Kali Iodatum - General symptoms

GENERAL

General

(Morning), Vertigo at 5 o'clock, disappearing after rising.

headache. after rising, heaviness in side of forehead.

heaviness in sides of head, disappearing in open air.

screwing together in head.

in bed, stitches from jaw to parietal bone.

in bed, when lying on it, tearing, etc., in zygoma.

after waking, lips full of mucus.

from 4 to 5 o'clock, jerking in eyetooth.

after rising, odor from mouth.

after waking, numbness of mouth.

in bed, rawness, etc., in throat.

after waking, distension of abdomen, etc.

after waking, pains in abdomen, etc.

dry cough. restless sleep.

on waking, fever. head hot, etc.

in bed, sweat.

(Evening), Vertigo.

headache. tearing, etc., in forehead.

throbbing in temple. stitches in top of head.

discharge of mucus from eyes.

burning in eyes. burning in lids.

in bed, stitch in ear.

tearings in ear. pain over side of face.

stitches, etc., in side of throat.

thirst. hiccough. pain in stomach.

beating in epigastric region.

cough. dry cough, etc.

pains in chest. sticking in side of chest.

tearing in metacarpal joints.

tearing in fingers. swelling of legs.

tearing in tibiae. pain in instep.

pinching in whole body.

itching on instep. from 6 to 10 o'clock, disappearing after lying down, chilliness.

from 6 to 8 o'clock, chilliness, etc.

at 10 o'clock, chilliness.

creeping in back. when going to bed, fever.

(Night), The symptoms.

heaviness in forehead, etc., after lying down, till midnight, jerking in eyetooth.

uneasiness in bowels. itching at anus.

emission of urine. cough.

oppression, etc., of chest.

pain in small of back.

tearing in knees. tearing in left knee, etc.

from afternoon till morning, chilliness.

chilly. fever..

Previously an affectionate father, his children instead of diverting his mind from care, now became simply burdensome to him.

he had to force himself by a strong effort to attend to them, and his irritable temper was shown towards them especially.

this was the more remarkable, as being quite opposed to his ordinary disposition, for he had always been a fine example of the "mens sana in corpore sano,".

Woke in the morning with an uneasy feeling of the left eye.

the edge of the orbit at the external part tender on pressure.

eyelids swollen and infiltrated on that side. The following morning, right side similarly affected.

the tenderness was evidently seated in the periosteum of the orbit, and exclusively at the outer side. On the following day, a strange sensation was felt.

it appeared like a pain extending in a direct line from the external border of one orbit to that of the other at the same spot.

the sensation was very peculiar and difficult to describe.

it was pain and something more,.

The conjunctiva of one or both eyes is often seen to be affected.

the attack commences by a more or less general and more or less rapid vascular injection, to which is speedily added a tumefaction of the mucous membrane, and an infiltration, generally well marked, of the submucous cellular, tissue, which give rise to considerable chemosis of the eye and oedema of the eyelids,.

Violent jerking or shooting in the right eyetooth, scarcely to be endured, frequently lasting for an hour but worse in the evening after lying down till midnight, and from 4 to 5 A.M.

aggravated by cold, relieved by warmth.

at times the pain is so great that it seems as though the tooth would break off, or as if a worm were digging in it (after twenty-five days),.

The salivation very much resembles that of pregnant women.

the saliva has very little viscidity.

it seems to come not only from the cavity of the mouth, but to be also the product of a kind of regurgitation.

the mucous membrane of the mouth may be rather irritated and oedematous, but there are not any signs of inflammation, as in mercurial stomatitis, nor is there observed any tendency to the ulceration peculiar to the latter.

in the majority of cases it is impossible even to discover any appreciable alteration of tissue.

the salivary glands are not the seat of any tumefaction, nor is there any peculiar odor from the breath.

patient complains that the saliva has a saltish taste, resembling that of the Ioduret of Potass.,.

Cutaneous eruption, sometimes.

when these eruptions make their appearance the patient is disquieted.

they are generally of the character of urticaria.

if the medicine be continued they assume the character of eczema and prurigo.

in some cases, especially when the eruption appears on the face, a congestion of the cellular tissue, beneath the skin, is added to the other symptoms, giving rise to slight excrescences, having the appearance of tubercles.

the eruption will disappear in a few days, after discontinuance of the medicine,.

Different eruptions, and more especially eruptions of a psydracious form, somewhat resembling the pustules of acne, with this difference, that they are not confined to the parts habitually affected with acne.

thus they are found not only on the face and shoulders, but on every part of the body without exception.

in one case we may have eczema, in the other herpes, while in others it may cause simple erythema.

Eruption on the face (after some days).

subsequently all over the body.

maculae first of a dark-red color came out, which gradually got darker, until the spots, resembled purpura.

the cuticle next became raised over some of the spots, and was filled with a fluid of a purple color, constituting large bullae an inch in diameter.

on the cuticle giving way the true skin was found sphacelated underneath.

the ulcers continued over a month,.

He presented a most grotesque appearance, looking more like a leopard than, a man.

he was mottled all over with spots.

those on his face were purple, whilst those on the lower extremities were of a dark-red color.

the spots on the legs came out last.

there were two large bullae on the forehead, one on the lip, two under the left clavicle, two on the inside of the right thigh, one on the side of the prepuce.

after a few days the prepuce corresponding to the bullae had sphacelated, and the integuments of the penis, as far as the pubis, were involved in mischief.

mortification had also seized upon the lip and the other parts specified as having bullae.

the eruption disappeared first from the face, and afterwards from the lower extremities.

the sphacelated parts were thrown off, including the whole penis, body, and integuments, from the pubis, not leaving a vestige of it behind,.

