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Phosphoricum Acidum - General symptoms

Phosphoric Acid, Phos acid, Acid Phos, Phos ac, Phos-ac, Phosph-ac, Phos. ac, Acidum phosphoricum, Ph-ac.

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HPUS indication of Phosphoricum Acidum: Headache

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



Violent, extremely hard pressive pain as if on the surface of the brain and in the periosteum of the portion of the skull upon which he was just lying, on waking after midnight.

on continuing to lie upon the part, the pain became intolerable.

on lying on another place, it there began with equal violence, but disappeared in the former place,.

While sewing, reading, and writing, it seems as though a mist were before the eyes.

she cannot distinguish letters, but at a distance everything is bright and clear.

if she looks away from her work a moment, then she is able to see near objects better, though the dimness of vision immediately returns on reading.

without pain in the eyes,.

WEAK OR DEBILITATED, with free secretions Slowness Pains go to part lain on

Bruised soreness; like growing pains

Sense of pressure

Formication; at roots of hair; along spine, limbs, etc

Loose joints

Grows too fast

Quiet Indifferent, APATHETIC, obtuse or torpid; with tendency to diarrhoea or sweatiness

Slow grasp

Can't collect his ideas; hunts for words

Poor memory

Dull despair

Averse to talking


Mild delirium; easily aroused

Crushing weight on vertex

Early grayness

Falling hair

Dull, sunken eyes with blue circles; they feel pressed out

Eye-balls feel large

Pale, sickly face; white of egg seems dried on it Bleeding gums

Slimy tongue

Craves juices

Sour stomach



Weak, relaxed genitals; suddenly during coitus


Takes colds; worse draft on chest

Shaking cough

Twisting under xiphoid

Paralytic weakness along spine Heavy fore-arms

Scraping bone-pains, at night

Clammy wrinkled skin

SLEEPY BY DAY; but wakeful at night

Cold parts; one side of face, abdomen, etc

Burning along spine; below waist; kidney region

Heat with sweat

Profuse sweats; worse night; as a sequel

Sluggish, painless fevers

Phosphoric acid. H3PO4. Dilution. (The dilute acid of B. P. forms the homoeopathic 1x. In U.S. the first solution is made of glacial Phosphoric Acid.)

Amblyopia. Asthma. Boils. Brain-fag. Bronchitis.

prostrated and stupefied with grief.

effects of disappointed love. Home-sick. The mind is confused.

thoughts cannot be connected.

thinking makes him dizzy. The legs tremble in walking and the limbs are as difficult to control as the thoughts. Many symptoms of vertigo are produced, and one is peculiar. Phosphorus Phos. has a sensation as if the chair he was sitting on was rising.

Phosphorus Phos. ac. has this Sensation as if the feet were rising until he stood on his head. This very symptom occurred in a patient of Skinner's suffering from small-pox. The disease had been cut short by Variol., when the patient, a lady, complained that her feet were rising to the ceiling, and begged her nurses to keep them down. Phosphorus Phos. ac. speedily put her straight. Phosphorus Phos. ac. causes illusions of the senses as well as of the sensorium, bells are heard, ciphers, sparks, &c., are seen. At the same time there is exalted sensitiveness to light, sound, and odours.

"odours take away his breath." A remarkable effect was noted by Becher, one of Hahnemann's provers (the same who experienced the topsy-turvy symptom just mentioned), namely, that the right pupil became widely dilate while the left remained normal the more he strained the eye the wider the pupil became until the Irisalmost disappeared. Franz had this symptom "Sees things lying near him (outside the sphere of vision) moving." Meyer had a somewhat analogous mental symptom "When reading a thousand other thoughts came into his head, and he could not rightly comprehend anything.

what he read became as if dark in his head, and he immediately forgot all.

what he had long known he could only recall with difficulty." Such states of mind and the senses are frequently observed in those under the influence of grief and other depressing emotions.

from over-study. and in the subjects of venereal excesses and seminal loss. But whilst these losses produce extreme weakness of mind and body, and an abashed, sad state of mind with despair of cure, there is one drain which does not debilitate.

a diarrhoea. "Persistent, painless, watery diarrhoea, often containing undigested particles of food, and which does not debilitate," is a keynote of Phosphorus Phos. ac.

