Kali Carbonicum - General symptoms

GENERAL

General

(Morning), On waking, out of humor.

on waking, peevish thoughts.

on waking, headache, during menses, headache.

stitches in forehead. stitches into left ear.

nosebleed. on waking, soreness of lips.

on waking, pain in teeth.

after waking, aggravated by eating, pain in roots of teeth.

on waking, stitches in teeth, etc.

tongue dry, etc.

offensive odor from mouth.

after waking, numbness in mouth.

dryness in mouth.

burning in mouth, etc.

at about 3 o'clock, water running from mouth.

bitter taste. after waking, taste of blood.

on waking, loss of taste.

mucus in throat. mucus in back of throat, etc.

hawking, etc. on waking, feeling of lump in front of throat.

eructations. acid eructations.

relieved by walking, cramps in stomach.

pressure in stomach.

feeling in stomach. throbbing in pit of stomach.

colic in upper abdomen.

in bed, griping in abdomen.

from 3 to 4 o'clock, diarrhoea.

fasting, cough. cough.

at 5 o'clock, cough, etc.

shortness of breath.

cutting in chest. stitches in side.

tearing in nape of neck.

tearing in right scapula.

pressure in back. on rising, bruised feeling in small of back.

pain in shoulder. on raising arm while writing, sticking in axilla.

in bed, stitches in elbows.

when writing, trembling of hands.

on waking, hands fall asleep.

tips of fingers fall asleep.

in bed, drawing in finger.

after waking, numbness of leg.

in bed, heaviness of body.

at 2 or 3 o'clock, pains recur.

after usual stool, pains renewed.

in bed, chilliness, etc.

in bed, shivering in back.

about 9 o'clock, febrile heat, etc.

in bed, heat, etc., in face.

in bed, sweat. perspiration on perineum.

(Evening), Sadness.

anxious presentiments.

in bed, fretfulness. on falling asleep, out of humor.

peevish mood. after falling asleep and waking again, confusion in head, etc.

dullness, etc. in head.

pain in head, etc. before lying down, heat in head.

on going to sleep, pressure in forehead, etc.

pressure on top of head.

one-sided headache. before going to sleep, tearing in left eye.

in bed, pain in eyebrow.

lachrymation, etc. in bed, stitches in ears.

hearing blunted. fluent coryza, etc.

twitching in cheek, etc.

tearing from temple into jaw.

drawing in teeth. on getting into bed, drawing toothache.

pressive toothache. stitches in front teeth.

dryness in mouth. sore throat.

before lying down, thirst.

tearing in right side of abdomen.

pain in lower abdomen.

smarting in anus. crawling, etc.

in anus. diarrhoea. in bed, cough.

fatiguing cough. after lying down, especially when lying on right side tearing in bones of chest.

in bed, uneasiness in limbs.

tearing in upper arm. feeling in thighs.

tearing in knee. while sitting, cramp in great toe.

weakness, before going to sleep, disappearing in bed.

itching over body. chilliness.

chilliness on crown of head, etc.

in bed, heat. dry heat all over.

in bed, hot hands, etc..

(Night), After lying down, sad foreboding.

while lying in bed, rush of blood to head.

pressive headache. tearing in orbit, etc.

lachrymation. only when lying upon it.

throbbing in ear. pain in tooth, etc.

sticking toothache. jerking, etc., in tooth.

acidity in mouth. thirst.

in bed, gradually disappearing on rising, qualmishness.

pains in stomach. an hour after falling asleep, cramp in stomach.

pressure, etc., in stomach.

emission of flatulence.

colic, etc. burning in anus.

urging to stool. diarrhoea.

cough. from 9 P.M., till morning, cough.

dry cough, etc. arrest of breath.

tension in sides. stiffness in nape of neck.

on waking, stiffness of neck etc.

in bed, burning in limbs.

stiffness in arms, etc.

throbbing in upper arm.

restlessness of hands.

towards morning, in bed, thumb falls asleep.

cramp in thigh, etc.

on waking, tearing, etc., in lower legs.

in bed, cramp in calf, etc.

pain in whole body. after going to bed, at 11 o'clock, itching stickings all over.

in bed, itching all over.

warmth etc., heat all over.

towards morning, heat.

sweat.

Giddiness in forehead while rising from lying to sit up in bed.

she then opens her eyes wide as if to see, for she does not reach far enough forwards if she tries to grasp anything.

the same giddiness is felt during the act of lying down again, and she then also feels as if she were descending a great way.

the giddiness is not felt at rest, whether sitting or lying,.

Mouth and fauces covered with a dirty-brown slough, which rendered the surface nearly insensible to touch (second day).

the sloughs adhered firmly to the mouth and fauces (third day).

the sloughs in the mouth began to separate, and burning heat in the fauces and gullet immediately supervened (fourth day).

during the following week large portions of though matter, sometimes firm and adherent like leather, were brought up by coughing, hawking, or vomiting.

gradually the surface, so far as could be seen, became clean, though raw, and the burning and pain on wallowing were most distressing.

after a month had elapsed the mouth and fauces began to assume a more healing appearance.

the pain and difficulty of swallowing diminished,.

She awoke every night for three nights consecutively, at about 3 o'clock, with a sensation of water running from the mouth.

she sat up in bed, and was employed for some time in spitting up successive mouthfuls of water, which seemed to be pumped up from the stomach.

there was not the least nausea or inclination to vomit.

the water was not sour nor alkaline.

she had never been troubled in the least with dyspepsia, nor ever before experienced such a symptom.

it was unattended with pain or any abnormal sensation, and ceased immediately when the medicine was discontinued,.

Violent sticking in the left breast, the region of the heart, and at times extending into the back, after midnight, endurable only when lying on the right side, intolerable on every attempt to lie on the left side.

the second night, very early waking, most violent sticking in the chest, shortness of breath when lying on the left side, intolerable except when resting in the highest possible position, and disappearing when lying on the right side.

reappearing the third night when lying on the back,.

Violent constrictive pains in the stomach, even at one o'clock at night, which extend into the chest, and under the shoulders, where they become sticking, with choking in the throat and oppression of the breath.

followed by anxiety, transient perspiration, and eructations, which afford relief.

recurring in frequent attacks till morning,.

At the beginning of a stool severe attack of cramp in the stomach so that she was immediately obliged to sit down.

she passed urine, and while sitting the pain was increased, so that she doubled herself up and could not, speak.

with nausea, eructations, and vomiting of water, with retching.

before the vomiting shivering, during it reeling, with shaking of the hands and feet.

afterwards anxiety and heat of the whole body.

Severe drawing and sticking in the left ankle, when stepping upon it, for several hours in the morning after rising, most painful in the evening, with throbbing in it and sticking in the heel.

she is unable to rest upon the foot, and is obliged to keep it constantly suspended.

it feels too heavy, swollen at the seat of the pain, and hot to touch,.

GENERAL SYMPTOMS.

Objective.

Perceptible beating of all the arteries,

Violent trembling,

Sudden trembling,

Indolence (second day),

Tremulous fatigue while walking, first in the knees, followed by trembling in the abdominal muscles and in the arms,

Lassitude, weakness, and nausea, after the afternoon nap,

After eating, weariness with throbbing in the pit of the stomach, and headache,

Great weariness, on waking in the morning, relieved after rising, returning in an increased degree in the afternoon,

After eating very weary and sleepy,

Great weakness, in the evening,

Attack of weakness, on returning from a moderate walk, so violent that she could with difficulty reach the house, therewith she became warm in the stomach, drops of sweat stood upon the forehead (in winter) and the limbs trembled; after a short rest all weakness passed of,

Attack of sudden weakness, in the evening on lying down, with an aching sensation, nausea, warmth and weakness in the pit of the stomach, vertigo and vanishing of ideas from the head; also, two similar attacks in the morning, followed by great weariness,

A child four years old constantly desires to be carried,

Exhaustion and weariness, in the evening, almost amounting to nausea,

Frequent exhaustion and weariness (first day),

Attack of exhaustion of the whole body, especially in the small of the back, the cervical muscles seem relaxed, the arms and legs relaxed as if they would sink down, together with weakness about the heart like a faintness (after a few hours),

Attack of faintness as soon as he moves but little,

A week before the occurrence of menstruation, restlessness as if the menses would appear (sixteenth day),

Subjective.