A sudden extremely painful dragging in both groins, so that she was obliged to bend together, after taking the usual cold milk in the morning.

frequent yawning, great weariness in the thighs, violent griping in the abdomen extending to the thighs, extreme restlessness, so that she could not remain in any position, chilliness with gooseflesh.

anxiety and warmth in the head.

followed by eructations and rumbling in the abdomen. The menstruation which had just commenced, partly stopped.

afterwards nausea and pressure in the stomach, with inclination to vomit, aggravated by moving about.

shivering in the face and hands with heat and perspiration of the face (after fourteen days),.

Jerkings of the limbs, especially violent in the left arm, also in the whole of the face, especially on the left side, with great anxiety, apprehensiveness, and palpitation.

this attack was repeated six times on the first day and twice on the second day, but was more violent and lasted an eighth of an hour and ended with vomiting and violent headache.

on the second day violent rolling of the eyeball, both pupils contracted, the facial muscles contracted, the left corner of the mouth drawn downward, the mouth opened and closed numberless times while uttering unintelligible words.

violent palpitation, short rapid respiration, pulse hard and full, forehead, neck, and chest covered with perspiration, face fiery red, with loss of consciousness.

after the paroxysm, trembling, weeping, complaints of heaviness of the left arm, abdomen small, soft, tongue white rather than yellow.

efforts to vomit relieved by vomiting.

these attacks were repeated on the two following days, after which there were no spasms, only cramp in the throat with a sensation of dryness,.

GENERAL SYMPTOMS.

Objective.

Nervo-sanguine temperament,

Augmentation of the secretive action of the mucous membranes, especially of those lining the genital organs,

Excessively thin,

Emaciation,

Considerable emaciation,

Considerable general emaciation,

Great emaciation, with accumulation of water in different internal organs,

Remarkable emaciation,

Marasmus resembling the third stage of phthisis,

Extreme marasmus,

It affects the fibrous structures, as the periosteum, and capsular ligaments of joints,

Ostitis with suppuration,

Trembling,

General trembling,

Some have been affected with spasms, and even a degree of subsultus tendinum,

Nervous twitchings and facial contortions,

General depression,

Languor and weakness, which did not disappear for several days after suspension of the medicine (after four days),

General debility,

Great general debility,

Marked debility,

His frame greatly debilitated,

Notable diminution of strength,

Extreme weakness,

Great prostration of strength (after four doses),

The vital powers were prostrated to the lowest degree, every moment seemed about to snap the thread of his earthly career,

Fell unconscious (fourth day),

He emitted a most abominable smell from his whole person,

Great restlessness (three hours after third dose),

Great restlessness, with inclination to keep moving, to practice gymnastics, and to squeeze forcibly anything taken into the hands,

Extreme restlessness (after one hour),

Great nervous mobility,

General uneasiness (first three days),

Great uneasiness in every position (after three hours),

Agitation and nervous uneasiness,

Subjective.

Nervous susceptibility exaggerated, but without any appreciable localization of disease,

Skin very sensitive to cold,

Very distressing condition of the nervous system,

Nervous irritation harassed him very much,

General feeling of weakness and depression, making him incapable of exertion; could scarcely walk or stand,

Felt poorly (after third dose),

Began to feel unwell (after third dose),

General malaise (immediately),

During the pains in the kidneys, abdomen, and stomach, vertigo, dulness, intoxicated sensation, malaise, and debility; he does not know what to do with himself, as every position is tire-some and painful,

Indescribable sensation of anguish (soon after),

Continual complaints (after one hour),

Burning, lancinating, throbbing, pungent, and rheumatic pains, and pains in the bones, especially at the beginning of the cold season, after excesses, or resulting from syphilitic affections,

Pinching here and there in the whole body, worse in the evening (after fourteen days),

Tearing here and there in the whole body, for several days in succession (after eight days),

(Never failed to see a decrease or suspension of the pains of the bones), (after one or two days),

Incipient organic changes; gouty-rheumatic, syphilitic, rickety, etc

Many and diverse symptoms

Feels used up

Cachexy

Stubborn chronicity Arterio-sclerosis

Craves motion in open air Various symptoms

Crushing or sharp stitching pains

Weakness COPIOUS, watery, acrid, salty, thick, green or foul discharges

Catarrh

Pains long after trauma

Diffuse soreness; of affected part

OEdematous swelling

Irritable, harsh tempered and cruel

Harsh

Can't think

Despondent

Bad temper

Head bone pains, lightning like, worse warmth or lying on part

Big head and small jaws; rickets

Tender spots on head

Bilateral headache

Scalp sore; fissured

Burning, watery, puffy eyes Chemosis

Tinnitus Acrid coryza with dyspnoea and salivation

Salivation

Burning throb in nasal and accessory cavities

Colds from every damp day

Red, swelled nose; tight pain at root, zygomae and root of tongue

Takes cold

Violent sneezing

Acrid, watery coryza, worse cool air

Ozoena

Glutinous mucus on lips in AM

(Zin-cl)

Nagging toothache

Taste salty; bitter on waking

Sore-throat of speakers (Aru-t)