Another characteristic in connection with the debility of Phosphorus Phos. ac. is that though the weakness is very great the patient is rested by a short sleep. (Phosphorus Phos. also has amel. by sleep, but not so markedly by a short sleep.) The copious discharges of Phosphorus Phos. ac. appear in the sweat and urine.

The keynote of the enuresis of Phosphorus Phos. ac. is that the child passes a great quantity of urine.

White, milky urine; and also white stools, are very characteristic of Phosphorus Phos. ac.

The urine may be passed clear but turns milky at once, and is very offensive.

If flatulence is to be regarded as an excretion that is another instance of the excess of Phosphorus Phos. ac.

There is meteoristic distension and passing of flatus in large quantities.

sometimes with odour of garlic. "Meteoristic distension.

rumbling or gurgling and noise as if there were water in abdomen, agg. when touched and when the body is bent backward and forward." A case quoted from H. Maandblad. illustrates the action of Phosphorus Phos. ac. in gastric affections.

A married woman, 36, mother of eight children, had for some time been so melancholy and depressed as to be unable to fulfil her household duties.

The beginning of the illness was apparently a weakness of the stomach small appetite; always pain and distension after eating; the food seemed to lie long in the stomach undigested. Phosphorus Phos. ac. 6x, ten drops three times a day, soon restored the patient.

In connection with the flatulence of Phosphorus Phos. ac. there is even bloating of the uterus with gas.

The menses are excessive and premature.

and there are many symptoms connected with the pregnant and puerperal state, including debility from lactation, Phosphorus Phos. ac. has many respiratory symptoms, and this is a keynote "Weak feeling in chest from talking, coughing, or sitting too long.

amel. by walking." Hoarseness and nasal voice.

dyspnoea. capillary bronchitis.

The cough seems to be caused by tickling of a feather from middle of chest to larynx, low down in chest, about ensiform cartilage, pit of stomach; is agg. evening after lying down; expectoration muco-purulent; salty; bloody; offensive.

Every draught of air = fresh cold.

Cough = headache; nausea and vomiting of food; spurting of urine.

A very prominent sensation running through the proving is that of pressure; pressure as from a crushing weight in vertex, forehead, sternum.

Pressure in eyes; in navel; in left breast.

Squeezing above the knee; in the sole.

The haemorrhages of Phosphorus Phos. ac. are dark, profuse, with passive haemorrhages.

A case of land scurvy (quoted Amer. Hom., xxii. 421) Contracted in mining camps presented the usual condition of the gums, and also purpureal spots covering the whole body.

Patient was able to be about, and had little pain, but was despondent.

Pulse weak, very slow.

Had been months ill under old-school treatment. Merc Viv Merc. sol. was given but did not relieve. Phosphorus Phos. ac. given strong enough to taste acid speedily cured.

A peculiar symptom of Phosphorus Phos. ac. is involuntary biting of tongue in sleep.

The sphincters are weakened, and there is involuntary escape of faeces and urine, the latter especially on coughing or movement.

Peculiar sensations are As if intoxicated.

As if head would burst.

As if feet going up. As if weight in head.

As if brain crushed. Bones as if scraped with a knife.

As if eyeballs too large.

As if white of egg had dried on face.

As if lower jaw were going to break.

Nausea as if in soft palate; in throat.

As if stomach being balanced up and down.

Heavy load in stomach.

Ants crawling over body.

Uterus as if filled with wind.

Tickling in chest as with a feather; as with down in larynx.

Red-hot coal on arm and shoulder, Phosphorus Phos. ac. is suited to ($51$) Persons of originally strong constitution weakened by loss of fluids.

excesses. violent, acute diseases.

chagrin or a long succession of moral emotions. (2) Persons of mild disposition. (3) Children and young people who have grown too rapidly, tall, slender, and slim.

with pains in back and limbs as if beaten.

growing pains.

Lutze (Hahn. Adv., 1900, 664) cured with Phosphorus Phos. ac. a German woman, 66, of chronic, early morning, painless diarrhoea after the failure of Podophyllum Peltatum Pod. and partial success of Gelsemium Sempervirens Gels.

The patient had been ill two years, dating from the time she came to Brooklyn from Germany to be near her daughters.

One of the latter gave Lutze the keynote of the case by telling him that her mother was home-sick, and wanted to return to Germany, though she had not a single relative there.