The whole body is very sensitive; whenever touched or moved it hurts (third and fourth days),

Great dread of the open air,

Takes cold easily (third day),

Very much inclined to take cold,

Easily takes cold while walking in the open air in the evening, followed by sweat at night, and restlessness and heaviness in the neck as from a weight (fourth day),

Takes cold very easily after becoming heated on moving about; he loses his appetite and is attacked with febrile shivering, diarrhoea with griping pain in the abdomen, restless sleep, etc.,

Symptoms of taking cold from every draft of air,

Her flesh feels numb to her,

Her flesh all over feels swelled to her,

If she looks down without bending head down she feels weak and trembling,

Feeling of weakness every morning, as if he would become faint or attacked by vertigo (first six days),

Feeling of emptiness over the whole body, as if hollow,

Heaviness, especially of the feet; walking becomes irksome,

Heaviness of the body, in the morning in bed, disappearing after rising,

Heaviness and prostration of the whole body, as if worn out,

A kind of tension within the body, which extends to the head and eyes,

Drawing pain in the whole body, now in one place, now in another, in the nape of the neck, scapulae, the hands and knees (after ten days),

Twitching here and there in the muscles, for several days,

Uneasy sleep at night, on account of pressive pain in the side of the body upon which he lies,

Oppression and anxiety at night if she lies upon the right side, is obliged to sit up in bed until she has eructations,

Sticking is the most characteristic pain of Kali,

Itching stitches here and there in the body,

Flesh feels tender all over as if the skin were crushed,

Bruised pain in all the muscles of the body,

Pain as if suppurating, when pressing upon any part of the body,

Painful throbbing in the clavicle, shoulders, sides of the abdomen, etc.,

Excessive pain in the whole body, like the beating of a hammer, at night,

The rheumatic pains get worse when the neck symptoms increase,

*The pains recur in the morning, at 2 or 3 o'clock, so that he is unable to remain lying, and are worse than during the day while moving about,

Remaining in the open air aggravates the troubles, especially the febrile condition,

After the usual stool the pains are renewed, in the morning (second day),

Much talking affects her,

During the menses, she again falls asleep after waking in the morning, but remains in an extremely unpleasant condition between sleep and waking.

is distressed by hearing things, which make her anxious, though at the same time she knows that she is only dreaming, but is unable to open her eyes, and can only with difficulty arouse herself from this condition,.

Dreamed that the cathedral was on fire.

on waking up (which she often did) could think of nothing else.

got up for half an hour and lit a candle to get rid of the idea.

then on sleeping again had the same dream again, and so on through the night, the last dream being that her own house was on fire.

on two other nights dreamed each time about different subjects, but the dream was repeated over and over again, as on this occasion (seldom dreams at all),.

GENERAL SYMPTOMS.

The weakness characteristic of all Potassium Salts is seen especially in this, with soft pulse, coldness, general depression, and very characteristic stitches, which may be felt in any part of the body, or in connection with any affection. All Kali pains are Sharp and cutting; nearly all better by motion. Never use any Salts of Potash where there is fever (T. F. Allen). Sensitive to every atmospheric change, and Intolerance of cold weather. One of the best remedies following labor. Miscarriage, for consequent debilitated states. Early morning worse is very characteristic. Fleshy aged people, with dropsical and paretic tendencies. Sweat, backache, and weakness. Throbbing pains. Tendency to dropsy. Tubercular diathesis. Pains from within out, and of stinging character. "Giving-out" sensation. Fatty degeneration. Stinging pains in muscles and internal parts. Twitching of muscles. Pain in small spot on left side. Hypothyroidism. Coxitis.

WEAKENING, intellection; muscles, heart, back, limbs, etc

Gives out, leans on something or lies down; with backache, profuse secretions, sweat, etc

Soft, thin blooded and cold Old, fleshy, dropsical or paralytic

SHARP STITCHINGS, stabbings or catches in joints, muscles, chest, head, epigastrium, back, etc

Throbbing, numb or cold single parts, abdomen, fingers, etc

Acrid discharges

Sub-acute conditions

Parts lain on are painful and go to sleep

Peevish

Easily startled; worse touch; on dropping to sleep

Anxious aversion to solitude Headaches, into eyes; wake from sleep

Eyes weak

Vision, spotted; like drops before

Puffs over, inner angle of eyes or baggy upper lids

Stitches out of ears

Head colds; go to chest

Nose stuffed, better open air; swelled; yellow-green or crusty discharge

Puffy face

Slimy mouth

Gray tongue

Itching gums

Hawks up tough mucus in AM

DIFFICULT SWALLOWING

Salty regurgitation

Vomits sour mucus

Sensitive, distended stomach and abdomen Fulness; from but little, even after drinks; as if full of water Anxious at epigastrium

Throbbing back of stomach; at navel

Gastric pains going to back, chest, limbs, etc

Flatulence

Hard tympanites Stool difficult; of large, hard lumps, then burning or torn feeling

Piles inflamed, bleeding; descend when urinating or coughing, better riding horseback; stick like fine needles, better cool bathing

Burning in l

kidney

Nocturnal enuresis of adults

Urine foamy, with thick, tough, red sediment

Delayed first menses

Amenorrhoea

Colic, then irritating menses; better washing

Inefficient labor pains

Catarrhal aphonia

Respiration short, worse least motion or walking; asthmatic, alternating with diarrhoea; with vertigo

Incessant, hard retching or choking, futile cough; then vomiting

Pertussis

Lungs seem to stick to ribs

Pleurisy

Stabbing chest pains Heart seems to hang by a thread; pains toward l

scapula

Palpitation; then weakness; in valvular disease

Arrhythmia

Cardiac degeneration

Fine stitches in mammae

Everything affects the small of the back or pains start there

Back and legs give out; feel heavy

Lumbago

Arms weak; numb pinching in left

Painful tips of fingers and toes

OEdema of left foot

Sensitive soles; skin

Dry hair and skin

General itching or hives; during menses

Talks in sleep

Pulse small, soft, variable, intermittent or dicrotic Chilly; with hot hands; and sleepiness; in open air

Internal burning

Sweat scanty, foul on feet

Uterus LUMBAR

Potassium Carbonate. Potassic Carbonate. Salt of Tartar. Salt of Wormwood. Carbonate of Potassium. K2 CO3 Solution. Trituration.

Amenorrhoea. Anaemia. Asthma. Axilla, perspiration of. Back, aching. Biliousness. Bronchitis. Catarrh. Change of life. Chilblains. Clavus. Cold. Consumption. Cough. Debility. Dropsy. Dysmenorrhoea. Dyspepsia. Ear, inflammation of. Eyes, inflammation of.

oedema around. Face, blotches on. Fear. Freckles. Gastralgia. Haemorrhage. Haemorrhoids. Hair, affections of. Headache. Heart, affections of. Hip-joint disease. Hydrothorax. Hysteria. Kidneys, affections of. Knee, affections of.

Potassium carbonate, sometimes called "Vegetable alkali," exists in all plants, and was originally obtained from the ashes left after burning wood and vegetable structures.

Potassium salts play a no less important part in the animal economy. Kali Carb ^{Kali carb}. may be regarded as the typical member of the Kali group of homoeopathic remedies, though Causticum ^Causticum has also claims on the title.

The Potassium salts have more specific relation to the solid tissues than to the fluids of the body; to the blood corpuscles rather than to the blood plasma.

The fibrous tissues are particularly affected, the ligament of joints, of the uterus, of the back.

It corresponds to conditions in which these tissues are relaxed-joints give way; the back feels as if broken; the patient feels compelled to lie down in the street.

Goullon (translation, H. R., xv. 327) calls attention to the importance of this polychrest in complaints of women, in which it rivals Sepia ^Sepia, differing from the latter in having menstruation "too protracted and recurring too frequently; the pains and troubles occur before the menses.

The climacteric flushings of K. ca. are associated with disturbances of the heart.

Palpitations are most violent.

By quieting these K. ca. often serves as an excellent soporific.

In addition to the uterus and heart, lungs, pleura, bronchi, and larynx all come under its action.

Chronic laryngeal catarrh Goullon specially mentions as frequently cured by it.

He places it in the front rank as a knee remedy.

Among the grand characteristics of Kali Carb ^{K. ca.}, three stand out above the rest ($51$) Stitching, lancinating pains, also called jerking pains.

agg. during rest, agg. lying on affected side. (2) Early morning aggravation agg. 2 to 4 a.m. (3) The occurrence of bag-like swellings over the eyes, between the eyebrows and the upper lids.

Relaxation of tissues is a great note of K. ca.

It is suited to persons of soft tissues with tendency to be fat.

Easy sweating may be placed in the same category, and when there is a combination of "sweat, backache, and weakness," the three, according to Farrington, constitute a grand characteristic.

The backaches of K. ca. are very important.

The pain often extends downwards to the buttock and even to the knee.

Pain from hip to knee (more especially if right sided) has led to the cure of many cases of hip-joint disease.

Kali Carbonicum symptom also led me to make a remarkable cure of another kind.

A lady, 73, stout, short, pale, and of very soft fibre, had for four months suffered from "rheumatic pains," and an offensive vaginal discharge.