Flatulence; squeaking

Early diarrhoea of phthisis

Frequent stools and urine

Leucorrhoea, corrosive; like meat washings

Air hunger; with flatulency, in AM

; awakens strangling

Whistling, asthmatic breathing

Raw air-passages Croupy hoarseness

Dry bronchitis

Frothy expectoration

Backward chest pains

Pneumonia

Pain, sternum to back

Painful lumps; in scalp

Giant urticaria

Chilly in bones; in painful parts

Heat in evening; uncovers, then chills

Alternate heat and chill

Heat with shudders

Hot and dry, then drenching sweat

Profuse night sweats, which better

Actinomycosis

tinnitus. Emaciation. Erythema nodosum. Eyes, affections of.

cysts on lids of. Fibroma. Glandular swellings. Gonorrhoea. Gout. Gumma. Hćmorrhages. Hay fever. Housemaid's knee. Influenzinum ^Influenza. Intra-menstrual hćmorrhage. Joints, affections of. Laryngitis. Liver, diseases of. Locomotor ataxy. Lumbago. Lungs, hepatisation of.

Kali Iodatum ^{Kali iod}. is one of the few medicines on whose definite action reliance can be placed in ordinary practice.

That its action is specific is generally admitted; and specific is the same thing as homoeopathic.

I rarely find occasion to use it in lower attenuations than the 30th.

As we should naturally expect, Kali Iodatum ^{K. iod}., being anti-syphilitic, is also antidotal to Merc Viv ^mercury.

Experience seems to show that it is those patients who are charged with the disease or with Merc Viv ^mercury, or both together, who can support the massive doses of Kali Iodatum ^{K. iod}. which are sometimes given.

But the salt is often given as a diagnostic, and then, if care is not taken, there is great danger to the patient.

I have seen patients irretrievably reduced in strength by Kali Iodatum ^{K. iod}. given on the supposition that they were syphilitic.

I have recorded in my Diseases of the Heart (p. 165) the case of a gentleman, 74, who had a psoriasis-like skin affection for which he consulted a homoeopath.

Massive doses of Kali Iodatum ^{K. iod}. were given, and the skin disease disappeared in a fortnight.

But the patient was practically killed.

He cried like a child without knowing why.

He lost over a stone in weight.

He could eat very little, and everything Caused distress and a full sensation.

Palpitation came on at all times, and kept him awake at night.

The pulse was a mere flicker in the attacks, and was irregular, intermittent, or very frequent in the intervals between.

It was in this state that he came to me, but the powers of reaction were destroyed, and nothing that I gave made any impression.

He left London, and died very shortly afterwards.

Here is another case of Kali Iodatum ^{K. iod}. poisoning, when unbalanced by antidotal drugs or disease.

It is related by Jonathan Hutchinson.

There was no skin eruption at that time, but shortly one did appear, and was thought to confirm the diagnosis.

The dose was increased to 10 grains at the end of the week, ten days later to 15 grains, and still later to 20 grains.

Kali Iodatum was kept up from July 23rd to October 9th. Merc Viv ^Mercury was then substituted, but this made no change, and the patient, who was getting worse the whole time, died of exhaustion in a fortnight.

The swellings attained the greatest size on face, legs, and upper chest.

A coloured plate illustrating the case was published, showing the tumours to be dark purplish red in colour.

Though it has not been extensively proved, the recorded and attested effects of over-dosing are numerous enough.

P. Jousset (L'Art Médical, October, 1899, 241) has referred to Rilliet's experiments with the drug on the healthy.

He experimented on twenty-eight persons, mixing their table-salt with one ten-thousandth part of Kali Iodatum ^{K. iod}., so that in two years each would have taken 40 centigrammes.

Here is one of the cases A man, 45, of very strong constitution, never had any illness.

At the end of seven months he began to waste; had palpitation; became sad and melancholy; had fixed ideas, weakness, indefinable malaise in the lower abdomen with constipation.

The iodised salt was accidentally suspended during January and February, and he completely recovered.

Returning home in the month of August, he commenced the salt again, and the same symptoms returned with much more intensity than before notable and progressive wasting with voracious appetite.

trembling. palpitations.

fixed look. yellow complexion.

above all the moral disturbances were very pronounced agitated even to tears.

irritability. disgust and discouragement agitated sleep.

It took two months for him to recover this time.

The record says that the man's health was again "completely restored"; but this is not quite correct.

After the first poisoning, although complete health was apparently regained, there was left an extreme susceptibility to the drug's action, so that a much shorter period of poisoning was required to reproduce the symptoms in a greatly aggravated degree.

And two years after this, although health was apparently perfectly restored, a visit of twenty-one days to the seaside nearly cost the man his life.

The same symptoms reappeared.

He was reduced to a skeleton, the appetite being all the time exaggerated.

In walking he was almost bent double, trembling and out of breath at the slightest movement.

Pulse weak and very frequent.

Finally he was compelled to keep his bed, and had great difficulty in reaching his home in Geneva.

There he promptly got better.

But in spite of the apparent recovery a very profound change in the organism had occurred; and from this experience "agg. at the seaside" must be numbered among the conditions of Kali Iodatum ^{K. iod}.

Two others, both women of sixty, had the same symptoms as this man, one at the end of two months, the other at the end of four.

On the rest of the twenty-eight experimented upon no symptoms were observed.

Joussett quotes from the same authority experiences with the same salt in the treatment of goître.

A man of fifty had a round, indolent, non-fluctuating goître on the right side of the neck, the size of an orange, of very slow growth.

