Remedies starting with "P" (31 found)

Paeonia officinalis

Paeon.

Essence. Paeon. is the raw, ulcerated outlet remedy with exquisite tenderness and fetid secretions. The patient lives around the anus (and often vulva/mouth)—fissures, ulcers, haemorrhoids that are purple, sore, and bleeding; pains that begin with stool and, above all, long outlast it; a tail-bone that cannot bear a chair; bedsores over the sacrum that burn on the slightest touch. Wherever an orifice or dependent skin lies—there Paeon. may leave a ragged, burning, fetid ulcer. The modalities are almost diagnostic: worse after stool, sitting, at night, from touch/wiping, standing/walking long, cold damp; better warm bathing, soft cushions, gentle cleansing, elevation, soft stools. This profile separates it from Ratanhia (knife-cuts, boiling-hot applications indispensable), Nit-ac. (splinters, bleeding), Aesculus (dry congestion with back-ache), and Hamamelis (bleeding soreness without ulcer-rawness).

Clinical craft. The prescription is half regimen: secure soft stools (oils, stewed fruit, fluids), warm sitz post-evacuation, bland emollients, no harsh wiping, cushions, rest with limb elevation, and avoid alcohol/spices. With this “container,” Paeon. closes cracks, shortens after-pains, sweetens fetor, and allows sleep to return. For puerperal perineal tears with purple, sore piles—think Paeon. first; for varicose ulcers that are tender and fetid—again Paeon.; for sacral bedsores in the feeble—Paeon. with Calendula dressing and positioning. As the ulcer cleans and odour lifts, the mind brightens—a steady Paeon. barometer. When pain becomes knife-like, interpose Ratanhia; when bleeding dominates, add or follow with Hamamelis; for old, indolent ulcer beds, later Fluor-ac./Lachesis may finish. The essence remains: ulcer-raw, touch-intolerant, fetid, and worse after stool—made human by warm water and softness. [Hering], [Clarke], [Boericke], [Boger], [Allen].

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Palladium

Pall.

Essence. Palladium unites a right-sided pelvic remedy with a social-esteem psyche. The keynote sequence is exaltation under appreciation (company, praise, music), followed—once the curtain falls—by collapse: right ovarian pain, bearing-down, prostration, temporal headache, palpitation, and bloating. The pelvis feels heavy, as though everything would fall out; the patient instinctively supports the parts with the hand or crossed legs, and is worse standing, walking, jar, better rest, pressure, warmth, and passing flatus/stool [Hering], [Clarke], [Kent], [Boger]. The mind–body loop is decisive: neglect wounds, praise heals; when valued, she brightens and the pelvic drag lifts, proving the similimum’s reach from esteem to uterus.

Differentiation. From Platina, separate by need for appreciation vs contempt; from Sepia, by attachment (Pall. still wants connection) vs aversion; from Lilium-t., by pace (Pall. is subacute, society-triggered, relieved by support; Lil-t. is urgent, moral conflict, restless); from Lachesis, by sidedness and modalities (Pall. right, worse after excitement, not worse after sleep); from Apis, by stinging oedema (Apis) vs bearing-down neuralgia (Pall.). The therapeutic craft is simple: shorten exposure to esteem-draining circumstances while dosing; prescribe supportive garments, rest after engagements, warmth to pelvis, and uncomplicated diet; with this container Pall. acts swiftly. In chronic prolapse with true tissue weakness, Pall. may open the case and a structural remedy (Sepia, Calc-phos., Murex or Lilium-t. by picture) may consolidate.

Portrait. Think Pall. for the competent, agreeable woman who entertains brilliantly, feels ignored by a single slight, then lies at home with a right-sided ovarian ache, bearing-down, headache, and palpitation—better for hand-support and a kind word. When you see praise-dependent energy and support-ameliorated pelvis, you are near the mark [Kent], [Tyler], [Clarke], [Boericke], [Boger], [Nash].

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Paracanthurus

Parac-h.

Core Themes / Remedy Essence. Paracanthurus hepatus sits squarely in the Sea field with a signature polarity of exposure vs protection. The patient is timid, readily startled, and becomes blank/dazed rather than floridly anxious when over-lit, over-heard, or scrutinised; the mind then mis-sequences tasks and words, makes small mistakes, and retreats into quiet, sometimes after a brief anger flash that brings remorse [Klein], [Bailey]. Safety is sensorial and social: cover the skin, dim the light, reduce glare, stay with one or two trusted people, add rhythm (swaying, music, paced breathing). When such cues are present, orientation returns, speech re-orders, and sleep follows naturally—this is not narcotic sedation but physiological settling (Sleep/Generalities cross-linked). Dreams and day-images draw toward home/harbour: former partners, pets, and childhood rooms, indicating a memory–attachment axis that differentiates Parac-h. from other sea remedies focused on shock or sexual polarities [Sankaran], [Bailey].

Miasmatically the picture traverses psora–sycosis–tubercular (functional gating failure, restless seeking of the right environment, periodic flares), and, in more eroded states, a syphilitic tinge of disorientation appears without psychosis. In post-partum cases where the mother is gentle, avoids visitors, covers up, dislikes bright rooms, and dreams of homecoming, Parac-h. may be decisive; if the tone is cold aversion with duty-fatigue, think Sepia. In elders with evening confusion, who lower the lights themselves and settle when held/covered, Parac-h. often opens the case so nutritive or constitutional remedies can consolidate (Relationships). Pace is reactive but quiet; thermal state neutral-to-cool with warm face under pressure; sensitivities visual/auditory more than tactile pain; core polarity exposure ↔ protection, crowd/glare ↔ cover/dimness, authority ↔ trusted small group (Modalities and Mind corroborate) [Klein], [Sankaran], [Bailey]. [Proving] [Clinical].

