Cinnabaris

A naturally occurring mercuric sulphide found in cinnabar ore, historically the source of elemental mercury and the brilliant pigment vermillion. In crude form it is sparingly soluble yet, by vapour and dust exposure, shares the mercurial toxidrome—stomatitis, ptyalism, fetid breath, bone/periosteal pains (worse at night), erethism, and cutaneous/venereal lesions ([Toxicology]) [Hughes], [Clarke]. The homœopathic remedy is prepared by trituration of purified cinnabar to the 3x and higher, then potentised. Clinically it has a marked nasopharyngeal–sinus and venereal–cutaneous axis: post-nasal catarrh with tenacious green mucus, ozaena, nasal polypi, maxillary/frontal sinus neuralgia, and condylomata/syphilitic ulcerations; it also touches eye canthi (caruncle), pharynx (“lump at choanæ”), and periosteum (root of nose, tibia). [Hering], [Allen], [Clarke], [Boericke], [Boger]

Symptoms collected from early provers and extensive clinical confirmations by Hering’s school and Allen’s compilation, with additions from Hughes (toxicology) and Clarke (clinical syntheses). Keynotes—post-nasal hawking of tough green mucus, root-of-nose pain, caruncle inflammation, genital condylomata, night-bone pains, and syphilitic ulcers—are richly attested. [Hering], [Allen], [Hughes], [Clarke], [Boericke]

Cinnabaris stands where Mercury’s destructive edge meets Sulphur’s inflammatory mucosa—a syco-syphilitic signature expressed in mucous overgrowths (polypi, condylomata) and ulceration/Periosteal pains that announce the night. The essence is the blocked passage: a posterior “lump” at the choanæ that compels hawking, a bridge-of-nose pressure that narrows one’s world to a bar across the face, and a caruncle that feels lumpy and angry; once the plug loosens and air is taken in the open, the mood and mind unshackle (Essence ↔ Nose/Throat/Eyes; Modalities). This inner obstruction radiates to sex and self-image: lasciviousness surges at night, condylomata and mucous patches shame the patient, and fetid odour from ozaena or mouth undercuts confidence (Mind/Female/Male). The polarity is closed–open: close rooms, damp, warmth to head, suppression of discharge, sexual excess close the system and worsen; open air, free discharge, loose clothing, and lukewarm sips open it again (10a/10b).

Pathophysiologically, mercurial influence explains night-bone pains, stomatitis, offensive secretions, and a tendency to sweat without relief; sulphide’s mucosal affinity expresses as tenacious green/yellow mucus, posterior “string”, caruncle swellings, and polypi (Affinity). The miasmatic weave is clear: sycotic overgrowth (warts/polypi) rides with syphilitic ulceration (ozaena, coppery eruptions, periosteal pains), while psora maintains the chronic catarrh and reactive skin (Miasm). The pace is chronic–recurrent, with flare-ups in damp warmth and after suppression; it seldom races like Merc. cor., but erodes steadily unless vent is restored (Differentials). The psychological portrait is practical, sensual, self-conscious: less tragic than Aurum, less weepy than Pulsatilla, less generalised than Merc. sol.; the mind frets about odour, appearance, and blocked passages, then eases once air and discharge flow. In Scholten’s terms the Mercury series wrestles with performance/communication; here the message is literally stuck in the passage until Sulphur’s outward drive re-opens it. Cure reads in simple but decisive signs: the bridge no longer aches, caruncle quiets, hawking ceases, polypi shrink, ulcers heal from within, bone pains stop waking him at night, and shame subsides as breath sweetens and the face is clear. [Hering], [Hughes], [Kent], [Clarke], [Phatak], [Boger], [Tyler]