He took every morning, fasting, a spoonful of water containing one gramme (15 1/2 grains) of Kali Iodatum ^{K. iod}.

From the first day of the treatment he felt an indefinable anguish.

The sixteenth day there was increased malaise and considerable wasting, and the patient threw his potion into the lake.

Two days later his doctor found all the grave symptoms of the poisoning; but the goître was three parts gone.

The patient was sent to the country and was ill all the summer, but completely recovered in the winter, the goître having returned to its original size.

Kali Iodatum experience was repeated on three other patients; but a goîtrous dog was more fortunate.

Two centigrammes (gr. 1/6) was sufficient to produce all the symptoms in him, and his goître disappeared and did not return when he recovered from the poisoning.

In this connection may be mentioned the power of the salt over tumours of other kinds.

Enlarged lymphatic glands, syphilitic nodes, condylomata, and tumours of the breast and uterus have been removed by it.

Kali Iodatum has occurred under the action of the crude salt for the most part; and the general explanation is that the solvent action of the drug is most powerfully excited on the more lowly organised new tissues.

But this would not apply to all cases.

We have seen in Hutchinson's case that Kali Iodatum ^{K. iod}. can produce tumours as well as remove them; but Jules Gaudy has put on record another experience (Journ. Belge d'Homoeop., vi. 57).

Several cases of abdominal tumour were successfully treated by him with Kali Iodatum ^{K. iod}. in 3x, 10 and 15 centesimal triturations.

Two of these had been unsuccessfully treated with the crude salt before coming under his care.

Kali Iodatum they could not tolerate on account of loss of appetite and irritation of the mucous membrane of mouth and throat.

One of these patients had a large tumour on the level of the great curvature of the stomach extending on both sides, plunging into the abdominal cavity and extending into the pelvis; it was adherent and difficult to define.

She had a jaundiced, dirty-looking skin, and loss of appetite, and mostly vomited her food.

Health rapidly improved, and in three months there was hardly any tumour to be discovered.

The remains of it evidently depended from the epiploon.

The second case was very similar in nature to this.

Cooper reports this case "Womb packed with fibroids, pain in right inguinal region on exertion, spirits depressed, tinnitus like buzzing of flies, constant tired, sleepy feeling down the limbs, hot burning feet, though sometimes intense shivering all over, pains in the breasts, which are tender, unable to go long without food, constant distension as from flatus, sinking at scrobiculus cordis at 11 a.m., sleep dreamy.

all these symptoms moved away under Kali Iodatum ^{K. iod}. 30, leaving the patient in absolute comfort." Cooper adds this note "There is much resemblance between the actions of Kali Iodatum ^{K. iod}. and of Sulphur ^Sul. in their 30th dilutions.

After bronchitis, pneumonia, erysipelas, and other inflammatory affections, Kali Iodatum ^{K. iod}., in 30th and also in cruder forms, acts like magic, apparently from the removal of the effete products left in the tissues.".

glands atrophy, tissues, especially connective tissues and ligaments, inflame and ulcerate.

The periosteum and bones are attacked and nodes appear.

But Kali Iodatum ^{K. iod}. is perhaps more anti-scrofulous than anti-syphilitic.

It also causes infiltration, oedema and dropsy of various kinds.

The blood is acted upon, hćmorrhage occurs, and purpura hćmorrhagica.

A grand indication for Kali Iodatum ^{K. iod}., as pointed out by Cooper, is a "diffused sensitiveness" over parts affected.

Kali Iodatum appears in the provings "The scalp is painful on scratching, as if ulcerated (after eleven days)." This is from Hartlaub and Trinks. "Swelling of the whole thyroid gland, increasing very rapidly, with some sensitiveness to touch and pressure." It has removed sensitive syphilitic nodes.

I have often verified this indication.

In all neuralgic or inflammatory conditions where there is heightened and diffused sensitiveness of the affected part, Kali Iodatum ^{K. iod}. must be considered.

I cured with Kali Iodatum ^{K. iod}. 30, in a middle-aged man, neuralgia occurring daily over the left eye; in addition to this he complained that his head was very sore.

He had also Sore gums and a cough, and was amel. lying down.

Farrington mentions "Headache of the external head, hard lumps like nodes on the scalp which pain excessively." This may be either syphilitic, mercurial, or rheumatic.

Cooper cured with Kali Iodatum ^{K. iod}. 30 a case of rheumatic gout in a lady; every joint affected; unable to sleep for weeks on account of the pain.

The keynote indication was "After fatigue, hepatic region becomes tender." He commends it in affections of the spleen with diffused sensitiveness of spleen region and dropsy. Kali Iodatum ^{K. iod}. also corresponds to serous effusion on the brain secondary to hepatisation of the lungs.

The action of Kali Iodatum ^{K. iod}. in the respiratory sphere is very important.

The coryza of Kali Iodatum ^{K. iod}. is well known, and constitutes for the old school the only generally recognised indication of "Iodism," as it is called, with supreme disregard of the Kali element.

The discharge is acrid, watery; the eyes smart and are puffed, there is lachrymation. (This action on the eyes may develop into iritis, keratitis, and chemosis.) The coryza recurs repeatedly from every little cold, and makes the nose red and swollen.

The discharge may become thick, green, offensive; ozćna and perforation of the bones may occur.

