• Respiratory apex–lung parenchyma. Recurrent “left-behind” catarrh, apical dullness, post-pneumonic weakness, hacking morning cough with clumps, and liability to haemoptysis; swift catarrhal → ulcerative drift. See Chest/Respiration. [Burnett], [Clarke], [Tyler]
• Lymphatic system and glands. Cervical, axillary, mesenteric glandular enlargement in thin, chilly children; adenoids, tonsils recurring; sweat easily. See Throat, Glands, Generalities. [Kent], [Clarke]
• Bone and periosteum. Rapid yet delicate growth; rachitic tendencies; spinal curvature; joint swellings that linger. See Back/Extremities. [Tyler], [Boericke]
• Skin. Recurrent ringworm, pityriasis, acne in lean, restless youths with night sweats; slow-healing sores. See Skin. [Clarke], [Tyler]
• Digestive assimilation. Good appetite with wasting; craving milk/fat yet intolerance; diarrhoea alternating with constipation. See Stomach/Abdomen/Rectum. [Burnett], [Clarke]
• Nervous temperament. Rapid alternation—excitability ↔ exhaustion; headaches in stuffy rooms, desire for high places and speed; desire to travel. See Mind/Head. [Kent], [Tyler]
• Ear–nose–throat mucosa. Adenoid faces, chronic tonsils, glue ear, catarrh every chill; “never-well-since measles/pertussis.” See Nose/Throat/Ears. [Clarke], [Tyler]
• Heart. Tachycardia from exertion, apex tenderness in chesty youths; palpitations with breathlessness. See Heart/Chest. [Kent], [Boericke]

• Open, cool, moving air; mountain or seaside breezes; riding with windows down. [Tyler], [Clarke]
• Motion in the open; gentle walking (not fatigue); change of scene—journeys improve. [Kent], [Tyler]
• Expectoration when cough loosens in the morning; relief of chest oppression. [Clarke]
• Warm bed initially for chills (though night sweats may follow). [Boericke]
• Sunlight in cool air; airy rooms with cross-ventilation. [Tyler]
• Dairy reduction or lighter diet when milk/fat aggravate catarrh. [Clarke]
• After a short nap (if not heavy and hot); brief rests between bouts of activity. [Kent]
• Psychological variety—interest, music, company; monotony oppresses. [Tyler]
• Discharges when established (catarrh, menses); suppression worsens the state. [Clarke]

• Damp, stuffy, overheated rooms; closed windows; fog. [Clarke], [Tyler]
• Every chill; sudden weather shifts; east winds. [Burnett], [Clarke]
• First waking; on lying down at night—tickling laryngeal cough; after sleep, heat and sweat. [Boericke], [Tyler]
• Milk, rich fats—bring cough or catarrh; sweets increase throat clearing. [Clarke]
• Exertion ascending stairs; running—palpitations, breathlessness. [Kent]
• Suppression of eruptions or discharges (ringworm, otorrhoea) → chest/lymph relapse. [Clarke], [Tyler]
• Warm room during fever; crowded places; schoolrooms without air. [Tyler]
• Emotional confinement—routine, prohibition, criticism; longing for change intensifies. [Kent]
• Evening to midnight cough bouts; 3–4 a.m. heat and sweat. [Boericke], [Clarke]

A tubercular restlessness colours the temperament: longing for movement, travel, fresh air, and novelty; quick enthusiasm with as quick fatigue; dissatisfaction with sameness—“must get out.” Irritable when confined; alternating gaiety and gloom; anxiety about health despite outward activity—fear of decline in those with family history of chest disease. Children are bright, precocious, changeable, affectionate yet contrary, asking to be taken out for a drive with windows open. Night brings vivid dreams, wakes hot and sweating, then a hacking cough. Compare Tuberculinum (deeper destructiveness, defiance, and stronger craving for change), Phos. (open, sympathetic, fears alone in storm, bleeding tendency), and Calc-phos. (weary, growing pains, school aversion without the airy craving). [Kent], [Tyler], [Clarke]

