, which awakens her frequently; in the morning after waking the pain was most severe,

A dull stitch in the left shoulder,

Goutlike drawings here and there in the shoulder, elbow, and wrist-joints, apparently increased by motion,

Pressure upon the shoulder,

Sharp stitches in the top of the shoulder, both right and left,

Tearing in the right shoulder, with bruised pain on the inner border of the right scapula, if she moves the right arm or turns the head to that side; if she turns it to the left side the place feels tense, at 6 P.M.; this increased every half hour, and lasts a long time,

Tearing in the left shoulder-joint,

Pinching in the deltoid muscle, with feeling of coldness that ends in burning,

Drawing pain in the deltoid muscle, extending to the clavicle, now in one, now in the other arm,

Drawing-cutting in the right deltoid muscle,

Stitches in the deltoid muscles if she carries anything,

Sticking-burning in the axilla,

Dull stitches near the axillae, extending towards the breast,


Burning on the outer surface of the upper arm,

Drawing pain in the bone of the left upper arm,

Sticking pain in the left humerus, in the upper part near the head, extending from within outward,

At night she could scarcely rest in bed, on account of sticking pain in the right upper arm,

Stitching pain in the right upper arm, on raising the arm,

Sharp stitches in the right upper arm, which disappear on rubbing,

Sharp stitches in the left upper arm near the shoulder,

Tearing in the bone of the left upper arm, extending into the elbow-joint, in which it is most painful,

Tearing in the left upper arm just below the shoulder-joint (immediately),

Intolerable tearing in the upper arm, especially in the shoulder-joint, at night when warm in bed,

The upper arm is painful in the flesh, as if bruised (after seven days),


Quivering externally on the elbow-joint, on leaning upon the arm (after three hours),

Pain in the bend of the left elbow, on stretching out the arm, as if a tendon were too short,

Boring in the tip of the let elbow, with a sensation as if it would force him to bend the arm, which it does not do, at 4 P.M.,

Drawing pain in the elbow-joints and in the forearms,

The elbow-joint is painful, as if he had bruised it,

Bruised pain in the bend of the elbow and in the pectoral muscles, very much increased by external pressure,


Swelling in the forearm, as if on the periosteum, which only hurts when pressed,

Slight trembling and twitching in the right forearm, while writing (second day),

Paralysis of the forearm; he could scarcely raise it, on account of heaviness and stiff sensation,

Burning transversely across the forearm, close to the wrist,

Contractive pain in the muscles of the lower portion of the left forearm,

Boring and tearing in a small spot on the right forearm just below the elbow, as if in the bone, at 4 P.M.,

Drawing pain in the muscles of the lower portion of the left forearm,

Stitches on the inner surface of the right forearm along the tendons (after three-quarters of an hour),

Painful drawing stitches in the muscles on the lower portion of the right forearm,

Tearings in the forearms,

Tearing in the bones of the forearm,

Tearings in the tendons of the right forearm,

Tearings in the left forearm from the elbow downward,

A throbbing-tearing in the left forearm,

Paralytic pain in the right ulna,


Drawing pain in the wrist,

Drawing painfulness in the left wrist from within outward,

Pain, as if sprained or dislocated, in the right wrist (after eighteen days),

A sticking pain, as if sprained, in the right wrist, when at work (after ten days),

A crawling stitch in the right wrist and in the second and third fingers,

Tearing in the right wrist,

Very painful tearing on the back of the right wrist, extending into the middle finger, with sensation of pinching pain,


Swelling of the hands at night, with crawling in them,

Trembling of the hands (twenty-first day),

Loss of power of the hands in the room that was too warm,

Spasmodic weakness in the hands, in the morning on waking,

The hand goes to sleep, with crawling in it (after five days),

Great heaviness of the right hand,

Paralytic sensation of the right hand for several weeks,

A tensive pain, as if sprained, transversely across the left hand, on moving it (after twenty-six hours),

Spasmodic sensation in the hands,

Jerking stitches in the muscles of the left hand, transversely across the back, on moving the arm (after nine hours),

Tearings in the hands and fingers (after twenty-four hours),

Tearing in the hand, in the metacarpal bones of the right and left thumb,

Tearing in the inner margin of the right hand, extending towards the little finger, as if in the bone,

Sensation of fulness in the inner portion of the left hand, when grasping anything,

Tearing on the back, now of one, now of the other hand,

Stitches in the left palm, with crawling in the fingers,


Small twitchings of the fingers when writing (fourth day),

Drawing-twitching in the left fingers,

Numbness and loss of sensation in the fingers, with tension in them,

The fingers frequently become dead, especially in the morning,

The fingers seem dead; they become icy cold, white, and without sensation,

Pain under the finger nails, when touched,

Burning in the tips of the fingers,

Shooting-burning pain in the joints of the fingers (after thirty-two hours),

The knuckles of the last joints of the fingers are tense of bending the fingers, in the forenoon,