• Nasopharynx & Posterior Nares. Classical for post-nasal catarrh with tenacious, often green/yellow mucus that must be hawked from the choanæ; a peculiar “lump” or plug sensation behind the uvula; ozaena with fetid crusts and rawness at the root of the nose. See Nose/Throat/Symptomatology. [Hering], [Allen], [Clarke], [Boericke]
• Frontal–Maxillary Sinuses. Pressive pain at the bridge/root of the nose, radiating to forehead/zygomata, with blockage and polypoid swelling; pains worse night, damp, close rooms, better open air and after discharge. See Head/Nose/Modalities. [Boger], [Clarke], [Phatak]
• Eyes (Canthi/Caruncle). Inflamed caruncle, inner canthus feels swollen/lumpy, lids sore; lachrymation excoriating; ciliary neuralgia linked to sinus disease. See Eyes/Face. [Hering], [Allen], [Boericke]
• Throat & Fauces. Thick posterior pharyngeal strings; sensation of a string/lump from nose to throat; ulcers in syphilitic subjects; mercurial fetor. See Throat/Mouth. [Clarke], [Phatak], [Allen]
• Genito-Urinary (Syco-syphilitic). Condylomata, especially fig-warts about genitals/anus; chancres, mucous patches; thick yellow–green urethral discharge; sexual erethism with lascivious dreams. See Male/Female/Skin. [Hering], [Allen], [Boericke], [Kent]
• Skin & Mucosa. Coppery eruptions, indurated bases, ulcers with offensive discharge; warts/polypi; crusts in ozaena; syphilitic nodes. See Skin/Nose. [Clarke], [Boger], [Phatak]
• Bones & Periosteum. Nocturnal bone pains, especially nasal bones, tibia, ulna; tenderness at bridge of nose; periosteal thickening after venereal history. See Head/Back/Extremities. [Hering], [Clarke]
• Glands & Lymph. Submaxillary, inguinal glandular irritability in venereal terrain; nodes wax and wane with mucosal activity. See Mouth/Neck/Male. [Clarke], [Allen]
• Mind & Sleep (Sensual–Irritable Axis). Lasciviousness, erethism, restless nights, vivid erotic/colourful dreams; irritability from nasal obstruction and bone pains. See Mind/Sleep. [Hering], [Tyler], [Phatak]
• Mouth & Salivary. Mercurial stomatitis tendencies—spongy gums, fetor, metallic taste—though less ptyalism than Merc. sol.; ulcers with red areola. See Mouth/Throat. [Hughes], [Clarke], [Boericke]
• Nasal Growths. Polypi (soft, gelatinous), with constant hawking and blockage, often with anosmia; rains/damp make worse. See Nose/Modalities. [Boger], [Clarke]

The Cinnabaris mental state is coloured by erethism: a mixture of restlessness, sensuality, and irritability aggravated by the night (Mind ↔ 10b) and the constant internal pressure at the root of the nose (Mind ↔ Head). Thoughts stray to sexual images, with lascivious dreams and morning remorse; desire is heightened yet gratification leaves rawness and weariness (Mind ↔ Male/Female) [Hering], [Tyler]. He is impatient of obstruction—if the nose blocks or the posterior lump cannot be hawked, temper shortens and speech becomes curt (Mind ↔ Nose/Throat) [Clarke]. Work in close rooms or damp offices breeds fretfulness and a sense that the head is too tight across the bridge (Mind ↔ 10b damp/close); relief comes with open-air walking and a flow of discharge (10a) [Boger], [Clarke]. There may be hypochondriacal focus on venereal history—shame at condylomata or old chancres and brooding over smell from nose or mouth; this self-consciousness is soothed when the mucus is cleared and the fetor diminishes (Mind ↔ Throat/Nose) [Clarke], [Hering]. Anxiety is practical rather than cosmic (contrast Aurum); it concentrates on appearance, odour, and sex; the mood sours with night-bone pains and brightens when morning air freshens the head (Mind ↔ Bones/Generalities). A “busy yet blocked” affect—wants to do, yet the head feels plugged—typifies the day; he is less lively than Pulsatilla, more sensual than Hydrastis, and less self-tormented than Merc. sol. [Kent], [Clarke], [Phatak].

Restless with lascivious dreams and waking to hawk the posterior lump; snoring and mouth-breathing common (Sleep ↔ Nose/Throat) [Allen], [Tyler]. Night aggravates bone pains and genital itching (10b), driving the patient from bed to the window for cool air (10a). Sleep improves when discharge is free, rooms are aired, and warmth is kept to the body while face is cool. After sexual excess or late suppers, sleep is broken by catarrh. [Clarke], [Boericke]

Erotic, vivid, often colour-rich (vermillion imagery is a poetic but frequently reported nuance); dreams of public shame from odour/disfigurement; of obstruction—blocked doors, narrow passages—mirroring choanal blockage (Dreams ↔ Mind/Nose). Dreams reduce as catarrh loosens and open air becomes habitual. [Tyler], [Clarke]