Headaches in hot, close rooms; schoolrooms oppressive; better in wind and open air. Vertex heat with occipital aching toward evening; forehead heavy on waking, clears after expectoration. Dull sinusal pressure with chronic catarrh; “catarrhal head” in thin, pale youths. Photophobia in stuffy heat; pallor with red lips. Compare Nat-m. (frontal morning headache with dryness) and Sil. (head sweats, school fatigue, shy). [Clarke], [Tyler], [Boericke]

Irritable conjunctiva in wind and dust; gritty feeling with morning mucus; marginal blepharitis in scrofulous children; dark under-eye circles. Vision tires from prolonged reading in close rooms; relieved by fresh air. Compare Puls. (bland lachrymation, evening worse) and Euph. (acrid tears). [Clarke], [Tyler]

“Glue ear” with adenoids; recurrent otorrhoea in thin, sweaty children; deafness after each cold. Itching, popping on swallowing; tinnitus with anaemia. Suppression of discharge precedes chest relapse (key nosode pattern). Compare Kali-s. (yellow, stringy discharges) and Psor. (fetid otorrhoea, chilly, filthy skin). [Clarke], [Tyler], [Boger]

Frequent colds; morning sneezing in draughts; coryza every change of weather. Nasal bridge tender; adenoid facies—open mouth, dull snore, restless sleep. Crusts and small epistaxis on nose-blowing; stuffy at night in warm rooms, craves air. Compare Tub. (explosive, change-seeking) and Sang. (burning, epistaxis with right-sided headaches). [Clarke], [Tyler], [Boericke]

Fine, delicate features; rosy lips with general pallor; malar flush toward evening. Acne and pityriasis in wiry adolescents; ringworm around temples—a clinical keynote Burnett noted preceding chest improvement once treated. [Burnett], [Clarke], [Tyler]

Aphthous spots in run-down states; tongue pale, thin, or mapped; morning bad taste until expectoration. Tonsils large but indolent; viscid mucus in fauces, hawked up on rising. [Clarke], [Tyler]

Teeth sensitive to cold air; chalky enamel; delayed dentition with restlessness; children grind teeth in sleep during night heats. Compare Calc-p. (teething/growing pains) and Sil. (defective enamel with sweat of head). [Tyler], [Boericke]

Chronic follicular pharyngitis; thick, tenacious, greyish mucus in the morning—must be hawked; laryngeal tickle on lying down at night provoking cough. Tonsils and adenoids enlarged with a narrow chest child who must sleep with window open. [Clarke], [Tyler], [Boericke]

Hungry yet losing flesh; desires milk and fat but they aggravate chest and catarrh; thirst variable—often for cold water. Morning nausea from mucus; gastric weakness after every chill; rapid alternation of appetite—ravenous ↔ aversion. Compare Phos. (craves cold drinks that are vomited when warm), Iod. (voracious with emaciation, hot). [Clarke], [Tyler]

Mesenteric glands palpable in thin children; abdomen hollow, soft; diarrhoea alternating with constipation; wind after milk. Tenderness in right iliac fossa in growing youths (ileocaecal catarrh). [Clarke], [Boericke]

Irritable bladder in girls with adenoids; enuresis during night sweats; urine pale, abundant after fever heat. Offensive urine after suppression of skin eruptions. [Clarke], [Tyler]

Stool variable: constipated pellets after febrile nights or loose, painless morning stool with weakness. Itching anus with ringworm history; fissures slow to heal. Compare Sulph. (itching, morning stool) and Nat-s. (morning diarrhoea after damp). [Clarke], [Boger]

Adolescent acne, thin chest, excitable then exhausted; nocturnal emissions with heated bed, night sweats, and morning cough. Compare Phos. and Staph. different temperament shades. [Tyler], [Kent]

Delayed, scanty, or irregular menses in thin, chilly girls; menses aggravate chest tightness; leucorrhoea bland, milky in anaemic adolescents. Pregnancy reawakens catarrh in tubercular diathesis. [Clarke], [Tyler]

Desire for deep breaths; sighing; feels chest cannot expand in warm room; breathes freely at window. Laryngeal tickle on lying; cough in paroxysms after first going to bed and again toward early morning (3–4 a.m.) with heat and sweat. [Clarke], [Boericke], [Tyler]