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Pareira brava

Pareir.

Essence. Pareir. is the mechanical urinary spasm remedy: the bladder feels full but locked, the sufferer strains without relief, and only by kneeling on all fours with the head to the floor, or at least leaning forward with thighs flexed, does a few drops escape. This posture is not picturesque—it is pathognomonic. Pains track the ureter to the outlet, throwing shoots into the glans, testes, and anterior/inner thighs; movement/jar, night, cold, and the beginning and end of the act worsen, while heat, pressure, rest, and flexion ameliorate. The terrain is uric: mucus, red sand, occasionally blood; old men with prostatic resistance are frequent patients.

Differentiation. Use Cantharis when burning is intolerable and sex-erethism, fury, and continuous heat dominate; use Sarsaparilla when pain is purely at the close and the child must stand to pass; use Chimaphila when the posture is standing-bent-forward with feet apart and perineal ball is felt; use Berberis when pains “leap” and bubble in many directions; use Lycopodium when right-sided colic and 4–8 p.m. periodicity lead. Choose Pareir. when the all-fours posture, pains into thighs/glans, and drop-by-drop urine tell the story [Clarke], [Boger], [Boericke], [Allen], [Kent].

Practice. In renal colic and strangury, institute heat (fomentations, hot sitz), quiet, flexion position, and warm diluents, then dose Pareir. In BPH nights, Pareir. frequently cuts the tenesmus so Chimaphila or Sabal may consolidate. In gravel, follow with Lycopodium or Berberis to regulate the uric terrain. When blood predominates and smoky urine appears, think of Terebinthina. The position remains your compass: when, despite tinctures and baths, he must kneel to void—Pareir. is at hand.

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Paris quadrifolia

Paris.

Paris quadrifolia reflects a delicate balance between overuse and sensory breakdown. The individual experiences the world as if from a fatigued, overstimulated nervous system—every joint aches, every nerve tingles, and perception itself becomes distorted. The key theme is nervous overstrain, especially from eye or neck use, producing a state of stiffened awareness, enlarged sensation, and exaggerated fatigue. The mind is dulled while the body twitches. It suits fragile, sensitive constitutions prone to collapse under mental or sensory strain.

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Passiflora

Passi.

Essence. Passi. is the soft soother of nervous wakefulness. The senses are awake but tired; thoughts circle small matters; the heart may flutter, the limbs start, and yet there is no terror, no pain sufficient to explain the vigil. Give Passi., arrange quiet and darkness, remove stimulants, and natural sleep follows—usually quickly, then refreshes without hangover [Clarke], [Boericke], [Hale]. This makes it priceless in children (teething fretfulness without rage), elders (post-illness, after-supper wakefulness), pregnancy/puerperium (startings, tender nerves), students (overworked evenings), and the withdrawn (delirium tremens, opiate habit) who need sleep to begin recovery.

Differentiation. Where Coffea shines with exhilarating ideas and hypersenses, Passi. suits the weary nervous; where Nux-v. frets about business and digestion, Passi. needs only quiet; where Ignatia twists with grief-paradox, Passi. is simple and timid; where Gelsemium is heavy and drowsy without sleep, Passi. keeps clarity until sleep comes; where Opium/Hyos. heavy-handedly blunt the cortex, Passi. restores physiological rest.

Practice. Think of small, frequent doses in acute insomnia (children, aged) and occasional higher potencies where the insomnia is constitutional and recurrent. Nurse with darkness, silence, warm drinks, gentle contact, and slow breathing rituals; forbid late tea/coffee and alcohol. Use as a bridge: after two or three good nights, consolidate with Avena/Kali-phos. if nerves remain depleted; in uterine neuralgia, follow with Cimicifuga by picture. In withdrawal, let the first unbroken sleep guide your intervals and guard against over-stimulation the next evening [Hale], [Clarke], [Boericke].

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Penicillinum

Penic.

A drug-layer remedy for the age of antibiotics. The story is recurring: before antibiotics the patient suffered a limited catarrh; thereafter, each course suppresses the discharge briefly but widens the field of disturbance—allergy rises, gut flora derange, thrush appears, and vitality sinks into a fog. The psyche becomes a little brittle—irritable, flat, and wary of new medicines—while the organism oscillates between blocked and leaking: stopped nose vs post-nasal drip, dry skin vs damp intertrigo, constipated mornings vs loose afternoons. The hallmark is periodicity linked to antibiotic use and dietary sugar/yeast: sweets tempt, then punish; yeast-rich foods and damp, mouldy places set the cycle rolling again. The patient is better in cool, fresh air, better once a physiological outlet returns (a proper nasal or vaginal discharge, a regular stool), and worse in warmth and humidity, worse at night, worse after suppressive measures layered upon one another (steroids + antibiotics). [Vithoulkas], [Morrison], [Sankaran], [Julian].