Cinnabaris is a syco-syphilitic nasopharyngeal and venereal remedy: bridge-of-nose pressure, posterior choanal “lump” with hawked green/yellow mucus, caruncle swelling, ozaena with fetor/crusts, polypi/adenoids, and condylomata with nocturnal bone pains. Worse: night, damp/close rooms, warmth to head, fumes/dust, sweets/fats, suppression, sexual excess; better: open, cool air, free discharge/hawking, gentle pressure at bridge, lukewarm sips, loose clothing, and completion of ulcer discharge (modal concordance). The eyelid caruncle and root-of-nose map are practical confirmers. Outcome is read in easier breathing, less hawking, bridge pressure gone, crusts/ulcers healthy from within, warts regressing, bone pains abating, and sleep returning without shame or obstruction. [Hering], [Allen], [Clarke], [Boericke], [Boger], [Phatak]

Not a high fever remedy; evening heat with flush of face, sweat at night in mercurial constitutions; chill in damp rooms with aggravation of ozaena. Feverishness falls as secretions are unloaded. [Hughes], [Clarke]

Chilly in damp; heat of head in close rooms; night-sweats restore little (Merc. strand) [Allen]. Sweating does not relieve the bridge pain unless mucus is also cleared, tying generalities to local pathology (Chill/Heat ↔ Nose). [Clarke], [Boger]

A keynote is pressure at the root/bridge of the nose with frontal heaviness, as if a bar or band stretched across the eyes; pains shoot to the malar bones and teeth, often worse at night, damp, and warm rooms (Head ↔ 10b), better in open air or after hawking thick mucus (Head ↔ 10a) [Boger], [Clarke], [Phatak]. Headache pairs with ozaena and polypi—when the posterior lump loosens, a green/yellow mass comes down and pain lifts (Head ↔ Nose/Throat) [Hering], [Allen]. Ciliary neuralgia accompanies frontal pain; light reading and stooping increases pressure (Head ↔ Eyes/10b) [Allen]. The scalp may feel sore, especially over frontal bones; periosteal tenderness at nasal bones betrays the syphilitic terrain (Head ↔ Bones/Miasm) [Clarke]. Compare Kali bichromicum (pluggy pains, ropy mucus, mapping of localisation) with Cinnabaris (bridge-of-nose focus, caruncle, venereal link). In children with adenoids, early morning head-pressing and nose-rubbing suggest this remedy when hawking is incessant. [Boericke], [Boger], [Clarke]

The inner canthus/caruncle is red, swollen, and sore, with smarting and lachrymation that excoriates; the patient rubs the canthus and complains of a lump there (Eyes ↔ Affinity; Nose link) [Hering], [Allen]. Vision blurs during frontal pressure; light work aggravates, open air helps (10a/10b). Ciliary neuralgia—shooting pains from eye to root of nose—shows the sinus–eye axis; compare Spigelia (orbital stitches left >) and Sanguinaria (right supra-orbital periodicity) [Farrington], [Boger]. In syphilitic states, iritis with circumcorneal injection and photophobia may call for Cinnabaris when caruncle and nasal signs concur (contrast Merc. cor. for violent iritis) [Clarke]. Children with ozaena often wake with gummy inner canthi and improved spirits after discharge. [Hering], [Boericke]

Fullness about Eustachian mouths from posterior catarrh; sounds dull in close rooms, clearer in open air (10a) [Clarke]. Ear pain is secondary; the symptom value lies in post-nasal drip muffling the tubes. Occasional stitching to zygoma mirrors frontal pains. Unlike Merc. sol., otorrhœa is not central; Cinnabaris is chosen when nose–throat and canthus confirm. [Boger], [Allen]

The grand sphere. Thick, viscid, green or yellow mucus adheres to the posterior nares; the patient must hawk repeatedly, describing a “lump” or plug behind the uvula that won’t descend (Nose ↔ 10a relief after hawking) [Hering], [Allen], [Clarke]. Ozaena with fetid crusts, raw, bleeding areas, and soreness at the root of the nose is classic; suppression with caustics worsens the case (Nose ↔ 10b suppression) [Hering], [Clarke]. Polypi and adenoids swell in damp, warm rooms; open air reduces obstruction (10a/10b) [Boger]. Pain radiates from bridge to forehead, zygoma, and teeth; stooping, reading, cellars, and fumes aggravate (10b), while rubbing the bridge or pressure gives momentary ease (10a) [Phatak]. Anosmia alternates with periods of over-sensitivity to odours. Differential: Kali bich. (plugs/holes), Hydrastis (thick, stringy yellow catarrh without bridge pain), Sticta (dry, stuffy catarrh, no hawking). [Clarke], [Boger], [Boericke]