The symptoms are agg. By music (every note = stitch in ears; violent pains in head). Slight shock or noise = pressure in head to be extremely violent. Odours = vomiting. Bad news.

depressing emotions = cough, diarrhoea, &c. Touch agg. Movement of child = escape of stool. Many symptoms are agg. evening and night. amel. After short sleep. Many symptoms are amel. walking. Sitting agg. Standing agg. agg. Lying on left side. agg. Side on which he lies. agg. Talking. agg. From mental affections.

suppressed eruptions. loss of fluids, especially seminal.

masturbation. perspiration.

urination. There is desire for warm food.

which amel. pressive pain in stomach. Warm room agg. Warmth of bed amel. pains in bowels. Aversion to uncover in heat. agg. By draught.

wind. snowy air. Cannot bear draught on chest. Every draught fresh cold. Catching cold in summer = diarrhoea. Least cold arthritic pains. Coldness of part agg. pains. Fresh air = invigoration.


It is best to take for the preparation of this medicine for homoeopathic use, one grain of Phosphoric acid melted and preserved dry in a well stoppered vessel. This acid may be gained directly from the Phosphorus phosphorus by applying Nitric Acid nitric acid, or, it may be gained from bones in the following manner, first practiced by myself Take a pound of calcined white bone, broken in pieces.

pour over this in a porcelain bowl one pound of the strongest Sulphuricum Acidum Sulphuric acid and stir the mixture around several times in 24 hours with a glass rod. The mash thus gained is then well-mixed and thinned with two pounds of strong whiskey or rum, the whole is then tied up in a linen bag and pressed out between two smooth boards weighed down with heavy weights. What remains in the bag may be again thinned with two pounds of strong whiskey, and what is pressed out may be mixed with the quantity first obtained.

it may then remain covered for a few days so that the turbid matter may settle down. The clear liquid is decanted and boiled down in a heated porcelain bowl and then melted at a red heat. The melted Phosphoric acid must be of crystalline clearness. While still warm, it is broken in pieces and preserved in a well-stoppered bottle, as it quickly and totally deliquesces in the open air into a thickish fluid of watery clearness. The dry acid may be used like other dry substances, being triturated with sugar of milk, in the manner described in the first part of this book up to the millionth powdered attenuation. One grain of this may then be dissolved and further potentized by succussion.

A too violent action of Phosphoric acid is modified by Camphora Camphor.

In cases where the properly potentized Phosphoric acid was indicated, it also cured at the same time the following ailments

Morning-headache intolerance of noise and talking.

scabs on the dorsum of the nose.

fetid odor from the nose.

burning in the cheeks.

pimples on the chin. pimples about the forehead and chin.

burning in the hypogastrium.

nocturnal micturition.

pain in the liver, during the menses.

roughness of the throat.

scraping on the larynx inciting to cough.

shortness of breath and inability to talk long at a time.

weakness of the chest from speaking.

eruption of pimples on the arms.

sweating of the feet. herpes.

corns. night-sweat.

Dr. Hering cured with it Incapacity for mental work with great discouragement, and indolence of mind and body.

heaviness of the head, as if it were full of water.

inflammation of the eyes with burning.

lachrymation. aversion to sunlight.

the teeth become yellow.

. after meals the stomach seems to rock up and down.

hawking up of viscid mucus.

gnawing pain in the testes.

hacking cough with expectoration of mucus, in the morning.

repeated stools. and in the axillae.

swelling on the natis.

swelling of the feet. the testes are sore to the touch.

itching of an ulcer. flat, painless ulcers on the leg without redness, with jagged, uneven fundus and dirty looking pus.

great weariness after waking.


The abbreviation of the names of my fellow-workers are ., ; ., ; ., ; ., ; ., ; ., ; ., ; ., ; ., ; ., ; ., ; ., .

In the (Vol. v.), where this pathogenesis first appears, it contains (in the second edition) 268 symptoms from Hahnemann himself and 411 from twelve fellow-observers. The present list is increased by 139 symptoms, most of which are credited to Hering, and were probably observed by him on the patients mentioned above as cured by him with the acid.


Violent, excessively severe pressive pain, as if in the surface of the brain and in the periosteum of that part of the skull on which he is then lying, after midnight on awaking.

aggravated so as to become unbearable, by remaining lying on the same side, and when he turns to another side, it begins there with the same fury, while ceasing in the former spot.