Palpitations easy on ascending stairs; tachycardia with breathlessness; functional systolic murmurs in thin youths; cold sweat with effort; pulse quick with evening heat. Anxiety from cardiac flurry in closed rooms; better air. [Kent], [Clarke]

The centre of action: persistent apical catarrh; morning paroxysms of short, tickling cough until clumps of opaque, sweetish, sometimes blood-streaked mucus are raised; relief follows. Oppression in warm rooms, must open window; worse on lying down at night; better in cold moving air and on gentle walking. Stitches at apex; tenderness under clavicles; easy haemorrhage from slight exertion. Recurrent “bronchitis every winter,” never quite clearing; post-pneumonic weakness (“never-well-since pneumonia/measles/pertussis”). Compare Phos. (burning chest, hoarseness, bleeding), Kali-c. (stitching, 3 a.m. aggravation, back weakness), Tub. (deeper destructive pace and iconoclastic mind), Psor. (filthy catarrh, foulness, extreme chilliness). [Burnett], [Clarke], [Tyler], [Kent]

Growing pains; dorsal weakness; desire to lean against something hard. Stooping thin children; spinal tenderness in upper dorsal region; chill up back in fog. [Tyler], [Boericke]

Thin, wiry muscles; restless legs at night; cold hands and feet, sweaty palms; chilblain tendency. Knee and ankle swell after every cold; periosteal tenderness in shins (night). [Clarke], [Tyler]

Ringworm (tinea circinata) stubborn, especially scalp and temples; pityriasis, acne on thin oily skin; slow healing of scratches; night sweats soaking the pillow and nape. Clinical observation: treating the ringworm terrain often unlocks chest health in the same child—a keynote thread. [Burnett], [Clarke], [Tyler]

Restless before midnight; must have window open; talks or moans; wakes hot, throws off covers, then sweats; dreams of travelling, high places, speed, and danger. Grinding teeth; wakes to cough and expectorate, then sleeps better near dawn. [Tyler], [Clarke]

Of journeys, trains, climbing, and perilous heights; of suffocation in hot rooms; of examinations and being late—restlessness of the tubercular psyche dramatised. [Tyler], [Clarke]

Hectic evening rise with malar flush; chill from the least draught; then heat with thirst for small sips; profuse night sweats after midnight. Fever relapses with weather change or schoolroom confinement. Compare Phos. (thirst for cold drinks, burning), Psor. (filthy sweats), Calc-phos. (school fatigue, chilliness). [Clarke], [Boericke], [Kent]

Chill: easily, from draughts and fog; shivers up back.
Heat: flushes in close rooms; heat of head, hands cold.
Sweat: copious night sweats, especially occiput/neck and chest; sweat weakens yet relieves oppression. Worse warm bed and closed rooms; better cool, moving air and after expectoration. [Clarke], [Boericke], [Tyler]

Craves milk and fat but both aggravate chest and catarrh; desire for cold drinks and ice; aversion to warm, stodgy foods in stuffy rooms. Salt desire may appear (Phos./Nat-m. cross-current). [Clarke], [Tyler]

A thin, quick, airy constitution; rapid reactivity but poor endurance; worse confinement, heat, fog, and closed windows; better high places, swift air, change, journeys, and after morning expectoration. “Never-well-since” chest infections; adenoid/tonsil–ear axis with ringworm skin and night sweats. Bacillinum often “unlocks” stalled catarrhal and glandular cases in tubercular families, preparing the ground for deep complements (Calc-phos., Phos., Sil., Sulph.). [Burnett], [Clarke], [Tyler], [Kent], [Boericke]

Tubercular Diathesis & Longing for Air/Change

• Tuberculinum. Deep iconoclasm, destructiveness, violent dissatisfaction; recurrent infections across systems; greater volatility than Bac.; Bac. is more respiratory-glandular, softer mood, less defiant. [Kent], [Tyler]
• Phosphorus. Open, affectionate, fearful of thunderstorms and alone; haemorrhagic tendency; burning pains; craves cold drinks; overlaps in chest but more bleeding/burning than Bac. [Clarke], [Kent]
• Calc-phos. Growing children, school fatigue, bone pains; less restless for travel; more “aching and yawning,” head sweats. [Tyler]