She described to me the pain as being all round the lower abdomen, and a "dull, heavy, depressing, dead pain, commencing at the inner part of the top of the right hip (iliac crest) and extending to the knee." The pain was so severe it made her feel quite sick and faint.

The discharge was very offensive, like decaying meat.

Great weakness and trembling accompanied the discharge; urine was almost like blood at times, and had a sandy sediment.

K. ca. 1m. was given and at once improvement set in.

In a few months all the bad symptoms had disappeared and never returned.

The patient lived ten years after this.

In connection with this case I may mention another.

A man had an ulcer of right leg with swelling of ankle, and he complained of waking at 2 a.m.

K. ca. 30 cured, but meantime he developed this symptom "Great weakness of right thigh, as if it would give out when walking." This "giving-out" feeling is very characteristic of the remedy. "Constant backache, the patient feeling all the time that the back and legs must give out." K. ca. corresponds to many cases of lumbago, stitching pains, pulsations.

amel. by pressure and by lying flat on the back. "Weakness, sweat, and backache" appear in many conditions of debility as from loss of fluids.

after confinement or abortion (puerperal mania, fever, or spasms).

Complaints after coition in males, especially complaints of the eyes.

Weary and sleepy during and after eating.

Yawns continually. The mental state of K. ca. is one of peevishness and irritability.

Easily startled by any noise (especially if unexpected).

Fear is prominent; fears to be alone.

Intellect impaired, does not care for anything.

Indifferent, with bodily exhaustion; when questioned does not know what to answer.

The "touchiness" of the remedy is very marked "Cannot bear to be touched; starts when touched ever so lightly, especially on the feet." K. ca. acts profoundly on the tissues.

It causes fatty degeneration of the heart and other muscles.

It affects the blood itself as well as the circulation, causing anaemia and haemorrhages.

Throbbing of blood-vessels all over body and to ends of fingers and toes is a marked symptom.

Irregularity of heart's action.

A peculiar symptom is sensation as if the heart were suspended by a thread.

The digestion is very much disordered; flatulence, distension, constipation.

Many symptoms come on when eating Drowsiness; toothache only when eating.

It has the fishbone sensation in the throat, which is part of the general tendency to stitching pains.

Another feature is easy choking; food easily gets into windpipe; pain in back when swallowing.

The cough has peculiarities in addition to that of time aggravation 2-4 a.m.

It is dry, paroxysmal, loosens viscid mucus or pus which must be swallowed.

Or spasmodic with gagging or vomiting of ingesta.

The expectoration consists of hard, white, or smoky masses, which fly from the throat when coughing.

Globules of pus may be contained in it.

Hahnemann said that persons suffering from ulceration in the lungs could hardly get well without this antipsoric.

I have frequently had occasion to verify its value in such cases.

The stitching pains, sweat, and weakness are leading indications, also the locality of the affection.

K. ca. is more a right than a left-side medicine.

The base of the right lung is more affected than any other part.

Goullon says also the apices.

K. ca is a remedy often called for in sick-headache. "Violent headaches about the inner temples; violent stitching or jerking pains, on one side of the head or both." One-sided headache with nausea.

One case which I cured was amel. by lying down, amel. by a tight band round the head.

Pressure and drawing in forehead extending into eyes and root of nose.

Congestion to head and heat of face often accompany the headaches. "Drowsy whilst eating" is a very characteristic symptom of K. ca.

Ide, of Stettin, Germany, has recorded a case (translated by McNeil, Med. Adv., xxiv. 294) which well illustrates this.

A lady, 65, suffered from chronic bronchial catarrh and emphysema.

In November, 1886, she had asthmatic complaints, depriving her of sleep, with cough and mucous expectoration difficult to raise.

Always when eating she was so weary she fell asleep, and could not finish her meal.

After eating still very tired.

In the morning passed much flatulence.

K. ca. 10 removed the condition in a few days.

The following March after a cold there was a recurrence, but without the weariness, and K. ca. failed, whilst Arsenicum Album ^Ars. 15 rapidly cured.

In the same patient K. ca. manifested its power in another set of symptoms Toothache alternating with tearing, stitching pain in left breast and under left false ribs.

The side pains were agg. at night, especially in evening as soon as she lay down; agg. lying down, particularly agg. lying on right (i.e., painless) side.

Not influenced by pressure or motion.

K. ca. is a chilly medicine.

There is great tendency to take cold, and agg. of symptoms when body temperature is low; aversion to open air.

I have often relieved with K. ca. blotchy eruptions of the face which were agg. in a wind or cold air.

Among the notable sensations of the remedy are Feeling of emptiness in whole body as if it were hollow.

Sensation of a lump rolling over and over on coughing; rising from right abdomen up to throat, then back again.

Lump in throat. Feeling as if the bed were sinking under her.

Pulsative pains and throbbings.

Burning sensation and burning pains.

K. ca. appears to have alternating symptoms it has cured a case of toothache which alternated with tearing, stitching pains in left breast and under left false ribs.

It has also pulsations in the back alternating with pains in the back.

The pains in the side were agg. evening, on lying down, and especially on lying on right (painless) side (Med. Adv., xxiv. 295).

The nervous excitability of K. ca. may go as far as pronounced hysteria; sudden shrieking; cannot bear to be touched.

Spasms (puerperal convulsions) and paralysis.

Twitching of muscles; rigidity of muscles; muscular atony, disposition to easy overlifting.

Oppression of breathing accompanies most complaints.

Anaemia with great debility, skin watery, milky white.

Dropsical affections. Ulcers bleeding at night.

K. ca. is suited to the aged, rather obese, lax fibre; to dark-haired persons of lax fibre and inclined to be fat; to diseases after parturition; after loss of fluids.

The symptoms are agg. At rest; agg. on lying down (cannot get breath).

Unable to remain lying at night, amel. during the day when moving about; agg. lying on right side (pain in chest; heart feels suspended to left ribs); agg. by stooping; amel. raising head. amel.

Sitting bent forward; amel. raising head (stitches in forehead).

Motion = headache with vertigo; agg. pain in tumours of scalp; wobbling in stomach; stitches in loins. agg.

By sudden or unguarded motion.

Walking amel. obstruction in nose; and agg. most other symptoms.

Coughing agg. pain in haemorrhoids.

Debility = desire to lie down.

The chief time aggravation is from 2 to 4 a.m., or any time between.

In general the symptoms are agg. in the morning. amel.

By day; agg. at night. agg.

Evening on lying down. agg.

After midnight. Heat amel. most symptoms; cold air and open air agg.

Open air amel. obstruction of nose.

Change of weather and damp weather agg.

Washing face = nose-bleed.

Cold air agg. stitching pain in right side.

Cold and damp = chronic bronchitis.

Warm drinks agg. sweat.

Warm applications = pain to move to other places.

Drinking cold water amel. jerking in head; drinking cold-water when overheated = dyspnoea and pyrosis.

Hunger = palpitation. Touch agg.

Pressure agg. most symptoms; amel. pain in abdomen; dull stitches in chest; glandular swelling of neck. agg.

From coitus.

Affections in general, occurring in r. hypochondriac region.

r. abdominal ring. l. chest.

l. upper extremity. external and internal ears.

of inner surface of liver.

inner region of kidneys.

lower part of chest. shoulder.

shoulder-joint. elbow and elbow-joint.

hollow of elbow. wrist-joint.

big toe. tips of toes.

joints of legs in general.

joints of toes.

SALT OF TARTAR.

of this preparation is then triturated three times with 100 grains of sugar of milk each time, within three hours, to the one millionth powder attenuation (Kali Iodatum ^{Kali I}); one grain of this third trituration is then raised by twenty-seven dilution vials to the decillionth dynamization (Kali X).

Kali Carbonicum will be a salt of tartar sufficiently pure for our purposes. I would again repeat, that I have endeavored to secure the medicinal material for homoeopathic use, wherever practicable, in the most simple and natural manner, and to give directions of this kind.

so that every physician, wherever by may be, may secure the same substance. For this purpose, which was to me most important (and not merely to avoid every appearance of ostentation and puristic pedantry, which would in this matter have been altogether out of place). I had to avoid as far as possible all directions which would have led to difficult chemical operations, by means of costly apparatus, to secure the absolute chemical purity of the medicinal substances used.

The carbonate of potash secured in this manner has proved itself most useful where the following morbid symptoms predominated, or at least were also present

Peevishness. lack of memory.

. stolid feeling in the head.

vertigo, as if rising in the stomach.

headache when out driving.

headache, while sneezing and coughing.

morning-headache. headache with nausea.

pressive pain the occiput.

rush of blood to the head.

hissing in the head. great tendency of the external head to catch cold.

scurfy eruption of the head.

dryness of the hair of the head.

falling out of the hair.

morning-sweat on the forehead.

swelling of the eye. agglutination of the eyes in the morning.

lachrymation. floating specks before the eyes.