In Sankaran’s language this is the drug miasm: an internal loss of autonomy where external chemical forces dictate function; the person feels contaminated or dependent on interventions and simultaneously over-reactive to them. Vithoulkas frames it as iatrogenic chronic disease—once the remedy that neutralises the causal agent is given, the case often “unfreezes”, allowing a constitutional to act. Clinically, Penicillinum is therefore chosen not by a flamboyant keynote but by a clean history: repeated antibiotic exposure → persistent hypersensitivity + dysbiosis + recurrent catarrh/candida, with modalities worse damp/warmth/sweets/night, better cool air, diet simplification, restoration of discharge. This essence clarifies differentiation from Cand-alb. (pure yeast terrain without clear antibiotic trigger), Nux-v. (drug irritability but loves warmth/stimulants), and Sulph. (heat and itch without the antibiotic-driven oscillation). When accurate, Penicillinum tends to produce soft, systemic shifts—sleep steadies, itch quietens, stool regularises, and the person thinks more clearly—signs that the drug layer has loosened and the deeper remedy picture is coming into view. [Vithoulkas], [Morrison], [Sankaran], [Julian], [Shore].

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Petroleum

Petr.

Petroleum reflects the rigid, cracked, and toxic inner terrain of individuals overwhelmed by environmental and emotional coldness. They are dull, passive, nauseated, and fissured—mentally and physically. Skin is the mirror of inner rigidity and sluggish elimination. Nausea from motion, eczema worse in winter, and fissures that bleed define this remedy. It suits those whose vital heat is depleted, whose systems are choked with waste, and whose emotions have gone numb with chronicity.

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Petroselinum crispum

Petros. .

Core Themes / Remedy Essence. Petros. is the tingling-urethra remedy: a deep crawling/itching shoots along the urethra, provoking sudden, imperative urging; a little urine passes with burning, then smarting and tingling become worse after the act, forcing new efforts. The neck of the bladder is irritable and spasmodic; tenesmus is conspicuous. Children are diagnostic: they rub the penis, pull the prepuce, or bore the fists into the perineum, then bed-wet, especially after midnight; elderly men with prostatic irritability complain of deep tickle and nocturnal urging that is briefly eased by passing a few drops or by tepid ablution [Hering], [Allen], [Clarke], [Boericke]. The gonorrhoeal sphere belongs when stinging-tingling predominates over gross burning, or where suppression has left split/irregular stream and relapses.

Differentiation. Choose Petros. over Cantharis when itch-crawl (not sheer burning) and after-urination aggravation lead; over Sarsaparilla when pain occurs at both beginning & end (not only at close) and the child does not need to stand; over Equisetum when tenesmus is painful and tingling; over Pareira when the all-fours posture is absent; over Chimaphila when there is no perineal ball yet constant tingle; over Clematis/Thuja in catarrh when deep crawling, sudden calls, and smarting after are decisive [Boger], [Clarke], [Boericke], [Allen]. The nursing frame is integral: tepid bathing, diluent sips, rest, open air, and avoidance of spices/alcohol—these modalities echo the remedy and potentiate its action [Clarke]. Pace is spasmodic, reactivity sensory-autonomic, thermal state neutral; the miasmatic tone is psoric-sycotic, with syphilitic erosion only in neglected urethral disease.

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Phellandrium aquaticum

Phel.

Core Themes / Remedy Essence. Phel. is the tickle–drainage chest: a persistent, intolerable tickle in the supra-sternal notch or bifurcation that sets off cough as soon as the head touches the pillow, with paroxysms worse at night and in warm rooms, and decisively better in cool, open air and sitting propped [Hering], [Allen], [Clarke]. The paroxysm culminates in copious, purulent, sometimes fetid expectoration—classically a bronchiectatic or cavity wash-out—after which breathing is freer but the patient is spent. Voice tires early; talking, reading, laughing rekindle the tickle; therefore the patient becomes quiet, economising speech, and seeks air near a window. Night sweats, apical soreness, intercostal stitch on turning, and palpitation on ascent complete the clinical silhouette, which is tubercular in colouring yet practical in day-to-day management: ventilate, cool, prop, sip—and let the lungs drain.

Differentiation. Choose Phel. when lying itself, not merely sleep, ignites a tickle that will not be pacified until a torrent of sputum comes; when rooms that are warm and crowded invariably worsen; and when cool air is sought instinctively with marked relief. If fetid nummular sputum and left sub-scapular pain predominate, think Pix-liq.; if weakness and green sputum with voice fatigue dominate, think Stann.; if burning, bleeding, and thirst for cold lead, think Phos.; if the patient is better warmth and horribly sensitive, think Hepar. Phel. serves not only as a palliative in grave chests but also as a pointer to environmental and nursing measures, without which medicines fail to hold the gain [Farrington], [Clarke], [Boericke].

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Phlorizinum

Phlor.

Phlorizinum is the functional diabetes remedy: a body that leaks fuel through the kidneys, leaving the patient thirsty, hungry, and thin. The centre is not a burnt-out pancreas nor a ruined kidney but a tubular mishandling of glucose—a fact first learned from physiology and confirmed at the bedside [Hughes], [Clarke]. The day has a rhythm: drink–pass–drink again; eat–revive briefly–sink; think—then fog; all worse in heat, better in cool air, temporarily better after small meals and cold water. The polyuria is copious and pale; the thirst earnest and for cold draughts; the appetite keen yet wasting persists. Sleep is broken by urination, and the patient wakes unrefreshed, mouth dry, head heavy. Emotionally the picture is not dramatic: no fiery restlessness or anguish; rather a tired practicality, an irritability of the drained and over-heated.