Pain, as if crushed, in the tips of the fingers, as if they would burst, now in one, now in the other hand (after three hours),

Pain, as if crushed, in the tip of the right little finger,

Drawing pains in the finger-joints,

Drawing pain from the right wrist into the fingers,

Drawing pains in the joints of the little finger,

Severe burning-pressive pain under the finger nails, but when touched a pain as from suppuration,

Stitches in the little finger, which then extend farther upward, like knife-stitches, with apprehension and an aching about the heart (tenth day),

Tearing in the fingers,

Tearing in the joints of the right index finger, which are also painful to pressure (fourth day),

Tearing in the tips of all the fingers of the right and left hand, with trembling of the hands,

Tearing in the left middle finger, with pinching pain, at 3 P.M.,

Transient tearing in the left index finger,

Throbbing pain; as from an ulcer, in the first joint of the right thumb,

Electric-like shocks shoot several times from the abdomen to the fingers, and draw them bent,

Crawling in the left ring finger, with twitching in the inner side of the upper arm,


Lower extremities


Varices on the legs,

Unsteadiness of the limbs, as in drunkenness; he totters from side to side, and it seems that he staggers even more than he really does, when walking, without vertigo,

Trembling of the legs when beginning to ascend (e. g., on a ladder), which ceases when he stands and works,

Trembling and shaking of the legs, as from a chill, when walking or standing in the open air; it disappears in the room (after one hour),

Muscular twitching in both legs,

Weariness in the legs, especially in the lower legs and knees; he constantly wants to rest when walking, from afternoon till evening,

Excessive weariness of the legs, in the morning, in bed, on waking, which disappears after rising,

Painful weakness in the leg, in the inner and lower leg, when walking,


Slight falling asleep of the legs,

Very painful heaviness in the legs,

Uneasiness in the legs, in the evening, so severe that she could not sit still,

Uneasiness in the left leg, at night; she did not know where she could put it,

Distressing uneasiness in both limbs, in the morning, in bed, lasting one hour,

Drawing in the right leg, with pain in the throat, in the evening,

Drawing pain in the legs, as if in the bones,

Severe drawing and tearing, during a storm, in both legs, extending from the toes up into the thigh,

Pain, as if sprained or paralyzed, in the muscles of the leg (in the afternoon and evening),

A slow tearing stitch in the leg, extending from the ankle to the knee, and thence to the hip, though not in the knee itself (after a quarter of an hour),

Sharp slow stitches in the legs, first from the hip-joint, and then from the patella downward, more painful during rest than when walking (after two hours),

Bruised pain in the upper and lower legs, in the morning, in bed,

Severe crawling in the upper and lower legs, and also in the feet,


Prickling-burning pain in the region of the hip,

Pinching and twinging in the region of the hip, above the articulation, as if the muscles were seized with pincers, with a cold sensation that ends in burning, even when at rest,

Severe pinching pain in the region of the hip,

Pressive pain above the articulation of the hip, not aggravated by motion,

A drawing-pressive pain in the hip, when sitting and walking,

Pain, as if sprained, dislocated, or wrenched, paroxysmal in the left hip-joint, so that he walked lame for a few steps; appearing and disappearing suddenly,

Stitches in the left hip, as if in the bone,

Dull stitches in the hip-joint, extending towards the abdomen, every two minutes, lasting two hours (tenth day),

Tearing in the articulation of the hip-joint,

Tearing in the hip-joint and down the whole leg, when sitting and walking (after ten hours),

Tearing in the left hip, as if in the bone, during rest and motion; on pressure, a bruised pain,


Muscular twitchings in the left thigh, above the knee,

Sensation of excessive weariness in the upper part of the thigh, from without inward, worse when the limb is at rest, when it compels him to move the leg constantly back and forth,

Weakness of the thighs, with want of breath,

The thighs feel paralyzed when sitting or walking,

Sudden heat internally in the left thigh,

Tension in the bend of the right thigh, in the morning, on rising and on bending the knee (nineteenth day),

Stitches in the left thigh (immediately),

Frequent stitches in the bend of the right thigh,

A stitch in the left thigh, extending up to the chest, in the evening, when walking,

A severe needle-like stitch on the outer surface of the right thigh, just above the knee (after one hour and a half),

Tearing in the middle of the left thigh, which disappears on rising from sitting,

Paralytic tearing on the outer surface of the right thigh,

A scraping-tearing in the left thigh,

Soreness in the upper part between the legs,

Painful soreness on the upper inner portion of the female thighs, where they touch when walking,