. stitches in the ear.

pains, shooting in the ears outward.

weakness of the hearing, dull hearing.

ulceration of the inside of the nose.

dullness of olfaction.

heat of the face. flying heat of the face.

yellowness of the face.

bloatedness of the face.

drawing pain in the face.

toothache, only when eating.

shooting toothache. palate full of mucus.

. sour taste in the mouth.

spoiled taste. bitter taste in the mouth.

rabid hunger. great liking for sugar.

frequent eructation. sour eructations.

nausea. anxiety, with inclination to vomit.

nausea during eating.

tension transversely across the stomach.

pinching in the stomach.

pressure in the liver.

sprained pain in the liver when stooping.

pressure in the hypogastrium when stooping.

heaviness and restlessness.

in the abdomen. inactivity and coldness in the abdomen.

labor-like colic. much flatulence.

incarceration of flatus.

no emission of flatus.

continual emission of flatus.

inactivity of the rectum.

difficult evacuation of the faeces, on account of their large formation.

constipation. constipation every other day.

costiveness and difficult discharge of stool.

mucus with the stool. anxiety before the stool.

varices of the anus.

pressive pain in the rectum, before discharge of flatus.

tenesmus of the bladder.

frequent micturition, day and night.

the sexual impulse is dormant.

lack of sexual impulse.

(surexcitation of the sexual instinct) lack of erections.

lack of pollutions. (too many pollutions;) swelling of the testicle.

after coitus, weakness of the body, especially of the eyes.

(suppression of the menses, with anasarca and ascites;).

during the menses, an itching eruption and excoriation between the thighs.

and .;.

Dryness of the nose. stuffed nostrils.

. hoarseness. cough..

expectoration of pus.

spasm of the chest when coughing.

difficult breathing. wheezing on the chest.

morning asthma. when walking a little faster than usual.

spasmodic asthma. spasm of the chest.

palpitation. palpitation and orgasm of the blood in the morning on awaking.

pain in the sacrum. pain in the sacrum from a fall.

drawing pain from the sacrum to the middle of the back.

drawing pain in the back.

stiffness between the scapulae.

. weakness in the cervical muscles.

goitre. pressure on the shoulders.

the arms go to sleep. the upper arms go to sleep.

weakness in the arms. lassitude of the arms, in the morning in bed.

stiffness of the elbow-joint.

trembling of the hands in writing.

paralytic pain in the wrist.

convulsive twitching of the fingers in sewing. Tearing pressure in the thigh and leg.

. crawling shudder on the tibiae.

coldness of the feet, in the evening in bed.

stiffness in the ankle-joint.

swelling of the leg. burning pain in the legs and the feet.

cold feet. shooting and burning in the ball of the big toe.

corns painful when touched.

drawing pains in the limbs.

the fingers and toes are drawn crooked.

the limbs go to sleep.

tendency to strains tremulous lassitude.

weakness after parturition.

. anasarca and ascites.

red, itching, burning, spots on the body.

herpes. old warts in the face.

drowsiness by day. sleep full of fancies.

anxious sleep, full of dreams.

frightful dreams. twitching in sleep.

tendency to shudder by day.

heat in the morning in bed.

great tendency to sweat.

while walking.;.

Patients suffering from ulceration of the lungs rarely get well without this antipsoric. Nitric Acid ^{Nitric acid} is frequently homoeopathically indicated after kali.

The observations marked . are by the Royal Councilor, Baron ; those marked . by , in Weimar; ., ; , an anonymous contributor in Hartlaub und Trinks' , and ., .

A pathogenesis of Kali Carb ^{Kali carbonicum} appeared in Vol. IV. of the first edition of this work (1830), and already contained-besides Hahnemann's own-the symptoms referred to Rummel and v. Gersdorff, doubtless obtained from the 30th dil. Those of Goullon added here, presumably come from a similar source.

but the main addition in the present pathogenesis if from the symptom list of Hartlaub and Nenning (chiefly the latter) in Hartlaub and Trink's , Vol. III. .

Kali Carb ^{KALI CARBONICUM}.

, as if there was an abyss behind him and he was about to fall down into it, on turning around after looking into a mirror and after reading.

At the commencement of the stool, a severe attack of cramp in the stomach, so that she had to sit down at once.

she passed urine, and while sitting, the pain increased so much that she bent double and could not speak.

with nausea, regurgitation and vomiting of water, with retching.

before the vomiting a shudder.

during the vomiting, reeling with shaking of hands and feet, then anxiety, and heat in the whole body.

relief of the pain, deadly paleness of the face, and at last an ordinary stool (aft. ¼ h.).;.

During the menses, she goes to sleep again in the morning on awaking, but passes into a very disagreeable state, between sleeping and waking.

she is then tormented by hearing things which distress her, through she knows she is only dreaming.

but she is unable to open her eyes, and has great difficulty in tearing herself from this half-sleep.

* * * * *

, violent even to vomiting, in the morning.

After midnight, violent shooting in the left side of the chest, the cardiac region and at times in the back, only to be borne while lying on the right side.

intolerable, as soon as he endeavors to lie on the left side.

the second night, he wakes up very early.

with the most violent stitches in the chest and shortness of breath.

while lying on the left side.

they are intolerable only in entire rest, and go off on lying on his right side.

repeated the third night while lying on his back.;.

Potassium carbonate. Hahnemann. K2 O, Co2

* * *

The Kali carb patient is a hard patient to study, and the remedy itself is a hard one to study.

It is not used as often as it should be, and the reason is that it is a very complex and confusing remedy. It has a great many opposite symptoms, changing symptoms, and thus it is related to patients that withhold their symptoms and have many vague symptoms.

If compelled to remain alone in the house he is wakeful, sleepless, or his sleep is full of horrible dreams. He is never at peace, is full of imaginations and fear.

"What if the house should burn up!"

"What if I should do this or that!" and

"What if this and the other thing should happen! "

He is oversensitive to everything, sensitive to every atmospheric change.

he can never get the room at just exactly the right temperature.

he is sensitive to every draft of air and to the circulation of air in the room. He cannot have the windows open, even in a distant part of the house. He will get up at night in bed and look around to see where that draft of air comes from. His complaints are worse in wet weather, and in cold weather.

Pains He is sensitive to the cold and is always shivering. His nerves feel the cold.

they are all painful when it is cold. The neuralgias shoot here and there when it is cold, and if the part affected be kept warm, the pain goes to some other place. All his pains change place and go into the cold part.

if he covers up one part, the pain goes to the part uncovered.

Kali Carbonicum is full of sticking, burning, tearing pains, and these fly around from place to place. Of course Kali Carb ^{Kali carb} has pains that remain in one place, but usually the pains fly, around in every direction, Pains cutting like knives. Pains like hot needles, sticking, stinging and burning.

These pains are felt in internal parts and dry passages. Burning in the anus and rectum, described as if a hot poker were forced into that passage; burning as with fire. The hemorrhoids burn like coals of fire. The burning of Kali Carb ^{Kali carb} is like that of Arsenicum Album ^Arsenicum.

Again from studying the text it will be seen that it is a common feature of this medicine to have its symptoms come on at 2, 3 or 5 o'clock in the morning In Kali Carb ^{Kali carb} the cough will come or have its greatest worse at three or four or five o'clock in the morning.

The febrile state will occur from 3-5 in the morning. The patient, who is subject to asthmatic dyspnoea, will have an attack at 3 o'clock in the morning, waking him out of sleep. He will wake up with various symptoms and remain awake until 5 o'clock in the morning, and after that to a great extent they are relieved.

His body is cold and requires much clothing to keep it warm, but in spite of the fact that he is cold he sweats copiously; copious, cold sweat upon the body. Sweats upon the slightest exertion, sweats where the pain is, sweat over the forehead; cold sweat on the forehead with headache.

Neuralgia of the scalp and the eyes and the cheek bones in association with the nervous shooting pains. Violent pains here and there in the head, as if the head would be crushed. Cutting and stabbing, in the head. Violent congestive headaches as if the head were full. Head hot on one side and cold on the other.

forehead covered with cold sweat.

Whenever he goes out in the cold air, the nose opens up and the mucous membranes become dry and burn.

when he returns into a warm room the nose commences to discharge, and the nose stuffs up so that he cannot breathe through it, and then he feels most comfortable.

so that it has stuffing up of the nose in a warm room, and opening up of the nose in the open air. When the nose is open so that he can breathe through it, that is the time the head is most painful.

it is painful to the cold air and the cold air makes it burn.