In differential, Uran-n. looms close yet differs: when albumin creeps in, when oedema tips the ankles, when gastric erosions and watery diarrhoea darken the scene, the case has moved to destruction and Uran-n. overtakes Phlor. [Clarke], [Boericke]. Syzygium-j. sits beside Phlor. as a sugar reducer; it shares the sphere but lacks the crisp thirst–polyuria–emaciation triad with heat-worse, cool-better modalities that so characterise Phlor. [Clarke]. The kingdom signature (an organic glucoside that turns off sugar reclamation) maps exquisitely onto the patient who cannot reclaim their strength: what goes into the mouth seems to pour out in the urine, and the life feels bled by sweetness. Restore the handling and the person revives: the head clears, the nights lengthen, the skin softens, and the ledger of the day finally balances. That is Phlorizinum’s promise when the keynote quartet—polyuria, polydipsia, polyphagia, and emaciation without albuminuria—is plainly written across the case [Clarke], [Boericke], [Hughes].

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Phosphoricum acidum

Phos-ac.

Phos-ac. is the white, low, drained state in which loss precedes apathy and the organism conserves by silence, cooling, and short sleep. The psyche is good-natured but vacant, answers slowly, and accepts consolation if gentle; the soma offers painless watery diarrhoea, phosphatic milky urine, seminal losses, night sweats, alopecia/early greying, and boring bone pains, especially in adolescents or convalescents [Hahnemann], [Hering], [Clarke], [Kent]. The kingdom signature (mineral acid) is reduction of reactivity and leaching of structure; therefore the remedy’s modalitiesBetter short sleep, quiet, open air, cold drinks, gentle warmth, leaning; Worse grief/over-study/sexual excess, loss of fluids, fruit/beer, noise/talk, night—must appear explicitly in the case and have been echoed across Symptomatology. Miasmatically, psora–sycosis show as atony and discharges; tubercular tones in growth strain, night sweats, diurnal swings; syphilitic hues in periosteal pains/necrosis when neglected [Farrington], [Kent]. Differentiation: select Phos-ac. over Phosphorus when there is no burning hyper-reactivity, over China when irritability is absent and stools are painless, over Kali-phos. when anxiety is absent, over Pic-ac. when there is drain without burn, and over Ign./Nat-m. when grief leaves apathy rather than reactive feeling [Nash], [Farrington], [Clarke], [Kent]. Management must mirror the remedy—cool, quiet room, sips of cold, brief naps, simple regular diet, avoid fruit/beer and coffee—lest prescriptions fail to hold. Expect first a spark of interest and a longer interval of clarity after sleep; consolidate with Kali-phos. (nerve tone) or Calc-phos. (growth), and consider China if flatulent irritability persists after the drains have ceased (Relationships). [Clinical]

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Phosphorus

Phos.

Phosphorus embodies the luminous, sensitive soul—open, affectionate, artistic, but prone to burnout, bleeding, and collapse. Like the element itself, it glows beautifully but burns fast. Its energetic quality is centrifugal: always reaching outward for contact, light, understanding. It gives until it bleeds, physically and emotionally. There is a desperate need to connect, yet the body cannot hold the energy. The tissues lose tone; the blood flows too freely. The spirit soars while the flesh weakens. It is a remedy of compassionate exhaustion.

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Physostigma venenosum

Phys. .

Essence. Phys. is the eye–vagal strain remedy: miosis with spasm of accommodation, brow/eyeball ache from near tasks, tremor/twitching, and episodes of faintness with slow, soft pulse—a cholinergic landscape that repeats across systems [Allen], [Hering], [Hughes], [Clarke]. The psychology is purposeful but overtaxed; the patient tries to persevere with reading or fine work until blur, ache, sweat, and a wave of sinking demand rest, darkness, and quiet. The kingdom signature (plant—Fabaceae; alkaloidal physiologic action) appears as reversible functional spasm rather than structural disease; hence improvement is rapid when modal care is matched: even lighting, short visual sprints with long rests, warmth, still air, and no coffee. Miasmatically psora–sycosis show as functional irritability and secretory bias without destructive change.

Differentiation. Phys. stands between Ruta and Jaborandi: where Ruta has scleral/tenon overuse and aching without miotic spasm, Phys. adds ciliary lock and vagal sinking; where Jaborandi gushes sweat/saliva with miotic state, Phys. gives twitching, near-focus myopia, and faintness rather than floods [Clarke], [Hughes]. Against Gelsemium, note the alert strain (not drowsy heaviness); against Agaricus, the grave effort (not merry inco-ordination). Clinical aims: break the effort–spasm–faintness loop; regulate visual ergonomics; dose Phys. when eyes compel the case, and support with Ruta or Gelsemium if residue fits (Relationships). Expect early signs: longer comfortable reading intervals, weaker brow pull, steadier hands, fewer urgent trips to stool/urinal, and pulse that remains even under moderate effort. [Clinical]

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Phytolacca

Phyt.

Phytolacca is the picture of dusky congestion with indurated glands upon a body that feels bruised to the bone. Its keynote sensations are deep aching of periosteum and fibrous tissues, burning rawness in the throat, and radiating painsfrom the nipple through the body when nursing, and from the root of tongue to the ears on swallowing. The colour is port-wine, livid, maple-leaf rather than the bright scarlet of Belladonna; the temperament is subdued, heavy, prostrated, rather than frantic. The mammary–throat–gland axis dominates: when milk is suppressed or lochia checked, the breasts harden into nodules and hurt intolerably on nursing; when cervical glands swell, the throat darkens and shoots to the ears with every deglutition. Rheumatically, it settles in periosteum and tendons, producing a night-worse, damp-cold-worse aching that demands dry warmth. Gastrically, it can be acrid: nausea, vomiting, dysenteric stools with burning.