Short-sightedness, in sewing, reading and writing, it seems as if a gauze was before the eyes.

she does not recognize the letters.

but at a distance she sees everything clearly and distinctly.

when she looks away from her work for a moment, she can better distinguish things close by.

but the dimness quickly returns on reading, without pains of the eyes.

* * * * *

Frequent alternations of chills and heat, in the evening.

the dry heat of the face is without redness, attended with chill.

after the cessation of the heat a still more severe chill, it runs cold all over his body.

toward morning a profuse sweat during the night-sleep.

i. e., when he had gone to sleep again after awaking..

Glacial phosphoric acid. Hahnemann. HPO3


The mind seems tired. When questioned he answers slowly or does not speak, but only looks at the questioner. He is too tired to talk or even think. He says

"Don't talk to me; let me alone."

Phosphoricum Acidum state is found in both acute and chronic diseases. He is so tired in mind, perfectly exhausted.

"Don't talk to me, I am so tired."

He cannot think what he wishes to say, cannot frame his answers to questions. Another cause is sexual excesses in young men, or in those guilty of secret vice. Weakness; lack of reaction; state of stupor, with impotency; mental prostration, and as if the spine had given out.

In every case we find the mental symptoms are the first to develop. The remedy runs from the mental to the physical, from the brain to the muscles.

Phosphoricum Acidum is so striking that it is contrasted with Muriaticum acid. in the latter remedy the muscular prostration comes first, and the mind seems clear until long after the muscles are prostrated. In Phosphoric acid the muscles seem strong after the mind has given out. The patient seems vigorous physically.

He says he is all right physically, can work, can exercise even violently.

but the mind is tired, there is mental apathy, he can not add up a column of figures, can not read the newspaper and carry the trend of thought, can not connect circumstances. He forgets the names of those in his family.

a business man forgets the names of his clerks.

he is in confusion. Yet he can exercise, can go out and walk.

the weakness in the muscles will come later.

Phosphoric acid has also great physical weakness.

so tired in the back. so tired in the muscles.

so tired all over. a paralytic weakness. Later there is sexual impotence.

aversion to coition. loss of sexual desire.

no erections. penis becomes relaxed in the midst of an embrace and he cannot finish the act, (Nux Vomica Nux v).

Ailments from business cares; prolonged grief; young women suffering from unrequited affection, or from the loss of a loved one. Some suffer more intensely than others; some seem more philosophical.

"Ailments from care, grief, sorrow, chagrin, homesickness or disappointed love; particularly with drowsiness; night sweats towards morning; emaciation."

The patient pines and emaciates, grows weaker and weaker, withered in the face.

night sweats. cold sweat down the back.

cold sweats on the arms and hands more than on the feet.

cold extremities. feeble circulation, feeble heart.

catches cold on the slightest provocation and it settles in the chest.

dry, hacking cough. catarrhal conditions of the chest.

tuberculosis. pallor with gradually increasing weakness and emaciation.

During this weakness there is vertigo. Vertigo while lying in bed seems like floating while lying in bed. Limbs seem to be lifted up while the head does not seem to move, as if the limbs were floating. Congestive headaches.

in school girls from slight exertion of the mind and use of the eyes. Periosteal pains.

bones ache as if scraped ameliorated by motion.

when lying the pain shifts to side lain on.

Modalities Most of the complaints are ameliorated from keeping warm, from absolute quiet, from being alone at peace. There is aggravation of the complaints from exertion, mental or physical, from being talked to. Morning headaches. He must lie down with the headaches. Headache aggravated from being talked to. He is sensitive to cold weather. He is sensitive to a warm room.

In the headache the pain often begins in the back of the head and spreads to the top of the load; feels as if a crushing weight were on the top of the head; worse from motion, talking and light.

"Pressure as from a weight in head from above downward."

These headaches are associated with mental weakness, brain-fag; so tired and exhausted. Vertigo with ringing in the ears and glassy eyes.

little thirst increasing to intense thirst with craving for much water during perspiration.

wants to be let alone.

looks at the questioner with glassy eyes as if slowly comprehending the question.

pupils contracted or dilated.

eyes sunken. hippocratic countenance.

continued fever. bleeding from the nose, lungs, bowels.

hemorrhage from any mucous membrane.

sunken about the eyes.

discolored lips, covered with sordes, becoming very black.

prostration gradually increasing.