The voice becomes nasal, hoarse, or is lost. "Awakened especially 5 a.m., with dry throat, oppression, loss of voice, glands swollen," as in croup and oedema glottidis. Kali Iodatum ^{K. iod}. corresponds to many cases of phthisis, laryngeal and pulmonary.

A characteristic is Stitches through the lungs; in middle of sternum; through sternum to back or deep in chest while walking. "Deep, hollow, hoarse cough with pain through breast." The characteristic expectoration is greenish, copious, and looks like soapsuds.

Hering speaks of Kali Iodatum ^{K. iod}. as having been curative in pneumonia and Bright's disease.

Lutz (quoted H. W., xxviii. 175) remarks on the frequency (from atmospheric causes) of bronchial asthma among both whites and natives in the Sandwich Islands, the symptoms being those of a suffocating capillary bronchitis with defective expiration, Kali Iodatum ^{K. iod}. (crude) giving speedy relief. "The initial, pronounced, and unmistakable symptoms of Kali Iodatum ^{K. iod}. are coryza, sneezing and bronchitis.

and from these spread out an expanse of symptoms such as might be expected from so usual a starting-point of disease" (Cooper). Kali Iodatum ^{K. iod}. has been commended as a protective against foot-and-mouth disease in cattle (B. M. J., June 26, 1895).

The heart is profoundly affected, as we have seen above. "Fluttering on awaking; must get up, fearing otherwise he will smother." It is a favourite remedy for aneurism among old-school practitioners, but there is no need to imitate their massive doses; its action is evidently specific.

Walking greatly agg. all heart symptoms.

It is suited to many cases of rheumatic heart, as well as other rheumatic conditions.

The digestive tract is no less disordered than other mucous membranes.

There is a terrible pain at the root of the tongue which is characteristic.

There is loss of appetite and indigestion with flatulence and bloating almost as intense as that in Lycopodium ^Lycopod.

Cold much agg. all these symptoms.

The rectum and genito-urinary tract have many symptoms.

I cured with it a case of spasm of the rectum with a little pain in the urethra coming on after coitus. Psorinum ^Psorinum and Sulphur ^Sulphur had given partial relief before.

Kali Iodatum agg. after coitus relates Kali Iodatum ^{K. iod}. to the other Kalis─Causticum ^Caust., K. bich., and Kali Carb ^{K. carb.} Eruptions of many kinds appear, scrofulous and syphilitic in appearance.

There is a papular and pustular eruption, especially on scalp and down back, the pustules leaving scars when they heal.

Among the peculiar sensations of Kali Iodatum ^{K. iod}. are As though head was enlarged; as if it were screwed in; as if a large quantity of water were forced into brain; as if it would be forced asunder; as if a leaflet were at root of nose.

As if a worm was crawling at root of nose.

Back as if in a vice. As of a tumour in ovaries.

In chest as if cut to pieces.

In coccyx as if bruised.

Cooper has cured with it many cases of noises in the ears, giving a single dose of 30 or higher and allowing it to work.

The chief time Condition of Kali Iodatum ^{K. iod}. is in the main the same as those of the other great anti-syphilitics.

Syphilinum (Luesinum) ^Syph., Aurum Metallicum ^Aur., Merc Viv ^Merc., and of the disease itself, agg. at night, from sunset to sunrise. This applies to its rheumatic and other affections. The sciatica of Kali Iodatum ^{K. iod}. is agg. at night, agg. lying on painful side, amel. in open air. The chest symptoms, like those of Kali Carb ^{K. ca.}, may be agg. in early morning 2 to 5 a.m. Headache agg. 5 a.m. (also headache agg. after a night's rest). Loose stools also occur at that time (K. bi.). Like Merc Viv ^Merc., Kali Iodatum ^{K. iod}. has great sensitiveness to atmospheric changes Every little exposure every damp day will set up the symptoms. At the same time there is the amel. in open air of Iodium ^Iod., &c. "Irresistible desire for the open air.

walking in open air does not fatigue." The chill of intermittent fever is not amel. by warmth.

but warmth amel. many symptoms of teeth and scalp. In general, however, there is aversion to heat. Heat agg. headache. Motion agg., especially walking.

after the first movement, in the lower limbs it is more bearable. Sitting hurts, and flexing limbs amel. some of the pains. agg. From touch is a very marked feature of Kali Iodatum ^{K. iod}.

this is part of the "diffused sensitiveness" noted by Cooper. All symptoms agg. by drinking cold milk. "Kali Iodatum ^{K. iod}. is a remedy that has a great number of keynotes. It seems to meet all temperaments, and while suitable for pale, delicate subjects, is also required for those who flush easily and are manifestly plethoric. A diffused arterial vasculosis is met by it, but it is also called for in venous states. Kali Iodatum's characteristic tinnitus aurium is certainly the sharp, shrill, hissing and piercing noises, but it also relieves the throbbing, pulsative noises, especially when the heart is hypertrophied and inclined to fatty degeneration. Diversity of lesion, diversity of aggravation, and prolixity of symptoms without any one feature being in prominence, calls for it a moderate amount of catarrh of one or more of the orifices of the body, with tendency to flatulent distensions, depression, used up feelings, inability to think, are characteristic. But perhaps the most satisfactory action of Kali Iodatum ^{K. iod}., in the 30th, is in rickets (and rickety conditions) along with its many attendant symptoms. When children cannot bear to be touched, cannot ride in jolting conveyances, have big heads and emaciated limbs, big teeth and small jaws, and when they incline to frequency of urination and of defćcation, Kali Iodatum ^{K. iod}. 30 will work wonders. In child-life Kali Iodatum ^{K. iod}. acts at once if indicated and completely clears away the symptoms in adult-life it may often have to be reverted to during the treatment of very obstinate forms of disease. While this is true in a broad sense, it is also true that there is no known prescription that gives a better chance of removal of that very obstinate symptom tinnitus aurium than a single dose of Kali Iodatum ^{K. iod}. 30 allowed to act. This must not be taken as justification for careless selection of the remedy in cases marked by contra-indicating features" (Cooper).