Modalities knit the picture: worse at night, worse damp cold, worse hot drinks for throat, worse nursing/pressure on hard nodes; better dry heat for rheumatism, better open cool air for head, and better cold water for momentary throat relief. The psyche is low-key—heavy, irritable if disturbed, anxious about continuing to nurse because each suck sends a lance through the body. Differentially, when the throat is scarlet and throbbing, think Bell.; when ropy plugs dominate, Kali-bi.; when saliva and sweat pour with foetor, Merc.; when side alternation is marked with erratic lactation, Lac-can. For mastitis that is hot, bright, and throbbing, Bell. precedes; when suppuration looms, Hepar-s. follows; but when the breast is stony-hard with radiating pains, Phyt. stands alone.

In epidemics of influenza, Phytolacca earns its keep: the patient is bruised all over, throat burns dark, glands swell, and eyes ache deeply—the whole organism groans. Give Phyt. when you hear the story of radiations, see the dusky map, feel the stony glands, and touch the aching periosteum; then the darkness lifts, the pains loosen, and the nodes soften. [Hering], [Allen], [Clarke], [Kent], [Boger], [Boericke], [Farrington], [Tyler], [Phatak], [Nash]

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Picric acid

Pic-ac. .

Essence. Pic-ac. is the remedy of cerebro-spinal exhaustion from overwork, stamped by occipital/vertex pressure, burning along the spine, leg heaviness with giving way, sexual atony with emissions, and urinary dribbling, all worse from continued mental exertion, summer heat/sun, standing/ascending, sexual excess, and hot rooms, and better from rest, cool air, lying, pressure to the occiput, and quiet [Allen], [Hering], [Clarke], [Boger], [Boericke]. The kingdom signature (organic acid with strong oxidative load in crude state) presents as heated congestion rather than collapse: the patient feels hot-headed, spine burning, knees failing, with the mind willing but the current gone. Miasmatically psora–sycosis appear as functional atony and effort-intolerance without tissue destruction.

Differentiation. Choose Pic-ac. over Phos-ac. when heat and spinal burning dominate and stools are not painless/white; over Kali-phos. when anxious startle is absent; over Gelsemium when sleepy stupefaction gives way to wired-but-spent congestion; over Cocculus when night-watching is not the aetiology; over Selenium when desire is low and lascivious ideas are not prominent; and over Nux-v. when irritability is minimal and quiet collapse prevails [Kent], [Nash], [Clarke]. Management must copy the remedy: cease study, cool the room, limit sun/heat, brief naps, light diet, and avoid stimulants that give a whip-lash crash. Expect early improvement as occipital pressure recedes, spinal burning cools, legs hold on stairs, emissions lessen, and post-void dribble diminishes under a regime that honours these modalities. [Clinical]

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Piper cubeba

Cub.

Cubeba is the catarrhal pepper whose sphere bridges urethra and upper air-passages, with a nervous system tuned to environmental heat and odours. The essence is a tenacious mucus state: in the naso-pharynx, the patient must hawk a tough plug that hangs behind the uvula; in the larynx, a scraping rawness provokes dry cough until a clot of white/yellow tenacious stuff is raised; in the bladder/urethra, there is burning during and after micturition with mucous discharge—catarrh not erosion (Essence ↔ Throat/Chest/Urinary). The modal code is emphatic: warm, close rooms, crowds, concert-air, and talking or singing worsen; cool, open air, silence, voice-rest, small cool draughts, and the act of expectorating relieve (Essence ↔ Modalities). Dietary pepper, beer, alcohol, and coffee are faithful antagonists, igniting throat and urethra together—this olfactory-gustatory sensitivity is a bedside pointer (Essence ↔ Food and Drink).

Miasmatically, sycosis supplies the over-secretion and chronicity; psora the itch, rawness, and irritability; a syphilitic tint appears when discharges streak with blood or the mucosa trends to ulceration after suppression. The psychology is practical, not dramatic: the patient is fretful because catarrh won’t cease—he hoards his breath, speaks little, seeks air, loosens clothing, and engineers life around ventilation and drainage. Cubeba separates itself from its congeners by the throat–urinary bridge: Hydrastis has heavier ropy strings with gastric depression but lacks the urethral burn; Kali bich. cuts true elastic strings and crater-like ulcers; Copaiva mirrors the urinary sphere yet couples it to skin urticaria and anal itch more than to the throat; Cannabis sativa rules the early, green, chordee phase then yields to Cubeba when catarrh remains. Cure is read by quiet nights, a room that can be warm without distress, speech that carries without hoarseness, urination that neither burns nor dribbles, and mucus that no longer clings. [Clarke], [Allen], [Hering], [Boericke], [Hughes], [Farrington], [Boger]

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Piper methysticum

Pip-m. .

Essence. Piper methysticum presents a numb–tingling (anaesthetic) neuralgia with mucosal benumbing, restless light insomnia, and irritable uro-genital frequency, within a dry, rough skin terrain. The pains are irritable but benumbed, the patient cannot keep still, and the organism is appeased by gentle continued motion, warmth (especially bathing), and open air, while rest, cold/damp, night, tight garments, sexual excess, and large cold drinks worsen—a polarity echoed repeatedly across sections [Allen], [Clarke], [Boericke], [Hughes]. Psychologically the tone is practical and sensory: distress rises from peripheral crawling and smarting rather than brooding fears, and settles as surface quiets; the remedy calms without stupefying, in contrast to Coffea (exquisite hyperaesthesia) and Gelsemium (heaviness and drowsy depression) [Kent], [Clarke]. The kingdom signature (pepper family resin with local anaesthetic action) is stamped on mouth and skin first, then travels along nerve tracts to sciatic and intercostal fields; uro-genital irritability belongs to the same sensory–motor irritant state and recedes with restraint, warm bathing, and motion. In practice, Pip-m. is chosen when the quality of sensation (numb–tingling), the modalities (better motion/warmth/air), and the concomitants (oral numbness, dry branny skin, irritable bladder without violent tenesmus) converge; early improvement shows as longer comfortable sitting/walking intervals, quieter surface, deeper sleep onset, and less frequent, less smarting urination [Clarke], [Boericke]. [Clinical]

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Pix liquida

Pix.