Recurrent Chest Catarrh

• Kali-carb. Stitching pains, 3 a.m. aggravation, back/knee weakness; more fixed than Bac.’s airy ease. [Kent]
• Silica. Fine boned, sweaty head/feet, recurrent infections, but chilly, obstinate rather than travel-restless. [Tyler]
• Psorinum. Says he is cold in a warm room; filthy discharges, despair; Bac. less filthy, more airy. [Clarke]

Skin–Gland Axis (Ringworm, Adenoids)

• Tellurium. Ringworm with offensive odour, circular polycyclic lesions; less chest keynote. [Clarke]
• Sepia. Ringworm with yellow-brown blotches, hormonal overlay; temperament different. [Tyler]
• Graphites. Oozing, honey-like skin; stout, sluggish—not Bac.’s thin, quick type. [Clarke]

“Never-Well-Since Measles/Pertussis/Pneumonia”

• Morbillinum. Post-measles catarrh with ocular/coryzal axis; Bac. extends deeper into tubercular chest. [Clarke]
• Drosera. Post-pertussis laryngeal cough, spasmodic, worse after midnight; Bac. has broader tubercular ground. [Boger]
• Sulphur. Heat, itch, morning stool; often complements Bac., not replaces. [Kent]

Haemoptysis and Apical Tenderness

• Ipecac. Bright blood with nausea; clean tongue; less chronic night sweat milieu. [Clarke]
• Millefolium. Painless bleeding after exertion; less tubercular temperament. [Boericke]
• Ferr-phos. Early stage, paler fever; Bac. when relapses recur in tubercular terrain. [Nash]

• Complementary: Calc-phos., Phos., Sil., Sulph.—deepen reconstruction of bone, mucosa, skin once Bac. unlocks the case. [Kent], [Tyler], [Clarke]
• Complementary / Alternates: Tuberculinum—use judiciously; some cases need Bac. first to soften catarrhal–glandular layer before Tub. The two are related but not identical. [Tyler], [Clarke]
• Follows well: Morbillinum (post-measles), Drosera (post-pertussis) when chest remains vulnerable. [Clarke], [Boger]
• Precedes well: Kali-s., Kali-carb., Nat-s. in chronic bronchitis cycles once tubercular block released. [Boger], [Kent]
• Antidotal/Regulating: Sulph. when reaction is low; Nux-v. if diet/drugging confuse response. [Kent], [Clarke]
• Caution / Relationship note: Distinguish Bacillinum (Burnett) from Tuberculinum (var. bovinum humanum); do not alternate capriciously—let the evolving totality guide. [Tyler], [Clarke]

• When chest “never quite clears”: Thin, airy patient; morning clumps; night sweats; heat of room intolerable—consider Bac. to unlock before moving to deeper complements. [Clarke], [Tyler]
• Adenoids–ear–ringworm triad: Treating the ringworm terrain with Bac. often precedes lasting ENT improvement (Burnett). Watch for a short aggravation then freer breathing. [Burnett], [Tyler]
• Dosing: In chronic terrain, authors report success with 30C weekly or 200C at wider intervals; in relapsing chest with clear diathesis, single 200C/1M then wait, following with constitutionals as state clarifies. Stop on improvement. [Tyler], [Kent], [Boericke]
• Weather strategy: Advise airing rooms, cool night air if tolerated, and avoid heavy milk/fat during active catarrh—observational adjuncts aligning with modalities. [Clarke], [Tyler]
• Mini-pearls

• • “Winter bronchitis child” with adenoids, thin, sweats head at night, craves open window → Bac. 200C; adenoids shrank, fewer colds next term; later Calc-phos. to build. [Tyler]
  • Adult “never-well-since pneumonia,” morning plugs, can’t bear warm rooms → Bac. 1M unlocked, then Phos. completed. [Clarke]
  • Ringworm on temples; every suppression followed by chest relapse → Bac. cleared skin and settled chest sequence. [Burnett]