Pain in the nates, when sitting, as if bruised or numb,

Trembling or throbbing sensation, like a painful tingling, in the flesh or the thigh,

Jerking pain in the thighs, from the nates downward (after five days),


Cracking of the knees when walking,

Painful cracking in the knee, when walking, as if it would be broken or sprained,

Stiffness in the left knee when walking,

Stiff pain in the patella when rising,

Weariness of the knee-joint, worse when ascending steps than when walking on a level,

Extreme weariness of the knee-joint and heaviness of the foot, after walking,

Weakness of the knees, so that they knock under,

Tensive pain and stiffness in the hollow of the knee when waking,

A tension in the hollows of the knees when sitting or beginning the walk, relieved by continued walking,

Painful boring in the right knee, at times with a bruised pain on pressing upon it, which continues a long time,

Severe boring in the right knee, with bruised pain on pressing upon it,

Drawings in the knee-joint,

Drawing pain in the knees, as if weary from walking, worse when extending the knees than when bending them,

Drawing and jerking pain in the left patella,

At first a drawing, then a jerking pain in the knee,

A stitch in the knee when at work (after ten days),

Tearing in the right knee (after forty-eight hours),

Tearing in the left knee, and thence downward through the toes (after two hours),

Tearing on the outer side of the left knee,

Tearing and stitching in the knee, so that he could not step, and at night so that he could not sleep on account of it,

Tearing in the patella at night, on account of which she did not sleep the whole night,

Drawing-tearing in the knee, extending thence into the ankles, in the evening,

Sore pain in the knee,

Pain, as from an ulcer, externally in the knee, which extends to the thigh (after fourteen days),

Jerking in the left knee in the afternoon, which soon disappears,


Sensation of heaviness in the lower legs and feet at night, in bed,

Aching of the legs (after the large flow of urine),

Drawing pain in the lower leg,

Cramplike drawing down the whole of the outer side of the right lower leg, when sitting or standing,

Tearing on the outer portion of the left lower leg, from the knee downward, when sitting; on rising from sitting, the pain extends into the hip-joint; when walking or pressing upon it, there is a bruised pain in the hip, which does not disappear when sitting,

Dull tingling gone-to-sleep sensation in both lower legs and knees, in the morning (fourth day),

Pain, as from a blow, on the right tibia,

A hard pressure in the leg down along the tibia,

A burning-tearing in the tibia,

Tension in the right calf, as if some one forcibly contracted the skin, during rest and motion, in the evening, from 7 to 8,

Contraction in the right calf, during rest and motion,

Cramp in the calf in the morning, in bed (after twenty hours),

Cramp in the calves at night,

Drawing in the calf, with a sensation as though the right leg were too short, when rising from sitting and when walking,

Intermitting stitches in the left calf (nineteenth day),

Tearing in the calf and on the back of the foot,

Tearing down the left calf, not relieved by rubbing (after one hour),

Tearing from the outer portion of the right calf to the outer margin of the foot, worse on moving the foot or toes,

Severe tearing in the tendons beneath the right calf,

A bruised pain in the right calf, which extends upward into and about the knee, the whole forenoon (second day),

Crawling and prickling in the left calf, as if it would go to sleep (after three-quarters of an hour),

Crawling in the left calf, extending to the bend of the knee (after a quarter of an hour),

Tearing in the left tendo Achillis, when sitting,


Stiffness in the ankle,

Pain, as if weary or paralyzed, in the ankle, when sitting after walking; it immediately disappears when she walks again,

Drawing in the ankle (after twelve hours),

Drawing pain in the ankle when sitting, with sensation on stepping as if the leg would bend under,

Pain, as if sprained, in the ankle, if she made a false step or bent it from side to side, when there is also cracking in the joint,

Pain, as if sprained or as if it would be broken, in the ankle when walking,

Tearing in the outer malleolus, in the evening,


Swelling, especially of the anterior part of the foot, late in the evening, with heat, burning sensation, and internal itching, as if it were frozen; on external pressure it is painful, as if suppurating,

Weakness of the feet in the morning, so that he can scarcely stand (become day),

The feet go to sleep when sitting or lying,

Cramp in the feet (after four and eleven days),

Cramp in the foot on stretching it out,

Drawing in the right foot in the evening,

Tearing in the inner margin of the foot, even in the morning, in bed,

Tearing in the inner margin of the right foot,

Tearing in the ball of the foot, behind the great toe,

Drawing in the tendons of the right instep, which extends into the great toe, where it is only felt on motion,