Essence. Pix. suits viscid, offensive catarrh with a rattling, loose yet difficult cough that provokes nausea/retching, often ending in vomiting of mucus with temporary relief; the left infra-clavicular stitch on deep breath or cough is a compact keynote. The patient is worse in cold damp/fog, warm close rooms, lying, talking/reading, and exertion; better by sitting up/leaning forward, open air, warmth to chest, steam, and after expectoration. The same tar signature appears on the skin: thickened, itching, fissured eczema/psoriasis that behaves like the chest—worse damp/cold, better warmth/softening. The overall pace is chronic–recurrent, with winter exacerbations, morning load, and elderly/emphysematous constitutions prominent [Allen], [Clarke], [Boericke], [Boger].

Differentiation. Select Pix. over Ant-t. when the patient can ultimately expel tenacious, foul mucus and is not profoundly somnolent/cyanotic; over Kali-bi. when sputa are viscid and fetid but not rope-like; over Senega when the picture includes vomiting of mucus and left apex stitches; over Bryonia when there is rattling rather than dry pleuritic cough; and over Phosphorus when burning/reactive phenomena and bleeding are absent [Clarke], [Boericke], [Boger], [Kent]. In management, enforce posture (propped), steam, warm drinks, and fresh moving air, while avoiding cold fog, dust, smoke—the remedy holds far better when the milieu matches its ameliorations. Expect improvement to present as easier morning clearance, less fetor, longer intervals without paroxysms, and softer skin if dermatosis coexists. [Clinical]

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Plantago

Plan.

Core Themes / Remedy Essence. Plantago major is a sensory-nerve astringent: it focuses the prescriber on trigeminal/dental and aural pains that shoot to and fro between teeth and ear, on copious salivation with oversensitiveness to touch and cold air, and on the child’s nocturnal enuresis with deep first sleep and reflex irritability by day [Allen], [Hering], [Clarke], [Boericke]. The psychological hue is not dramatic—irritability springs from pains and tender surfaces rather than from moral conflicts; once warmth and stillness are provided, the patient grows tractable, which correlates with the warmth-/quiet-better polarity. Kingdom signature shows the astringent–vulnerary plant calming raw, tender edges (aphthae, ulcer margins, chapped skin), just as it calms the dental pulp and ear; mucilage and tannins explain soothing and astringent actions, whilst the nerve keynote accounts for the darting quality and salivary reflex [Hughes], [Clarke]. Miasmatically psora–sycosis colour the picture with functional hyperaesthesia, mucosal catarrh, and habit (tobacco), without deep tissue destruction.

Selection keys. Choose Plan. when (1) toothache ↔ earache reciprocity is explicit; (2) touch and cold air instantly aggravate, warmth and a still room ameliorate; (3) salivation accompanies pain without fetor; (4) a child wets the bed in first sleep yet is otherwise sensitive to draughts; (5) stings/bites or tender ulcer edges demand a vulnerary–astringent with sensory affinity [Allen], [Clarke], [Boericke]. Clinically, progress appears as longer pain-free intervals, saliva normalising, a child sleeping through without wetting after bladder emptying and foot-warming, and ear–tooth reciprocity breaking as the cold-air reactivity softens. Compare Coffea/Cham. in teething, Merc. in ulcerative mouths, Spigelia in ocular–trifacial neurology, Equisetum/Causticum in enuresis, and Puls. when catarrh predominates; the Plan. signature remains sensory + astringent + warm stillness. [Clinical]

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Platina

Plat.

Platina metallicum is the remedy of inflated identity, sexual tension, and isolated grandeur. It typifies the cold, untouchable, emotionally detached figure who suffers internally from enormous pressure—social, sexual, or moral. The physical symptoms reflect this compression and separation—tight bands, numbness, spasms, and induration. Ideal for women with deep pride, sexual conflict, and concealed pain. The Platina patient can become trapped in their own elevation, suffering from the pressure of maintaining superiority while secretly craving intimacy.

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Plumbum metallicum

Plb.

Plumbum metallicum embodies the rigid withdrawal of life force into the depths—retraction, slowness, and constriction. The patient slowly degenerates, both mentally and physically. Paralysis, emaciation, and obstruction are not sudden but insidiously progressive. The soul contracts inward, cutting off communication with others and the environment. It suits those in advanced chronic states, often with sclerosis, calcification, or neurological decay. The patient resists change and isolates within self-constructed walls of fear, rigidity, and internal pressure.

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Podophyllum

Podoph.

Podophyllum is the archetype of violent, draining elimination—its essence lies in purging, emptiness, and collapse. A remedy of explosive diarrhoea, liver congestion, and rectal or uterine prolapse, it is suited to patients who become weak and dazed after discharge. Often needed in children during teething or acute summer diarrhoeas, as well as in adults with hepatic or gastrointestinal pathology. The keynote is the painless yet profuse discharge, coupled with right-sided abdominal complaints and marked exhaustion.

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Polygonum

Polyg.