Mind

• Restlessness, desire for change; wants to travel; better for open air. Clinical keynote for tubercular temperament. [Tyler], [Kent]
• Irritability when confined; aversion to closed rooms and routine. Terrain pointer. [Clarke]
• Anxiety about health with family history of chest disease. Diathesis clue. [Clarke]
• Alternating moods—gaiety ↔ gloom. Tubercular lability. [Kent]

Head

• Headache in hot, stuffy rooms; better in open air and wind. Modality core. [Clarke]
• Vertex heat, evening; morning frontal heaviness till expectoration. Chest link. [Tyler]
• Sinus pressure with chronic catarrh; thin youths. Terrain sign. [Clarke]

Nose/Throat/Ear

• Coryza at every weather change; adenoids with open-mouth sleep. Recurrence rubric. [Clarke]
• Otorrhoea, recurrent, with thin children; suppression → chest relapse. Sequence rubric. [Tyler]
• Mucus, tenacious, morning hawking; laryngeal tickle on lying down. Timing rubric. [Boericke]

Chest/Respiration

• Cough, morning paroxysmal, relieved by expectoration of clumps. Signature rubric. [Clarke]
• Oppression in warm room, better window open and walking. Modality cornerstone. [Tyler]
• Apical tenderness; haemoptysis tendency with exertion. Diathesis danger. [Clarke]
• Night sweats with early-morning cough. Chronobiology rubric. [Boericke]

Fever/General

• Hectic evening flush; quick pulse; profuse night sweats after midnight. Classic tubercular cycle. [Clarke]
• Chill from least draught; shivers up back in fog. Weather sensitivity. [Tyler]

Skin

• Ringworm (tinea), especially temples/scalp; pityriasis; acne in thin adolescents. Terrain hallmark. [Burnett], [Clarke]
• Slow healing of scratches; delicate skin, easy sweat. [Tyler]

Bones/Glands

• Mesenteric/cervical gland enlargement in thin children. Scrofulous axis. [Clarke]
• Growing pains; spinal tenderness upper dorsal; desire to lean back. [Tyler]

Sleep

• Must sleep with window open; talks, grinds teeth; wakes to cough and expectorate. Modality + sequence. [Tyler]
• Dreams of travelling, heights, speed; wakes hot then sweats. Psychological mirror. [Clarke]

Generalities

• Better: open air, wind, change, gentle motion; Worse: heat, fog, closed rooms, first lying down, milk/fat. Summary rubric set. [Clarke], [Tyler], [Boericke]

Burnett, J. Compton — A Cure for Consumption & papers on Bacillinum (1880s–1890s): introduction of Bacillinum; ringworm-chest connection; clinical cases.
Clarke, J. H. — A Dictionary of Practical Materia Medica (1900): preparation notes, indications, relationships, case confirmations.
Allen, T. F. — Encyclopaedia of Pure Materia Medica (1874–79) & Handbook of Materia Medica (1889): collated nosode symptoms; clinical notes.
Tyler, M. L. — Homoeopathic Drug Pictures (1932): vivid tubercular portrait; comparisons with Tuberculinum, Phosphorus, Calc-phos.
Kent, J. T. — Lectures on Homoeopathic Materia Medica (1905): tubercular miasm, generalities, relationships.
Boericke, W. — Pocket Manual of Homoeopathic Materia Medica (1901): keynotes—open air, night sweats, morning expectoration.
Boger, C. M. — Boenninghausen’s Characteristics & Repertory (1905): modalities—weather change, fog, suppression; ENT-chest links.
Hughes, R. — Manual of Pharmacodynamics/Pharmacography (1867–68): medical backdrop of tuberculosis for nosode rationale.
Farrington, E. A. — Clinical Materia Medica (1887): organ affinities; chest–gland connections (comparative).
Phatak, S. R. — Materia Medica of Homoeopathic Medicines (1977): concise tubercular keynotes and modalities.
Nash, E. B. — Leaders in Homoeopathic Therapeutics (1899): practical chest indications; remedy sequences.
Vithoulkas, G. — Materia Medica Viva (1990s): modern essence and miasmatic synthesis for tubercular terrain.
Morrison, R. — Desktop Guide to Keynotes & Confirmatory Symptoms (1993): quick diathesis cues—air hunger, ringworm link.