The cold air feels hot. All these patients suffer from a chronic catarrh and when they ride in the wind the catarrhal discharge ceases and then will come on a headache, and thus he has headache from riding in the cold wind.

Whenever the discharge ceases from taking cold in a draft on comes headache, and as the discharge becomes free again the headache is relieved. Neuralgic pains in eyes and scalp and through the cheek bones from a cessation of chronic catarrhal discharge, and when the discharge starts up again, these pain cease.

With the chronic catarrh of the nose there is a thick, fluent, yellow discharge.

dryness of the nose, alternating with stuffing up. The one who suffers from a chronic catarrh will also have the discharge in the morning, which will fill up the nose with yellow mucus. In the morning he blows out and hawks up dry, hard crusts that fill up the nasal passage, clear over into the pharynx and down into the throat.

These crusts become dry as if they were partly formed upon the mucous membrane and when they are blown out there is bleeding. The bleeding starts from where the crusts are lifted up. He is subject to sore throat, is always taking cold, and it settles in the throat. He is also subject to enlarged tonsils and with these has enlargement and chronic hardness of the parotid glands-one or both. Great knots below the ear, behind the jaw.

These grow and become hard, and at times, painful; shooting, darting pains when he is moving about in the open air. When air strikes these enlarged glands they are sore and painful, and he is ameliorated by going into a warm place.

The acute colds extend into the chest, but Kali Carb ^{Kali carb} has been found most suitable in the chronic catarrh of the chest, chronic bronchitis.

There is the dryness and dry barking, hacking cough in cold air, but a copious expectoration of mucus when it becomes warm, and that is the time he is most comfortable, for the expectoration seems to relieve him. He suffers mostly from a dry, hacking cough with morning expectoration. The cough begins with a dry, hacking, increases gradually and sometimes very rapidly to a violent. Spasmodic cough with gagging or vomiting, and when coughing it feels as if his head would fly to pieces.

Your attention is called to that peculiar feature, for although there may be bloating nowhere else upon the face that little bagging will appear above the lid and below the eye brow. It fills up sometimes to the extent of a little water bag.

Such a swelling has been produced by Kali Carb ^{Kali carb}, and sometimes that symptom alone guides to the examination of the remedy for the purpose of ascertaining if Kali Carb ^{Kali carb} does not fit all the rest of the case.

Boenninghausen speaks of an epidemic of whooping cough in which the majority of cases called for Kali Carb ^{Kali carb}, and this striking feature was present. No remedy should ever be given on one symptom. If you are led to a remedy by a peculiar symptom, study the remedy and the disease thoroughly to ascertain if the two are similar enough to each other to expect a cure. Any deviation from that rule is ruinous and will lead to the practice of giving medicines on single symptoms.

Dry, hacking incessant, gagging cough with whooping, blowing of blood from the nose, vomiting of everything in the stomach, and expectoration of blood-streaked mucus, is a whooping cough that will be commonly cured by Kali Carb ^{Kali carb}, but especially if there is present that peculiar and striking feature of a bag-like swelling below the eyebrow and above the lids, puffiness of the eyes.

There are some cases of pneumonia that need Kali Carb ^{Kali carb}, in the stage of hepatization (like Sulphur ^Sulph). Again, when pneumonia has passed away think of Kali Carb ^{Kali carb} if every time the patient takes a little cold it settles in the chest with these symptoms that I have described.

There is sensitiveness of the body to weather changes, to cold air and to wet, a continuous dry, hacking cough, with gagging, the aggravation from three to five the morning, and the patient, has flying neuralgic pains. These symptoms gradually increase and the patient dates them back to his pneumonia. He says

"Doctor, I have never been quite well since I had pneumonia."

The catarrhal state has settled in his chest and there is a chronic tendency to take cold. These cases are threatening to go into phthisis and will hardly be likely to recover without Kali Carb ^{Kali carb} In this tendency for catarrhal states to locate in the chest, Kali Carb ^{Kali carb} should be thought of as well as Phosphorus ^Phosphor., Lycopodium ^Lycopod and Sulphur ^Sulphur

Dropsies Another general state that belongs to Kali Carbonicum is a tendency to dropsies

It has dropsies all over the body. The feet bloat and the fingers puff.

the back of the hands pit upon pressure, the face looks puffy and waxy. The heart is weak. I can look back upon quite a number of cases of fatty degeneration of the heart in which I could have prevented all the trouble with Kali Carb ^{Kali carb} if I had known the case better in the beginning.

These cases are insidious, and the indications calling for Kali Carb ^{Kali carb} must be seen early or the patient will advance into an incurable condition. That peculiar state of weakness and feeble circulation that finally ends in dropsy and many other complications has its likeness in Kali Carb ^{Kali carb}

There is an insidiousness about Kali Carb ^{Kali carb} in the approach of all of its complaints.

He has a sort of nondescript appearance, he is withered, has much dyspnoea upon going up hill or even walking on the level. Examination of the lungs shows them to be in very fair condition, but finally complications come on, there is a break down and organic changes and you look back over these cases and say, if I had only seen in the beginning of this case what I see now it seems as if the patient ought to have been cured.

We learn the beginnings of remedies as we learn the beginnings of sickness. It is a prudent thing for a homoeopathic physician to glance back over a case that he has failed on, or someone else has failed on, to study its beginnings and see what the manifestations were. This kind of study to the homoeopathic physician is as delightful as post mortems are to the old school.

He suffers from pain in the teeth whenever he takes cold from riding in the wind and raw weather. The pains come on even when the teeth are not yellow or decayed stitching, tearing, rending pains in the teeth. Offensive smell from the teeth.

pus oozing out from around the teeth. The mouth is full of little ulcers, little aphthous patches. The mucous membrane is pale and ulcerates daily. The tongue is white with offensive taste.

coated gray, with sick headaches.

While many of the symptoms of Kali Carb ^{Kali carb}, are aggravated after eating, some symptoms are relieved after eating. There is throbbing in the pit of the stomach when the stomach is empty. There is also throbbing all over the body, pulsation to the fingers and toes.

there is no part that does not pulsate, and he is kept awake by this pulsation. Pulsation even when there is often no feeling of palpitation in the region of the heart. It has also violent palpitation of the heart.

After eating be feels as if he would burst, so bloated is he. Great flatulence.

belches wind upwards and passes flatus downwards.

offensive flatus. The belching up is also attended with fluid eructations, sour fluids that set the teeth on edge.

they excoriate, or cause smarting in the pharynx or mouth. Pain in the stomach after eating.

burning in the stomach after eating.

Gone feeling in the stomach, that is not even relieved by eating. A peculiar condition in Kali Carb ^{Kali carb}. is a state of anxiety felt in the stomach, as though it were a fear. One of the first patients I ever had expressed it in a better way than it is expressed in the books; she said,

"Doctor, somehow or other I don't have a fear like other people do, because I have it in my stomach."

She said when she was frightened, it always struck to her stomach.

"If a door slams, I feel it right here" (epigastric region).

Well, that is striking, that is peculiar. It was not long before I developed another feature of Kali Carb ^{Kali carb}

By a little awkwardness on my part my knee happened to hit the patient's foot as it projected a little over the edge of the bed, and the patient said, "Oh"

Sure enough that was Kali Carb ^{Kali carb} again, for you will find in Kali Carb ^{Kali carb} a patient that is afraid and everything goes to the stomach and when touched upon the skin there is an anxiety or fear or apprehension felt in the region of the stomach.

You might imagine that it is connected with the solar plexus, but the symptom is the all in all to the physician.

Feet A Kali Carb ^{Kali carb} patient is so sensitive in the soles of the feet that the mere touch of the sheet brings a sensation of thrill throughout the body. Hard pressure is all right, it does not disturb, but something that comes unawares excites.

The Kali Carb ^{Kali carb} patient is over sensitive to all the surrounding things, over sensitive to touch.

shivering from the simplest and lightest touch, even when hard pressure is agreeable. Violently ticklish in the soles of the feet. I have often examined the feet when a patient would shiver and draw up the feet and scream out,.

"Don't tickle my feet."

I had probably touched it so lightly that I did not know that I had touched it at all.

In Lachesis ^Lach also gentle touch is painful, while hard pressure is agreeable but here it is not so much the ticklishness. In Lachesis ^Lach the abdomen is so sensitive that the touch of the sheet is painful. I have seen Lachesis ^Lach patients using a hoop to keep a light sheet from touching the abdomen. You may know then that you are in the realm of Lachesis ^Lachesis, and that it is like those persons who are unable to bear the slightest touch upon the neck and suffer from uneasiness on wearing a collar.

All that, however, is different from this state of ticklishness. I have seen patients who are really so sensitive in the skin that I would not dare touch it, unless they knew just where I was going to touch.