A venous–mucosal remedy with a hot, acrid, smarting signature. The patient feels congested and oppressed by heat and closeness—worse in warm rooms and bed, better in cool air and by cool applications. The suffering sits in the pelvis: rectum, bladder neck, and uterus/ovaries, where tenesmus and small, frequent, burning discharges dominate. The plant’s pungent chemistry (polygodial, tannins) mirrors the clinical pattern: irritant hyperaemia at outlets (burning, rawness) with capillary astringency that paradoxically coexists with passive bleeding—a profile that explains efficacy in haemorrhoids and uterine spotting [Hughes], [Clarke]. The psychological tone is peevish, heat-intolerant, and relief-seeking rather than explosive; pains are smarting more than tearing, urging is frequent more than copious, and the system longs for coolness and blandness. Compared with Aesculus, Polygonum is more acute and burning; compared with Aloe, it lacks the gushing weakness but has constant urging with small, hot, mucous stools; compared with Paeonia, it is less fissural and more diet-provoked. In women, pelvic dragging and dysmenorrhoea ease as flow becomes free, aligning with its venous-congestive nature; in the urinary tract, a milder Cantharis-like picture appears but tied to spices/acids. The central polarity is heat/irritation at the outlet versus relief by coolness and astringency, with damp-marsh aggravation echoing the habitat. Therapeutically, think of Polygonum whenever haemorrhoidal or uterine bleeding is accompanied by smarting rawness and tenesmus, especially if the patient reports diet triggers (pepper, vinegar, alcohol) and seeks air and cool pads. Cross-link your case to its modalities: sitting worse, cool better, spices/acid worse, open air better, and after a free stool somewhat better, and the choice becomes lucid. [Boericke], [Clarke], [Allen]

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Proteus

Prot.

The essence of Proteus can be condensed into the phrase: “held tension that breaks in storms.” The patient is a human counterpart of the mythic Proteus—the shapeshifting sea-god associated with the smell of decay and the unpredictability of the sea—and of the organism Proteus, whose foul odours and invasive potential mirror the disturbing quality of the nosode. On the psychological level, Proteus people are those who carry immense loads of stress, anxiety and responsibility while keeping up appearances of control, only to experience periodic explosive discharges when the strain becomes intolerable.

At rest, they may appear serious, introspective, even withdrawn. They are often conscientious, functioning under high expectations, both internal and external. They may be pillars of family or work, absorbing others’ burdens while suppressing their own distress. Yet beneath the surface lies a boiling mixture of anger, fear and exhaustion. When provoked, contradicted or struck by bad news, this latent storm erupts: they lose temper violently, scream, throw things, or collapse into hysterical sobbing, trembling and physical upheaval. Children demonstrate this vividly in Proteus tantrums—lying on the floor, kicking, screaming, resisting all control.

The body faithfully reflects this pattern. Tension localises in the epigastrium; as stress builds, the solar plexus tightens like a knot. Sympatho-adrenal activation follows: pulse races, blood pressure shoots up, hands tremble, sweat breaks out, the face flushes, and the head pounds. The organism seeks release through every possible outlet: vomiting, diarrhoea, urination, rashes, tears, shouting. When the storm passes, there is profound exhaustion and often guilt over the outburst. This pattern recurs with every major stressor, and over time the cardiovascular and digestive systems bear the brunt: chronic hypertension, recurrent “panic attacks” with adrenergic flavour, and functional dyspepsia or colitis punctuate the patient’s life.

Externally, Proteus patients are tuned to storms: barometric changes, thunder, high winds and electric weather all aggravate. They may predict storms by their headaches and nervousness. Internally, they struggle with “storms of the mind”—brain storms, as Paterson called them—where mental instability, explosive anger and hysterical reactions surface despite a strong will to keep control. Thus the remedy sits at an axis between Nux-v. (driven, irritable, overworked) and Ign. (contradictory, hysterical under grief), with additional cardiovascular–hypertensive and neuro-vegetative dimensions that neither covers fully.

Miasmatically, Proteus expresses psora (functional over-reactivity), sycosis (repetitive, recurrent crises, accumulation of tension), and syphilis (destructive potential in vascular crises, suicidal depression, and episodes of mental breakdown). If untreated, the synergy of these miasms under modern lifestyle pressures can lead to serious pathology: hypertensive strokes, cardiac events, ulceration, and psychiatric collapse. Proteus does not cure such conditions alone, but by re-ordering the bowel–nervous–vascular axis, it can reduce the frequency and severity of crises and open the door for deep constitutional remedies.

Clinically, the Proteus essence is often encountered in:

  • Executives, carers or professionals under chronic pressure, with episodic hypertensive crises, panic-like episodes, digestive storms and eruptive anger;
  • Adolescents under academic and social stress, with dramatic tantrums, self-harm risks, and digestive–nervous storms;
  • Adults with longstanding histories of “nerves,” sensitive to storms, sunlight and chemicals, whose symptoms move in multi-system surges rather than simple alternations.

Once Proteus is appropriately prescribed, several changes are often seen: storms become less frequent and less violent; blood pressure surges moderate; digestion stabilises; and the patient begins to recognise and express emotion earlier, with less sudden eruption. In that calmer terrain, a more stable constitutional pattern appears—Nat-m. grief, Aur. despair, Sulph. psora, or Lyc. portal congestion—allowing classical prescribing to act with greater predictability. In this sense, Proteus is a deep “organiser” of the stress–gut–nervous network, particularly suited to modern life’s relentless demands.

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Prunus spinosa

Prun.