Pressure on the back of the foot,

Tearing in the back of the left foot,

Burning in the soles,

Cramp in the right sole and tendo Achillis on stretching them out,

Aching in the soles of the feet, like a disease of a nerve,

Crawling in both soles, as if there was something living in them,

A tingling burning-crawling in the soles,

Numbness and pithiness of the heel when stepping,

Tension in the heel and tendo Achillis (after twenty days),

Sudden tearing in the right heel,

Crawling and itching in the right heel, as if it would go to sleep, obliging her to scratch, after which it disappears,


Pain, as from inflammation, behind the nail of the great toe,

Pain in the great toe, as if burnt,

A crawling-burning in the ball of the great toe,

Severe pressive pain on the posterior joint of the great toe,

Fine stitches in the great toe,

A long stitch in the great toe,

Severe needle-like stitches in the ball of the great toe, during rest and motion,

Violent burning stitches in the ball of the great toe,

A piercing-burning stitch beneath the nail of the left great toe,

Violent tearing in the left great toe towards the tip,

Violent tearing in the great toe,

Pain in the great toe, as if suppurating,

Crawling in the ball of the great toe,

A burning-tearing behind the nails of the first and second toes,

Suppuration of the nail, a burrowing-burning pain near the nail of the left great toe, with proud flesh (after three days),

Violent stitches in a corn on the little toe,

Tearing on the outer side of the little toe,

Tearing on the outer margin of the right little toe,

Burning-tearing in both little toes,

Boring and burning pain in a corn,

Attack of spasm; in the morning, in bed, heat; after rising, he felt cold in the arm in which he had the first jerk, with severe twitchings in the upper part of the body, in the trunk, and in the arms, with, however, undiminished consciousness, only with apprehensiveness (after thirteen days),

Frequent starting up (fourth and fifth nights),

Muscular twitches in one or another part of the body,


Trembling and apprehensiveness after supper,

Trembling of the whole body in the morning on waking,

General trembling,

Laxity and almost irresistible sleepiness,

Stiffness of all the joints if she did not move for a quarter of an hour, when sitting or lying, so that she had difficulty on beginning to walk again,

Languor, depression (after the large flow of urine),

Weariness, with sweat on walking (after forty-eight hours),

After walking in the open air, weariness, with disinclination to work (after six hours),

Weariness after walking a little, so that he could not move his legs,

Weariness in the morning, in bed, as if he would fall asleep again, disappearing after rising,

Weariness, with anxiety,

Great weariness at noon, which was relieved on walking in the open air,

Weary, prostrated, and sick feeling in the whole body, especially in the evening, as if a severe illness were imminent,

Very weary; he could not rest a limb,

Very weary and not cheerful in the morning, on rising; she was obliged to sit down to rest while dressing; after some time she became cheerful,

Very weary in the evening; she is obliged to lie down, but cannot sleep until 1 o'clock on account of wakefulness; the legs ache as if heavy,

Tremulous weakness and palpitation after a stool,

Very weak, and soon exhausted after a slight effort,

Faintlike sinking of the strength,

Attacks of faintness after lying down in bed (after twelve hours),

He feels suddenly as though he would fall, without vertigo,

On walking in the open air, he suddenly fell without consciousness, but immediately arose again (after one hour),

Uneasiness of the whole body, especially of the head, like a painless burrowing for several days, at different times,

Uneasiness at night, in bed, with violent, very anxious weeping and indistinct talking,

Uneasiness of the body, with anxiety about the heart, while sitting; she was obliged to rise and walk about,

Uneasiness on rising from sitting and when walking,

Can find not quiet place; every part hurts as if bruised,

At night he can get no quiet position; he cannot lie still a moment.

Internal trembling sensation,

Numbness and deadness of all the soft parts of the whole left side of the body, even in the foot and head, as if there was no blood in the skin,

With uneasiness in the blood and anxiety of mind, she suddenly became so sick and weak that she could neither stand not walk, but was obliged to lie down,

Wherever she takes hold of herself, it burns,

Pinching pain here and there in the body,

Pinching pain here and there in the body and various portions of the skin,

Drawing in several parts of the body, which increases to tearings,

Drawing pain, especially above the knees,

Sticking pain in nearly all portions of the body (first days),

Transient sticking or contractive pains, now here, now there (after the cessation of menstruation),

Slight stitching here and there in the body,

Tearings, especially in the joints, and from them through various bones in the body, sometimes in several at once; the pain was not aggravated by external pressure,

Bruised pain in the whole body, especially in the arms, when sitting, which disappears on working and in the open air (after twelve days),

At night the side, hip, and thigh upon which he lay were sore, as if bruised or as if pressed; he was frequently obliged to turn over,

Every portion of the body which he touches is painful, as if bruised,

The whole right side of the body feels bruised,

The primary action seems to appear later than in other antipsoric remedies,


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