From the beginning the mental state been most marked and finally comes the muscular weakness, which increases until the jaw drops and it seems that the patient must die of exhaustion.

Such states of weakness may come on from hemorrhages (China China was the routine remedy among the older homoeopaths).

It checks the hemorrhage and causes a rally, prevents the dropsy. There is a state like anemia; pale lips and tongue; face, hands and feet waxy.

Pains and aches all over the body, ameliorated from motion and 'worse from cold. The pains seem deep-seated, often along the nerves, but especially along the long bones, as if the bones were scraped; as if a rough instrument were dragged over the bones. The pains are commonly worse at night. Severe bone pains.

The stomach refuses to do its work. The food remains in the stomach and sours. Sour vomiting. Old dyspeptics with brain-fag. Complaints from acid drinks, cold drinks and rich foods. Singing sensation in the abdomen after a normal stool.

In most of the complaints of Phosphoric acid a marked feature is milky urine. Sometimes it is milky when passed.

milky flakes in the urine. At times the male urethra seems to clog up and examination will show these little milk-like-flakes. The urine becomes milky on standing, like flour, chalk or phosphate deposits stirred up in it.

Diarrhea In Phosphoric acid there is often an amelioration of complaints by their ending in a diarrhea. Copious, thin, watery stool. From the quantity it would seem that the patient would be exhausted. Child with copious, watery, stool in summer.

so copious that the napkin seems of no use.

the stool runs all over the mother's dress and on the floor forming great puddles.

the stool is almost odorless, thin and watery, and the little one smiles as if nothing were the matter. The mother wonders where it all comes from, and yet the child seems well.

The Phosphoric acid diarrhea often ameliorates many of the symptoms and the patient feels better. Chronic diarrhea, copious, thin and watery, whitish gray, and the patient feels comfortable, free and, happy. If the diarrhea slacks up the patient is worse and on come symptoms of tuberculosis, weakness, prostration, brain-fag.

Some patients say they ate never comfortable unless they have diarrhea. Podophyllum Peltatum Podophyllum is the very opposite. Take the same child.

the stool is very copious and runs all over the floor, the mother wonders where it all comes from, but the stool is offensive, a horrible stench, and the patient looks as if dying.

mouth and nose drawn, countenance hippocratic.

almost unconscious.

There is painless stool in both, but Phosphoric acid has not the great prostration. In Phosphoric acid the stool is whitish gray, like dirty white paint.

in Podophyllum Peltatum Podophyllum it is yellow. Gratiola Officinalis Gratiola has a similar state of prostration, but the fluid is green water.

when seen it looks like light shining through a green glass, sometimes thicker, like green-bile.

"White or yellow, watery diarrhea, chronic or acute, without pain or any marked debility or exhaustion".

"Diarrhea; not prostrating; after catching cold during heat of summer; water; chronic; violent, bilious or mucous of twenty months standing; has the appearance of an old man; from acids in young persons who grow too rapidly; after eating, undigested; greenish white; painless."

When we have a diarrhea from adds we sometimes find symptoms running to Phosphoric acid In the diarrhea from sour wine, such as claret, from acids, vinegar, lemons, be sure to study Antimonium Crudum Antimonium crudum This is a very striking feature of that remedy. Useful in cholera.

"Prostatorrhoea; immediately after every erection discharge of prostatic fluid."

Even when passing a soft stool the prostatic fluid is discharged.

Falling-out of the hair is a striking feature.

falling of the hair from the genitals, whiskers, eyebrows, head. It is closely related to Nat Mur Natrum. mur. and Selenium Selenium in falling out of the hair. Selenium Selenium has falling out of the hair from the head, eyebrows and lashes, beard and genitals, from all over the body. Nat Mur Natrum mur causes the hair to become very thin.

during confinement the hair falls from the genitals.

Phosphoric acid produces a troublesome leucorrhoea; yellow, mostly after menses, with itching; profuse, yellow; thin, acid mucus; with chlorosis."

It suits the woman who has been nursing her child a long, time, or nursing twins, and who gives much milk. She becomes tired and weakly. Loss of fluids, blood; prolonged nursing, and weakness from such causes.