"Now I am going to feel your pulse, hold still."

If I were to touch the hand, or reach out to feel the pulse without warning there would be a thrill.

Such a state is in keeping with Kali Carb ^{Kali carb}. These things often have to be dug out by observation in studying the nature of provings, and associating things. These things that run into the oversensitiveness of patients are of great value clinically. The capabilities of our Materia Medica are something wonderful, but they could be developed much more rapidly if a number of homoeopathic physicians would make application of the Materia Medica with accuracy and intelligence, observing what they see and relating it literally.

At the present day there is only a very small number of homoeopathic physicians that can come together in a body and say things that are worth listening to, a shamefully small number when we consider the length of time Hahnemann's books have been before the world.

Liver There are many old chronic liver subjects who talk about nothing else but the liver.

Every time they go to the doctor's office they talk about the liver, and about a condition of fullness in the region of the liver and pain through the right shoulder blade and up through the right side of the chest, with a good deal of oppression and distension.

vomiting of bile and a good deal of stomach disorder, fullness after eating.

attacks of diarrhoea, alternating with constipation lasting for many days with great straining at stool.

Periodical bilious attacks, when a constipated state is present; cannot lie down at night; difficult breathing at night or at 3 o'clock in the morning, especially when it is in a patient over-sensitive to cold, damp weather, one who wants to sit by the fire all the time.

These liver subjects are often thoroughly cured by Kali Carb ^{Kali carb} Sometimes they have been resorting to all sorts of liver tappings, taking such medicines as purge or cause vomiting, drugs that really aggravate the trouble. Kali Carb ^{Kali carb} goes to the bottom of these cases, and roots out the evil.

Persons subjected to repeated attacks of colic, cutting pains, with distension, with pain after eating, constipation or diarrhoea. Colic, with cutting, tearing pains, doubling him up, coming on every little while. Tremendous flatulence. When the attack of colic is on it might remind you of Colocynthis ^Colocynth or of some other of the acute remedies that cure colic in two or three minutes, but you will find that these acute remedies that relieve colic so speedily when given the second or third time do not produce so marked an effect.

You will find it necessary to hunt for an antipsoric, a remedy that will control the whole case. In the study of the colic alone during its attack you only get a one-sided view of the case, and after the colic is over (say he has been cured by Colocynthis ^Colocynth) you now study the patient and go over the case, and behold all the symptoms are covered by Kali Carb ^{Kali carb} After giving that remedy you may expect that the patient will not have another attack.

Such is the nature of Kali Carb ^{Kali carb} It is deep-acting, long-acting, goes deep into the life. It cures conditions due to psora, or to the suppression of eruptions in childhood, or to the closing up of old ulcers and fistulous openings with a history of troubles ever since. All these wandering pains and the chilliness are again relieved by eruptions, by the outbreak of discharges, by haemorrhages, by ulcers that eat in deep and flow freely and fistulous openings.

"Cutting in abdomen, as if torn to pieces."

"Violent cutting, must sit bent over pressing with both hands, or lean far back for relief; cannot sit upright."

"Cutting and drawing like false labor pains."

There is great coldness with the pains, with the cutting in the abdomen; he wants heat, hot drinks, hot water bags. A chronic coldness is felt in the abdomen, cold externally and internally.

It would sometimes be cruel to give a dose of Kali Carb ^{Kali carb} when the colic is on, because if the remedy fitted the case constitutionally, if all the symptoms of the case were those of Kali Carb ^{Kali carb}, you would be likely to get an aggravation that would be unnecessary.

There are plenty of short acting remedies that would relieve the pain speedily, and at the close of the attack the constitutional remedy could then be given. If the patient can bear the pain to the end, it is better to wait until it passes off without any medicine.

That sometimes is cruel, and then the short acting medicines should be given. All recurrent troubles, those that come periodically, or after eating certain articles, or from exposure, or with a periodicity that belongs to time - all these states are chronic; they are not acute troubles.

They are simply a small portion of a chronic miasm, a side view and all such cases must have a constitutional remedy sooner or later. You can, it is true, relieve violent pain at the first visit, but then you must look deeper and prevent your patient having more trouble.

Otherwise, if you should give Belladonna ^Bell. or Colocynthis ^Colocynth or any medicine that simply fits the colic, the trouble will come back again.

you have not cured your patient.

you have only palliated. But, on the other hand, you take such a colic as is described here and Kali Carb ^{Kali carb} fits just these symptoms alone and does not fit the whole constitution of the patient.

Then it is that a constitutional and long-acting remedy like Kali Carb ^{Kali carb} acts in fullness. It does not take the usual long time to act and is not attended with an aggravation.

"Abdominal muscles painful to touch; swelling of glands."

In the abdomen, also following troubles in the bowels, or following peritonitis, we have effusion into the peritoneal sac, which is usually associated with dropsy of the extremities, but not always. In liver dropsies especially is that remedy useful.

It has most persistent and enormous hemorrhoidal tumors that burn, that are extremely sensitive to touch, that bleed copiously, that are extremely painful, making it impossible for him to sleep. He is compelled to lie upon the back and hold the nates apart, because the pressure is very painful to the external piles.

The piles cannot be put back; there is great distension and swelling inside. Haemorrhoids that come out after stool and bleed copiously and are very painful; they must be pushed back, and long after going to bed they burn like fire.

There is great aggravation from stool, which is hard and knotty and requires great straining to expel. Fistulae of the anus. Burning temporarily relieved by sitting in cold water.

It has chronic diarrhoea and also diarrhea alternating with constipation. Many times where there are numerous particulars, we have to rely upon the generals that are characteristic of the remedy. The text gives much less of diarrhea than has been developed by clinical uses.

"Diarrhoea painless, with rumbling in the abdomen and burning at stool, only by day; chronic cases with puffiness under the eyebrows."

It gives few symptoms, but it is a large and extensive remedy in diarrheas that are chronic. In old, broken down subjects, in weakly, pallid subjects, with poor digestion, with great flatulence, with much distension, with disordered liver.

Kidneys, Bladder Then the kidney, bladder and urethra come in for their share of trouble, which is of a catarrhal nature.

Discharges from the bladder, purulent discharges of a thick, tenacious, copious mucus deposited in the urine. In keeping with this there is much burning; burning in the urethra, during and after micturition.

"Urine flows slowly with soreness and burning."

In Nat Mur ^{Nat. mur} the burning is after urination Where there is scanty, gleety discharge and the burning is very marked and only after urination, and the patient is extremely nervous and fidgety, Nat Mur ^{Natrum mur}. will cure.

If the burning is during and after urination and you have the broken down constitution we have described then the remedy may be Kali Carb ^{Kali carb} Some of these old cases are entirely painless, having no pain either during or after micturition.

Then you get an entirely different class of remedies. The old chronic discharges following a gonorrhoea are as troublesome for the young doctor as anything that will ever fall into his hands. The remedies are numerous, the symptoms are scanty, and many times the patient has not been long under the doctor's care, therefore he does not know the patient's constitutional state well and the patient can only tell him of the discharge.

"Nothing but the discharge, doctor."

You cannot get his mind on his symptoms.

he has forgotten that he wakes at 3 o'clock in the morning and cannot get to sleep until 5 o'clock, he has forgotten all the nervous manifestations. With the patient you have had under control, whose constitutional state you get before this condition comes, you ought not to have much difficulty.

One of the evidences that the Kali Carb ^{Kali carb}. patient is of a weakly constitution and is on the road to a break-down is that all of his symptoms are aroused and brought into action after coition, after sexual excitement. Now you will take notice in practice and remember it, that coition is a natural thing with man, when it is carried on in order, and when that which is natural is followed by prostration, and this has been so for a long time, there is a break in the constitution, there is something radically wrong.

Similar symptoms are observed in the woman. In spite of the fact that the patient is weak, the sexual desire is excessive. It is not orderly. There is a sexual erethism, which is not under the command of the will, and in the male he is subject to copious and frequent pollutions, nightly dreams, sexual prostration. Young men who have abused themselves, or who have indulged excessively in sexual pleasure, go into marriage with weakened genitals, incapacitated.

and then there comes a disgust, and it is not strange that there are so many divorces in the world. When the patient is young, some of this trouble can be overcome by living an orderly life and correct Homeopathy.

In Kali Carb ^{Kali carb} there are many complaints affecting the male genital organs.

uneasiness and sensitiveness of the testicles. One is in a state of swelling and hardness. Itching and smarting and annoying sensations in the scrotum and sensations that constantly remind the patient that he has genital organs. Constant irritation calling his attention to the genitals, brought on from abuse, from vice, from excesses. Phosphorus ^Phosphorus is a medicine that is abused in this sphere. Many physicians look upon it as one of the great remedies for the weakness of the genital organs.