Prunus spinosa is a nerve-edge remedy: the pains are sudden, electric, stabbing, or bursting, compelling absolute stillness. The picture is drawn along exposed peripheral nerve tracts—ciliary, trigeminal, intercostal/cardiac, coccygeal, and urethral—where cold wind, draught, movement, or touch launches a paroxysm. The eye keynote is unmistakable: the patient presses the lid and keeps perfectly still in a dark room, whispering that the eye will be “pushed out” if they move; here Spigelia is the nearest neighbour, but where Spigelia bores and throbs (often left), Prunus shoots and bursts (often right) [Hering], [Clarke]. Across the face, the zygomatic track lights like a wire; shaving, washing, or wind on the cheek fires pain “like a knife.” In the urinary sphere, root-of-penis pain with sudden stoppage is decisive; the neck of the bladder spasms, urging is fruitless, then a few drops cut like glass until the spasm lets go—after which the mind, like the sphincter, relaxes [Clarke], [Boericke]. The chest/heart gives neuralgic stitches—shot-like, left-sided, darting to scapula—less a vascular crush (Cactus) than a nerve-shock that abates with quiet, steady breaths [Boger], [Farrington]. Zoster—especially ophthalmic—is another field: post-herpetic electric darts in a hypersensitive skin map respond when modalities match (worse draught/motion/touch; better warmth, pressure, dark, rest). The prescriber should listen for verbs: shoots, stabs, bursts, stops suddenly—and for the behaviour: the patient freezes; they cover, press, darken the room, and hardly dare to breathe. Where those words and that posture appear, Prunus spinosa often unlocks the case. [Hering], [Clarke], [Boericke], [Boger]

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Psorinum

Psor.

Psorinum embodies the deep, chronic suppression of psora, manifesting as mental despair, physical decay, and loss of vital heat. Its essence is the collapse of reactive power, the inability of the body and mind to cleanse or restore balance. The patient is overwhelmed by chilliness, foulness, and hopelessness. Useful in deep chronic cases, where the patient appears filthy, hopeless, and lifeless, often with a history of suppressed eruptions or recurrent respiratory and digestive infections. Psorinum stimulates vital reaction when all other remedies fail to act.

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Ptelea trifoliata

Ptel.

Ptelea trifoliata is the bitter, torpid-bilious remedy whose centre of gravity is the epigastrium and right hypochondrium. The patient describes a stone lying at the pit of the stomach after even small meals; the epigastrium is hot, heavy, and tender, and the mouth tastes bitter. As the gastric weight mounts, the heart is drawn into the drama—palpitation and chest oppression arise purely from indigestion and subside with a few eructations. The liver sympathises: a sense of fullness and soreness under the right ribs, pale or bilious stools, and a sallow look. The modalities are practical and deciding: after eating, worst after rich/fatty/fried food or cold drinks; better from warm drinks, gentle walking, loose clothing, open air, right-side lying, and a free stool. The temperament is not the explosive irritability of Nux-v. but the dull, worried torpor of the bilious; the patient wants to sit still, rub the pit with warmth, and wait for the belch that lifts the weight. In clinic, Ptelea earns consideration in duodenal catarrh, postprandial palpitation, “sick-headaches” from rich food, and constipation with pale stools where other hepatic or gastric remedies only partially fit. Attend closely to the language—stone, weight, bitter, right side, after eating, better belching—and the case clarifies. [Clarke], [Hughes], [Allen], [Boericke]

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Pulex irritans

Pulx. .

Pulex irritans speaks to patients whose skin becomes a battlefield after insect exposure: papules/wheals with a central punctum, intolerable itching that flames in warmth and quiets in cold, and a bite-map distribution at ankles, calves, and elastic/waist lines. The case language is vivid—stings, burns, must scratch, drives me mad, only cold helps—and the behaviour is diagnostic: they throw the covers off, stand by an open window, press rather than rub, and carry a cold cloth, sleeping only in brief cooled interludes. The mental sphere is secondary but palpable: peevish, easily vexed, focused on the skin’s irritation; children slap at spots and demand to “make it cold.” This is not the oedematous, puffy Apis state, nor the vesicular Rhus-tox with relief from hot bathing; it is the papular urticaria/prurigo pattern with central punctum, excoriation, crusts, and loss of sleep. In recurrent “bite-reactors,” Pulex breaks the cycle, restores sleep, and allows constitutional work (often Sulphur or Psorinum) to sustain the result. Keep the thermal polarity in front of you: < heat/bed/woollens; > cold/cool air/uncovering—when this triad is explicit, Pulex is rarely misplaced. [Clarke], [Boericke], [Allen], [Hering]

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Pulsatilla nigricans

Puls.

Pulsatilla is the embodiment of gentle adaptability—a soul that bends rather than breaks, and suffers silently if affection is withheld. It is the remedy of changeability, not only in symptoms but in emotions, moods, desires, and complaints. Like the flower swaying in the wind, this patient constantly seeks balance between inner need and outer environment. Their sweetness masks vulnerability, and many ailments trace to disappointment, hormonal upheaval, or emotional neglect. They long to be held, to be loved, to cry without judgment.

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Pyrogenium

Pyrog.

Essence: Sepsis with foetor and a rebellious pulse. Think Pyrogenium when a rank odour emanates from the whole patient; the pulse and temperature do not match; the tongue is red, glazed, fissured; the bed feels too hard so the patient must move; and drainage (lochia, pus, urine, stool) clears the head and eases the case. Restlessness relieved by motion separates Pyrogen from Arsenicum; septic foetor and pulse–temp discord separate it from Rhus. In puerperal/surgical sepsis, typhoid-like low fevers, fetid suppurations, and sloughing ulcers, Pyrogen is the nosode that restarts reaction when the picture is putrid, paradoxical, and restless [Hering], [Clarke], [Boericke], [Boger], [Tyler], [Nash].

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