The tendency of the Phosphoric acid patient at the end of the brain fag and weakness is to run into chest troubles If a diarrhea comes on then the chest trouble is averted. Most awful results will ensue from the use of astringents, or any remedy that does not correspond to the patient, that will stop that diarrhea. He goes into tuberculosis, difficult respiration.

coughs and suffers in the chest, and the trouble culminates in structural changes in the lungs.

The indications for Phosphoric acid are seldom found in the tissue changes, but they will be found in the early states of the patient, the nervous conditions, the milky urine and the diarrhea, which have existed a long time. Chest complaints are acute.

not unlike Phosphorus Phosphorus.

Prolonged pneumonia with the mental symptoms, lack of reaction, infiltration at the end of pneumonia. Haemoptysis.

Prolonged fever ending in feeble heart, with palpitation and the. mental symptoms. Palpitating during sexual excitement. Tendency to abscesses after a prolonged fever.

Limbs and joints become affected. Pain in the hip joint. Pains in the long bones between the joints, better by motion. Old gouty constitution. Tissues become weak. Red spots appear wherever the flesh is thin over the bones, and these spots become inflamed and form open ulcers.

After fever, abscesses in the muscles, and state of molecular weakness about the ankles; over the tibia where the flesh is thin. Phosphoric acid has a special relation to the periosteum. Periostitis.

Pains in the tibia at night. Bone feels as if scraped. Cold hands and hot feet. Ulcers on the legs with watery, offensive discharge.

Boils, abscesses, pustules and other moist eruptions. Suppurating eruptions; tissues become weak.

Nervous state; marked indifference; weak and trembling; fainting; great nervous exhaustion; hysterical affections. Creeping, tingling and crawling all over the body, especially where there is hair, as if in the roots of the hair; formication; especially in those debilitated from sexual excesses.

"Formication over whole body."

Sore spots in the spine; lame back. Backache.

"Itching between the fingers or in the bend of joints or on hands."

Herpes; eczema, erysipelas. Large purple spots form on the skin, an extravasation of blood front the capillary veins; ecchymoses.

Ulcers on the skin; carbuncles; warts; chilblains; wens; corns with stinging and burning, and parts become black; feeble circulation in the skin. Skin withered, old and gray, and the patient emaciates.

Drowsy, apathetic; unconscious of all surroundings but can be aroused to full consciousness.

Chronic effects of grief; hair turns gray; hopeless, haggard look.

Grows too fast and too tall; young persons with growing pains in bones.

Great physical and mental weakness from ovarian or sexual excesses.

Diarrhoea WHITE, watery, painless, with rumbling; meteorism; but not so much weakness as would be expected.

Very profuse, watery, or milky urine.

Modalities worse bad news, depressing emotions; masturbation or sexual excess, draft; wind; snowy air; better after short sleep.

Headache of school girls from eye strain, or overuse of eyes, occipital. Chest, weak from talking or coughing; cough, purulent, offensive expectoration, and pains in chest. Salty expectoration in proving.

Now Phosphoric acid, properly exhibited, may be of incalculable benefit in such cases. It will sometimes be a choice between Phosphoric acid and Natrum muriaticum or Calc Carb Calcarea Phosphorus phos., the other symptoms must decide.

Opium surpasses them all in its stupefying powers, and the face, breathing and general appearance, is not at all, like Phosphoric acid.

Young boys even suffer from the effects of the orgasm of onanism before there is much or any semen secreted. This is well to remember in a choice between these two remedies. There is a condition in which I have found Phosphoricum Acidum very valuable, especially in men. The leading symptom is a "weak feeling in the chest from talking." You remember Stannum Iodatum Stannum has this symptom very strongly (also Sulphur Sulphur) and may lead us into a wrong prescription if only the one symptom were considered. If the patient is a young man, married or single; if, again, he seems weak in mind, listless, apathetic, reticent.

The first is found with general nervous depression, and if there is headache it is like Gelsemium Sempervirens Gelsemium relieved by the flow of urine. The other is from excess of phosphates in the urine, indicating nerve waste. We must distinguish between the profuse urine of Ignatia Ignatia and Phosphoric acid, for the first is hysterical, the latter not at all so.


First potency.





Sexual system

Spine sensory nerves Muscles