In Phosphorus ^Phos the genital indications are extreme excitement, too active erections, a disorderly strength of the genital organs. Beware of giving it in impotency or in weakness, as this is often associated with very feeble constitutions, and Phosphorus ^Phos not only fails to cure, but seems to add to the weakness. It is a weakness that you will learn is a vital weakness. Phosphorus ^Phos will set patients to running down more rapidly who are suffering from a vital weakness, who are always tired, simply weak, always prostrated and want to go to bed.

The female has a great friend in Kali Carb ^{Kali carb} It is full of her complaints and has many symptoms likely to be found in a sick woman. It is useful in cases of uterine hemorrhages that have been incessant in pale, waxy, hemorrhagic women; incessant haemorrhage following an abortion.

She has been curetted and has had all sorts of treatment, but still that oozing keeps right on. At the menstrual period the flow is very copious and clotted, and then after prolonged menstruation of ten days or so, during which she has had a copious flow, she settles back into a state of oozing and flowing until next month and then it rouses, up into another ten days of copious menstruation. Kali Carb ^{Kali carb}. has cured a number of cases of fibroid tumor long before it was time for the critical period to cure.

You must remember that there is natural tendency for a fibroid to cease to grow at the climacteric period, and afterwards to shrivel and that this takes place without any treatment, but the appropriate remedies will cause that haemorrhage to cease, will cause that tumor to cease to grow and after a few days there will be a grand shrinkage, in its size.

Vomiting of pregnancy is not cured, although it may be temporarily relieved, by Ipecacuanha ^Ipeca, as this is a medicine that corresponds merely to the nausea its. In a large number of instances gagging and nausea are only a second or third grade symptom in the remedy that will cure. The condition really depends upon the constitutional state, and the remedy th is to cure must be a constitutional remedy. Sulphur ^Sulphur, Sepia ^Sepia and Kali Carb ^{Kali carb}. are among the remedies commonly indicated.

That is prescribing upon very limited information, and should only be done in circumscribed or one-sided cases. It is not a long acting remedy, it is not a constitutional remedy and acts very much like Ipecacuanha ^Ipecac.

At times you will go into the confinement room when the woman has pains in the back below the waist line. The pains in the uterus are very weak, they are not sufficiently expulsive to make progress in the labor, the kind of pain that makes the woman utter the cry,

"My back, my back!"

The pains extend down the buttocks and legs. Pain in the back as if the back would break. Under good prescribing these pains are changed into contractions, which prove sufficient to expel the contents of the uterus.

When you hear such things you will look back over the history of the case. You will look back for weeks as th woman has been drawing near the end of gestation and see that the vague things, the chilliness and other features in her constitutional state for which you have been trying to find a remedy now culminate at the time of her confinement into a class of pain. Had you seen that six weeks before and given her Kali Carb ^{Kali carb}. you would have prevented the severe labor.

It is a severe labor, a prolonged labor.

the uterus appears to be weak, and the pains are feeble they are all in the back, and do not go to the centre of operation as they should. Now, this same kind of a pain may deceive you in taking another form. The pains begin in the back, and appear to go to the uterus and then run up the back, which would turn you aside entirely from the Kali Carb ^{Kali carb}. pain into a pain that would indicate Gelsemium Sempervirens ^Gelsemium.

Sometimes these pains are so severe that they actually seem to prevent rather than encourage the contractions of the uterus.

when the contractions of the uterus cease, and the woman screams out and wants her hips rubbed, and screams out with pain in each side of the abdomen rather than in the centre, pains in the region where the broad ligaments ought to be, Cimicifuga Racemosa ^{Actea racemosa} will make the pains regular.

Pulsatilla ^Puls is the medicine for absence of marked contraction, in cases inclined to do nothing.

in a case that is inactive when the os is sufficiently dilated and the parts relaxed, and the prediction is an easy and simple labor, but the patient does not do anything. It is a state of mildness or inactivity. Pulsatilla ^Puls will very often cause in five minutes a very strong contraction of the uterus, sometimes almost, in a painless way.

"The back aches so badly while she is walking that she feels as if she could lie down on the street," etc.

The pain seems to take the force and vigor all out of the patient. After delivery there is a tendency to prolong the flooding, rousing up at every menstrual period, as described.

It is the coming on of a fatty heart.

With the suffocation and dyspnoea the breathing is so short that the patient cannot stop to take a drink or eat; the breathing is rapid, not deep, but weak. Dyspnea with violent, irregular palpitation of the heart, throbbing that shakes the whole frame, pulsation that can be felt to the ends of the fingers and toes.

Violent pulsations; patient cannot lie on the left side; accompanied by stitching pain through the chest, and cough. In old asthmatic patients with weak pulse, with the same pulsations and palpitation and cannot lie down.

The only position it seems that be can find any comfort in is leaning forward, with his elbows resting upon a chair. The attack is violent and continuous, especially worse from 3 to 5 A.M., and worse from lying in bed. He is aroused at 3 o'clock in the morning with these asthmatic attacks. Asthmatic dyspnea, when the state is that of humid asthma or filling up of the chest with mucus, course rattling in the chest, loud rattling breathing.

In patients who always have rattling in the chest, rattling cough, stuffy breathing.

with every rainy spell or misty spell, or in cold, foggy weather, the condition becomes that of a humid asthma.

asthmatic breathing, with much weakness in the chest, worse from 3 to 5 in the morning. The patient is pale, sickly and anemic, and complains of stitching pains in the chest.

The cough of this medicine is one of the most violent coughs of all the medicines in the Materia Medica. The whole frame is racked. The cough is incessant, attended with gagging and vomiting, comes on at 3 o'clock in the morning, a dry, hacking, hard, racking cough.

"Suffocative cough and choking cough at 5 A.M.

Great dryness in the throat between 2 and 3 A.M."

Think of Kali Carb ^{Kali carb} when, after troubles like measles, a catarrhal state is left behind, due to lack of reaction, the psoric sequelae. The cough following measles is very often a Kali Carb ^{Kali carb} cough. Kali Carb ^{Kali carb}. Sulphur ^Sulphur, Carbo Veg ^{Carbo veg}. and Drosera Rotundifolia ^Drosera are perhaps more frequently indicated than other medicines in such coughs as follow measles of pneumonia.

The expectoration is copious, very offensive, tenacious, lumpy, blood-streaked or like pus, thick yellow or yellowish-green. Very often it has a pungent, cheesy taste, strong taste, as of old cheese. Catarrh of the chest. Dry cough day and night, with vomiting of food and some phlegm, worse after eating and drinking and in the evening.

Pains Nothing is more striking in Kali Carb ^{Kali carb}. than the wandering stitching, pains through the chest, and the coldness of the chest

The great dyspnoea, the transient stitches, the pleural stitches are important features of Kali Carbonicum. A great number of the cases in which Kali Carb ^{Kali carb}. is suitable are those where the trouble has spread from catarrhal origin and from the lower portion of the lungs upwards. It is not so commonly indicated in those cases where the dullness has begun at the apex of either or both lungs.

It will very often ward off future sickness where the family history is tuberculous. Do not be afraid to give the antipsoric remedies when there is a history of tuberculosis in the family, but be careful when the patient is so far advanced with tuberculosis that there are cavities in the lung, or latent tubercles, or encysted caseous tubercles.

Your antipsorics might rouse him into a dangerous condition. Do not suppose, however, that it is dangerous to give Sulphur ^Sulphur because one's father and mother have died of phthisis. Sulphur ^Sulphur might be just the remedy to prevent the child from following the father and mother.

Kali Carb ^{Kali carb} is often suitable, and will act as ail acute remedy in the advanced stages of phthisis in cases in which it was not indicated primarily as a constitutional remedy. In such instances it will act as a palliative in phthisis, whereas if it were indicated primarily as a constitutional remedy it would do damage in the last weeks.

The fortunate thing is that a great many homeopaths are not able to find the homoeopathic remedy. If the patient has yet lung space enough to be cured, Kali Carb ^{Kali carb}. will do wonders where the symptoms agree.

Gout I want to warn you in one respect concerning Kali Carb ^{Kali carb} It is a very dangerous medicine in gout. When you get an old gouty subject who has big toe joints and finger joints, and they are sore and inflamed every now and then, you might think that Kali Carb ^{Kali carb} covers the case very suitably.

he is disturbed in just such weather, he is pallid and sickly, his complaints come on at 2 to 3 o'clock in the morning, he has the shooting pains.