Sticking deep in middle of chest.

in r. side. in r. costal region behind breast.

in middle of sternum in afternoon, with pressure.

in l. in evening. in r. lowest ribs at 8 p.m., with sore pain.

in middle when walking.

in upper part of l. when sitting bent over, amel. becoming erect.

in middle amel. moving about.

in middle of sternum extending to shoulders.

Potassium iodide. Hartlaub.

* * * *

The medicines that are the most powerful substances are really those that sustain in homoeopathic relation to the disease in general, and of these the very smallest dose often cure when similar. When the remedy is not similar enough to cure in such a form the increasing of the dose does not make it homoeopathic. There is an idea in vogue that increasing the dose makes the remedy similar. That is going away from principle. If the remedy is not similar there is no form of dose that can make it similar.

The old subjects who have always been taking Mercurius Dulcis ^Calomel or Blue Mass for their bilious complaints will in time become subject to frequent coryzas, constipation, pains and aches, and disturbance of the liver, and disordered stomach, and must have another dose of Merc Viv ^Mercury Some of these cases need Kali Iodatum. If you practice medicine in a neighborhood where there is a very poor homeopath you will find that he is giving the Biniodide, or some other preparation of Merc Viv ^Mercury, for almost all of the colds or sore throats.

Kali Iodatum establishes upon all of these patients an over-susceptibility to the weather changes, and they keep taking these red mercurial powders. Some of them carry them around in their pockets. But the more they take of these red powders the more frequently they have sore throats and colds. Many times they will not get over these troubles without Kali Iodatum ^{Kali iod} in potentized form, or Hep Sulph Calc ^Hepar

Hep Sulph Calc ^Hepar and Kali Iodatum ^{Kali iod} are the two principal medicines that such patients need. Individuals with this susceptibility to colds and sore throats and weather changes, that is, from the effects of Merc Viv ^Mercury, who have been led into a Mercurial state, run two ways,

Those who are invariably shivering and cold, and want to hover around the fire, and cannot keep warm, will need Hep Sulph Calc ^Hepar, and those that are always too warm, that want the covers off, and want to be in constant motion, extreme restlessness, very tired when keeping still, will have their Merc Viv ^Mercury antidoted by Kali Iodatum ^{Kali iod}

The Mercurial state will be antidoted, but it sometimes takes several prescriptions and sometimes a series of carefully selected remedies. The psora, that is, his chronic state, will not manifest itself until you have lifted off this miasmatic state, which has been caused by Merc Viv ^Mercurius It is astonishing what a great number of men, women and children are bowed down by the miasm that Merc Viv ^Mercury produces, and yet those prescribers go on, giving this form of Merc Viv ^Mercury and say it is practicing Homoeopathy. I am led to remark that there is yet much to be learned about the art of prescribing.

There is a very strong degree of irritability, cruelty, and harshness of temper He is harsh with his family and with his children; abusive. It will take all the sense of refinement out of his mind and then he will become sad and tearful.

Extremely nervous, and must walk and be on the go. If he remains in a warm room he becomes weak and tired, and feels as if he could not stir, does not want to move, and does not know what is the matter with him.

He is worse in the warmth of the house, but as soon as he goes into the open air he feels better, and as soon as be begins to walk he feels still better and can walk long distances without fatigue; goes into the house again and becomes weak and tired and exhausted.

A nervous and mental exhaustion comes on from resting.

These are worse in the house, and better from warmth and from motion, better walking in the open air. All through the head there are pains like knife stabs, like nails driven in.

lancinating pains, cutting pains in the scalp, in the temples, over the eyes through the eyes. The pericranium becomes sensitive and filled with nodules. The scalp breaks out with nodular eruptions, tuberculous eruptions, syphilitic eruptions.

"Scalp painful on scratching as if ulcerated."

"Great disposition for hair to change color and fall out."

Coldness of the painful parts.

If you consider that a case of inflammation must run its course, and will be associated with fibrinous exudations, and adhesions most probably follow, of course you must adopt the plan of dilating with Atropine, and hold the Irisso until the disease has run its course. But the disease does not run its course after a proper remedy, and as that is the last symptom to appear, it will be the first to go, and you may expect the eye symptoms to disappear within twenty-four hours after the administration of the homeopathic remedy.

Kali Iodatum has marked conjunctival trouble, with green catarrhal discharges from the eyes. This green character applies whenever you can find discharges. There is copious, thick, green expectoration, green discharges of muco-pus from the nose, from the eyes, from the ear, thick, greenish leucorrhoea, green discharge from ulcers. These thick green or yellowish-green discharges are sometimes very foetid.

At times when you examine the conjunctiva it seems to puff out as though water were behind it, a chemosis.

Iodide of potash, produces that state.

"Chemosis, purulent secretion."