But these gouty patients are often incurable, and, if so, to undertake to cure them, would be a dreadful calamity, because the aggravations would last so long. If you give Kali Carb ^{Kali carb} to one of these incurable patients in very high potency it will make your patient worse, and the aggravation will be serious and prolonged, but the 30 th may be of great service. Kali Iodatum ^{Kali iod}., when it is indicated in the gouty state, acts as a soothing and palliative remedy.

But Kali Carb ^{Kali carb}. seems to be a dreadful medicine to handle, it is a sharp and a two-edged sword. Do not undertake to give medicine with a view to curing these old cases of gout when the nodosities are numerous. Do not give that constitutional medicine that should have been administered to these patients twenty years ago, because there is not reaction enough in the life of the patient to turn him into order, and he will be destroyed. It seems paradoxical to say it, but to cure him is to kill him.

The vital action that is necessary to restore him to health would practically tear his framework to pieces. You need not believe these things, you are not obliged to. But think about them, and some day after practicing awhile and making numerous mistakes in attempting to cure incurables you will admit the awful power of homeopathic medicines.

They are simply dreadful. In old gouty cases, in old cases of Bright's disease, in advanced cases of phthisis where there are many tubercles, beware of Kali Carb ^{Kali carb}. given too high.

While studying the text book, look over the sensations. They are very numerous. Of course, those most striking are the stitching, and tearing pains, shooting, sticking and wandering pains.

Stitching pains, very characteristic.

Pain in lower right chest through to back.

Anaemia with bloating, especially upper eyelids, which hang down like a bag of water.

Backache, sweat, weakness very great; drops down in chair.

Flatulence great; everything turns to gas.

Heart weak, irregular, intermits.

Modalities worse at 3 to 4 A. M.

After loss of fluids or of vitality, particularly in the anaemic.

Asthma, relieved when sitting up or bending forward, or by rocking (Arsenicum Album ^Ars.); worse from 2 to 4 A. M.

Backache, before and during menses.

Complementary to Carbo Veg ^{Carbo vegetabilis}.

Kali Carbonicum, like some others, finds its leading symptom in the character of its pains. It leads all the remedies for stitching pains. Bryonia ^Bryonia stands next, but there is a very marked difference. The stitching pains of Bryonia ^Bryonia come on with every movement, and only exceptionally when quiet, while those of Kali Carb ^{Kali carb}. come on independently of movement. Again, the stitching pains of Bryonia ^Bryonia are oftenest located in serous membranes, while those of Kali Carb ^{Kali carb}. are found anywhere and everywhere, and in almost every tissue, even to the teeth. One of the favorite localities, however, for Kali Carbonicum is in the lower right chest. This sharp stitching pain is likely to run right through to the back. If in pneumonia or pleuro-pneumonia your Bryonia ^Bryonia has failed when you thought it indicated, and further examination reveals that the stitching pains come on independently of the respiratory movement, Kali Carb ^{Kali carb}. often helps, and follows well after Bryonia ^Bryonia. Often the fact is, that Kali Carb ^{Kali carb}. was all the time the remedy and ought to have been given first. Now, these stitching pains of Kali Carb ^{Kali carb}. are not by any means confined to the right chest, but we may find them in the left, especially in pleuro-pneumonia, peri- or endocarditis. Remember, also, Merc Viv ^{Mercurius vivus} in these lower right-chest pains. If there should be present at the same time sweat without relief, and the mercurial mouth and tongue, neither Bryonia ^Bryonia nor Kali Carb ^{Kali carb}. are "in it."

Another kind of case in which Kali Carbonicum has achieved signal success, being indicated by the stitching pains, is puerperal fever.

The pains are so sudden and so sharp as to make the patient cry out loudly, and then they are gone. Kali Carb ^{Kali carb}. has saved some desperate cases of this kind. But it makes no particular difference where the disease is located, if these stitching pains are present, Kali Carb ^{Kali c}ard should not be forgotten. We cannot too strongly emphasize this.

Kali Carb ^{Kali carbonicum} exerts a profound influence over the blood-making processes. The blood lacks red corpuscles. The patient is anaemic, with great debility, skin watery or milky white. This condition is often found with young ladies at the age of puberty. They do not seem to be able to menstruate because of the poor quality of blood and general weakness. They incline to bloat, particularly in face, around eyes and especially upper eyelids, and have much pain and weakness in the lumbar region as well as general weakness. Kali Carb ^{Kali carb}. is in such cases sometimes successful after Ferrum Met ^Ferrum or Pulsatilla ^Pulsatilla have been wrongly prescribed.

Kali Carbonicum anaemic condition is also found at the menopause, and in old age, when the same dropsical tendencies appear, and the same characteristic bag-like swelling, or rather bloating, in the upper eyelids appears. In all these cases you will generally, or often, at least, find what is called "weak heart." The heart action is irregular or intermittent from very weakness in correspondence with the general muscular weakness. One of the characteristic symptoms which makes us think of Kali Carb ^{Kali carb}. in these cases in the constant backache of such a nature that the patient feels all the time that the back and legs must give out. she drops into a chair or throws herself on the bed completely exhausted. This aching often extends into the hips and down into the gluteal muscles. Patient sweats easily. Farrington says "This particular sweat, backache and weakness as a combination is not found under any other remedy."

I have already spoken of Kali Carbonicum somewhat while writing of its stitching pains as an indication for its use in diseases of the chest, but I did not there do it full justice. It is not only a great remedy for pneumonia, pleurisy and heart troubles, as there spoken of, but goes much further and becomes very useful in incipient and even with advanced cases of phthisis pulmonalis. I have seen a case pronounced incurable by several old experienced and skillful physicians, Dr. T. L Brown among them, get well under a dose once in eight days of Kali Carb ^{Kali carb}. The disease was located mainly in the lower right lung, with profuse expectoration of matter of pus-like appearance, pulse 120, greatly emaciated, no appetite, and quite a large cavity in the lung. This man is still alive (twenty-five years later), hale and hearty. Such service from any remedy makes a man fall in love with it. There is a time characteristic for Kali Carbonicum which is very valuable in chest affections, viz, aggravation at 3 A. M. It may be found in cough, consumption, hydrothorax, asthma, and dropsies attending heart disease The father-in-law of Dr. T.L. Brown, an anaemic old man, was apparently near his end with hydrothorax and general dropsy Dr Brown was a skillful Prescriber, but in this case had utterly failed to even relieve. In consultation with Dr. Sloan, after carefully reviewing the case, the fact appeared, through de daughter of the patient, who had been his nurse all the time, that all his symptoms were aggravated at 3 A. M. Now Kali Carb ^{Kali Carb}. 200 was given, and with such miraculous results that in an incredibly short time the old man was well and never had a return of that trouble. He lived for several years after, and, finally, did nor die of dropsy at all. The day of miracles is not past yet. Hahnemannian Homoeopathy performs them still.

I cannot persuade myself to have Kali Carbonicum yet, although I have given its chief uses.

I must call attention still further, even at the risk of repearing somewhat, to some very important symptoms. In regard to the nervous system I have already spoken of the great debility which I have called muscular debility, but there is a weakened condition of the nerves which renders them very sensitive which is well described in the symptoms found in the Materia Medica. "Very easily frightened, shrieks abut imaginary appearances.

cannot bear to be touched; starts when touched ever so lightly, especially on the feet" these are valuable indication for Kali Carb ^{Kali carb}. Then don't forget the "bag-like oedematous swelling in the upper eyelids." It goes with many affections and is invaluable as a guiding symptom. "Sticking pain in the throat (pharynx), as if a fishbone were sticking in it" (see Hepar sulphur, Dolichos Pruriens ^Dolichos, Nitric Acid ^{Nitric acid} and Argentum Nitricum ^{Argentum nitricum}).

"Great sensitiveness of epigastric region, externally."

"Stomach distended, sensitive, feels as if it would burst."

"Excessive flatulency, everything he eats or drinks appears to be converted into gas."

"Fullness, heat and great distention in abdomen immediately after eating a little."

"Abdomen distended with wind after eating."

All these stomach and abdomen symptoms indicate the value of Kali Carbonicum in dyspeptic conditions. They make us think of Carbo Veg ^{Carbo vegetabilis}, China ^China officinalis and Lycopodium ^{Lycopodium clavatum}, but remember Kali Carb ^{Kali carb}. and that it is especially adapted to broken down, aged people who are anaemic. "Sitting up, leaning forward, relieves in chest affections." The patient is also aggravated by lying on the affected side. Don't forget this, for it may enable you to choose between it and Bryonia ^Bryonia, which has the reverse.

Now in what I hat written I do not pretend to have told all, and if I thought that any young physician would be led to rely alone upon this work of mine or be led away from thorough study of the Materia Medica instead of to it I would stop writing; p

Region

Muscles; ligaments HEART

SEROUS and mucous membranes CHEST (R lower)

Joints

Eyes

Blood

Left side