In olden times when I used to give Iodide of potash to rheumatic patients, according to the prevailing craze, I would notice, after a day or two, chemosis coming into the eyes and the patient beginning to ache in his bones all over, while the rheumatism of the joints would disappear. An allopathic effect was taking root upon that patient which would last for years. I have noticed that a large dose of Kali Iodatum ^{Kali iod}. in syphilitics would make the patient get up the next morning with difficulty in opening the lids, and upon opening the eyes the conjunctiva would form water bags, as though water were behind them and they were bagged out.

Kali Iodatum ^{Kali iod}. also produces oedema of the lids and injection and tumefaction of the conjunctiva. The mucous membrane becomes red, raw and bleeding. The vessels are enlarged and the surface is very sore, inflamed and smarting. He is compelled to hold the eyelids during winking.

Old gouty subjects who must keep in motion, and must keep in the open air, who are always too warm, and cannot endure any degree of warmth in the room, who suffer more from their gouty pains when keeping quiet, those who are fatigued when keeping quiet and can walk and move without fatigue in the open air, especially when it is cold, with enlarged joints, with restlessness, anxiety, nervousness, harshness of the temper and great irritability, alternating with weeping.

Kali Iodatum relief from motion will make the routinist give Rhus Tox ^Rhus in many instances, but Rhus Tox ^Rhus would have no relation to the case whatever. Remember, Rhus Tox ^Rhus is a cold patient, who is always shivering and wants to be by the fire, whose complaints are better by the heat, he is better in a warm room and becomes fatigued from motion, whereas Kali Iodatum ^{Kali iod}. does not become fatigued from continued motion.

The nose comes in for much trouble.

In old syphilitic catarrhs they blow out great crusts and pieces of bone.

syphilitic ozoena. the bones of the nose are very sensitive to touch and become necrosed, and the nose flattens down and becomes soft. It is deprived of the bony framework that holds it in shape and settles down flat, leaving only the red tip. Extreme pain at the root of the nose like Hep Sulph Calc ^Hepar.

Thick, yellowish-green, copious discharge from the nose. Every change of the weather brings on catarrhal states. He is constantly taking cold, sneezing continuously. Copious, watery discharge from the nose, excoriating the passage, and causing burning in the nose. This coryza is worse in the open air, but all the rest of the patient is better in the open air.

Consequently, when a patient has two such conditions that operate against each other he suffers much, because he cannot find quarters for relief. In a warm room his nasal catarrh, or his coryza, is better, but in the open air he feels better as to the rest of his complaints.

"Repeated attacks of violent, acrid coryza from the least cold."

With the coryza the frontal sinuses become involved, and there is great pain through the forehead; pain in the eyes, pains through the cheek-bones.

Deep ulcers in the throat, old syphilitic ulcers; perforating ulcers, eating away and destroying all the soft tissues, the uvula and the soft palate. Ulceration upon the tonsils; enlarged tonsils; very painful sore throat. Knots and knobs in the throat upon the mucous membranes.

"Dryness of throat and enlarged tonsils."

"Terrible pain at the root of the tongue at night."

The whole pharynx, larynx, trachea and bronchial tubes suffer from catarrhal conditions. Inflammatory conditions with greenish discharge.

While all the external symptoms and the rest of the body symptoms are relieved in the cold air and by the contact of external cold, internally cold things aggravate. Cold milk, ice cream, ice water, cold drinks and cold food, cold things in the stomach worse all the symptoms. Though he has an excessive thirst and will drink large quantities of water, if very cold it will make him sick.

Kali Iodatum ^{Kali iod}. has all the flatulence and belching of Carbo Veg ^{Carbo veg}. and Lycopodium.

The glands all over the body become tumid, enlarged and hard. It has cured enlargement of the thyroid gland; it may take this from Iodium ^Iodine

Very characteristic is the chronic inflammation of the urethra, following gonorrhoea, where the discharge is thick and green, or greenish yellow, without pain. Inflammation of the testicles, syphilitic in character.

Pain and rawness in the larynx, with hoarseness.

awakens from constriction of the larynx. It is very useful in phthisis of the larynx. Cough from constant irritation in the larynx. Dry, hacking cough, hoarse cough with copious greenish expectoration. Catarrhal phthisis with thick, copious, greenish expectoration. Pleuritic effusion. Fluttering of the heart. Palpitation on slight exertion or when walking. Rapid pulse.

Not only in old gouty troubles, but in patients threatening phthisis, and in old malarial troubles this medicine will be of great service.

It cures sciatica when the pain is sharp from the hip down, worse lying, sitting or standing and better walking.

You may go to the bedside of a patient who is suffering from what she calls "hives;" you will find she is covered from head to foot with an eruption that forms great nodules; she is fairly burning up from head to foot. She cannot endure any covering; the heat of her body is intense, yet she has no rise of temperature.

Rough nodular manifestations all over the skin; a condition that will go away in a few hours, but in a few days, weeks or months come back again. A single dose of a very high potency of Kali Iodatum ^{Kali iod} will turn things into order in persons subject to these hives and they will not come again.

Cough with profuse, thick, green, salty expectoration, from deep down, as if from mid-sternum, with pain through to back; great weakness and night sweats

Stitches through the lungs; in middle of sternum; through sternum to back or deep in chest; worse walking

Irresistible desire for open air; walking in open air does not fatigue; periosteal rheumatism

Intolerable bone pain, especially at night; syphilitics

Syphilitic affections, especially after the abuse of Merc Viv ^Mercury

Glandular swellings; interstitial infiltration

Hepar sulphur. antidotes its over-use

Kali Iodatum is one of the drugs so greatly abused by the old school that I confess to not having prescribed it much; in the first place, from my prejudice against it, and, in the second, because it never had so thorough a proving as did Kali Carb ^{Kali carb}. by Hahnemann

There is one condition of the respiratory organs in which I have found it of great value. When after a hard cold a long-continued cough is the consequence, or it may be after an attack of pneumonia. The patient seems as if running into consumption. There is profuse expectoration from low down, deep in the chest, as if it came from mid sternum, with pain through to between the shoulders (Kali bichrom.) (Kali Carb ^{Kali carb}., lower right chest through to back), and there are exhausting night-sweats and great general weakness. I have repeatedly cured such cases where consumption seemed inevitable

In the beginning of my practice I used to dissolve two to four grains of the crude salt in a four-ounce vial of water and direct to take a teaspoonful of this preparation three times a day, until it is half used, and then fill up with water and continue taking the same way until cured; filling up the vial every time it was half used. But several years ago, having a marked case of this description and feeling sure of my remedy, I gave it in the 200th potency as an experiment. This case also made fully as speedy a recovery as the others treated with the crude drug, so since then I often prescribe it in the potencies. There are two other remedies that may dispute the place with Causticum ^{Kali hyd}. in such cases, viz., Sanguinaria Nitrica ^Sanguinaria and Stannum Iodatum ^Stannum. In all the expectoration is profuse and thick, but in Stannum Iodatum ^Stannum the matter tastes sweet, in Sanguinaria Nitrica ^Sanguinaria the breath and sputa are very foetid, even to the patient (also Sepia ^Sepia and Psorinum ^Psorinum), while in Causticum ^{Kali hyd}. it is salty to the taste (Sepia ^Sepia). With Causticum ^{Kali hyd}. and Stannum Iodatum ^Stannum the expectoration is often thick, green.

We claim, therefore, great superiority for our system of prescribing, which is based upon a system of close drug proving, which brings out the closest, finest shades of difference between remedies belonging to a class of remedies. There must be no substitution of one for the other, if we would do the finest prescribing possible

It requires but little comparison between the Materia Medicas of the two schools to show the wide difference in this respect

There is said to be a place for the use of Kali Iodatum in pneumonia. I have not had experience with it here, but on account of its reputation I give it, and may use it if occasion requires

I give you Farrington's words for it "Pneumonia, in which disease it is an excellent remedy when hepatization has commenced, when the disease localizes itself, and infiltration begins. In such cases, in the absence of other symptoms calling distinctively for Bryonia ^Bryonia, Phosphorus ^Phosphorus or Sulphur ^Sulphur, I would advise you to select Iodium ^Iodine or Iodide of Potassa. It is also called for when the hepatization is so extensive that we have cerebral congestion, or even an effusion into the brain as a result of this congestion." The symptoms are as follows in these cases

"First they begin with a very red face, the pupils are more or less dilated, and the patient is drowsy; in fact, showing a picture very much like that of Belladonna ^Belladonna. You will probably give that remedy, but it does no good. The patient becomes worse, breathes more heavy, and the pupils more inactive to the light, and you know then that you have serous effusion into the brain, which must be checked or the patient dies." So far good. But now even Farrington dulls -as great men sometimes do. He says, "why did not Belladonna ^Belladonna cure?" "He who prescribes by the symptoms alone in this case would fail, because he has not taken the totality of the case." What does Farrington mean? Does he mean that in his picture of Belladonna ^Belladonna he had the totality of the case without the hepatization, or does he mean that the hepatization was the totality without the other symptoms? Here are the two horns of his dilemma -which would he take? I contend that all the other symptoms of the case, without the hepatization, was not the totality of the case. The hepatization was one, and only one, of the totality of symptoms. Now he says -"Put your ear to the patient's chest, and you will find one or both lungs consolidated." Well, I should call that a very important objective symptom, and one that could not be left out of the totality of the case. Remember that both subjective and objective symptoms must enter into every case in order to make the totality complete.

So after all, in true Hahnemannian fashion, I claim that he who prescribes, being guided by all the symptoms, will not and cannot fail where a cure is at all possible. These are and must be our infallible guides, or Similia Similibus Curantur is not true. (see Kafka's case, Hom. Clinic, page 73, 1870)

Guiding Symptoms, Vol. VI, page 441, records this -"Distends all the tissues by interstitial infiltration; oedema, enlarged glands, tophis exostoses.

The very fact that Kali Iodatum ^{Kali i}odatum has been too generally and indiscriminately used is the reason why it is a great question as to whether humanity has been most blessed or cursed by it. We homoeopaths have much to do in combating the evils produced by the abuse of both these drugs, and Hepar sulphur, is one of the best antidotes. Most of the reported cures with Kali Iodatum Kali Iodatum ^{Kali iod}. are made with the low or crude preparations of the drug. I think it can be used lower than most drugs without injury, and yet I believe we do not know half its remedial power as developed by our process of potentization; ig Symptoms appear in the morning ; forenoon ; afternoon ; evening ; night ; before midnight ; after midnight.

AKA

Potassium Iodide. Kalihydriodicum. KI. Solution. Trituration.

Region

Glands

Frontal sinus

Nose

Eyes

Lungs Upper

Lobe

Periosteum

Characteristics

dissolving them