Looks sallow, slightly puffy in venereal subjects; malar soreness with frontal pain; red caruncle is conspicuous (Face ↔ Eyes) [Hering], [Allen]. The upper lip may chap from excoriating discharge; corners fissure in cold damp. Periosteal tenderness at nasal bridge and infraorbital ridges is a selection sign. In long-standing ozaena, a coppery hue tinges the skin, mirroring the miasmatic base (Face ↔ Skin/Miasm) [Clarke]. Compare Aurum (bony nodes, deep nocturnal pains with depression) when bone destruction dominates. [Kent], [Clarke]

Metallic taste, fetid breath, spongy or tender gums—less ptyalism than Merc. sol., yet distinct mercurial odour, worse night/heat of room (10b) [Hughes], [Allen]. Ulcers on tongue/cheeks with red areola and dirty floor; mucous patches in syphilitic patients respond when nasal and genital signs concur (Mouth ↔ Skin/Male) [Hering], [Clarke]. Saliva thick in mornings; tongue may show impressions of teeth in mercurial terrain. Warm drinks soothe, but sweets increase posterior glue (Mouth ↔ 10b sweets). [Boericke], [Dewey]

Neuralgic toothache linked to sinus pressure—upper bicuspids/molars ache with bridge pain; cold air first relieves then aggravates (tooth–sinus reflex) [Clarke], [Boger]. Gums bleed on brushing; odontalgia worse night (Merc. signature). Dental work in warm rooms provokes nasal block and frontal pain; fresh air walk relieves (Teeth ↔ 10a/10b). [Allen], [Boericke]

The hallmark is posterior pharyngeal “string/lump” that compels hawking; thick green/yellow masses descend from choanæ, leaving rawness and momentary relief (Throat ↔ 10a) [Hering], [Allen]. Soreness is high behind the uvula, not low in the larynx (contrast Hydrastis). Elongated uvula or granular posterior wall may be present. In syphilitic cases, ulcers and mucous patches appear, especially after suppressive local treatment (10b). Voice is thick in mornings, clearing with hawking and air. [Clarke], [Boericke]

Breathing is easier in open air; close rooms oppress (Chest ↔ 10a/10b). Sensation of fulness high behind sternum from post-nasal drip; cough to clear throat-strings rather than bronchi. No deep lung pathology distinctive to Cinnabaris; the chest shares the catarrhal axis. [Clarke], [Boericke]

Palpitation from fumes/odours and close heat; anxiety about odour/appearance rather than structural cardiac disease. Pulse may quicken at night with bone pains (Heart ↔ 10b). Compare Merc. sol. when general mercurial weakness and sweat dominate. [Clarke], [Hughes]

Mouth-breathing at night when polypi/adenoids obstruct; snoring loud; children restless until posterior plug dislodges (Respiration ↔ Nose/Throat) [Hering]. Deep breaths tickle posterior fauces and provoke hawking. Airing rooms improves all. [Clarke]

Taste metallic; appetite capricious in chronic catarrh; sweets/fats aggravate posterior mucus (Stomach ↔ 10b). Nausea from foul odours or ozaena; patients prefer simple warm foods and lukewarm sips that loosen the throat (10a). Gastric symptoms are secondary; select by head–nose–throat axis. [Dewey], [Clarke]

Venereal terrain may show inguinal node soreness; lower abdominal drag around menses with nasal flare (Abdomen ↔ Female). Flatulence in close rooms exacerbates malaise; walking in open air helps generally (10a). Not a primary abdominal remedy. [Clarke], [Boericke]

Condylomata around anus (moist, fig-like), itching worse at night (10b) [Hering], [Allen]. Fissures and small ulcers bleed with stool in syphilitic states; soreness improved by bathing and airing, aggravated by warm, close rooms (Rectum ↔ 10a/10b). Compare Nitric acid (splinter pains, bleeding easily). [Clarke], [Phatak]

Urethral irritation with thick yellow–green discharge in mixed infections; burning at meatus; desire frequent with small drops (Urinary ↔ Male) [Hering], [Allen]. Urine odour offensive in ozaena subjects; sediment slight. The urinary sphere follows the genital rather than independent renal disease. [Clarke], [Boericke]

Aversion to sweets/fats or they aggravate posterior mucus (Food ↔ 10b); desire for warm simple foods, lukewarm drinks to loosen strings (10a). Alcohol flares ozaena and urethral irritation (10b). [Dewey], [Clarke]

Condylomata on glans, prepuce, perineum; chancres hard-edged; mucous patches; urethritis with thick discharge (Male ↔ Skin/Urinary) [Hering], [Allen]. Lascivious dreams, frequent erections with erethism, yet coitus may aggravate local lesions (10b). Groin glands swell and relax with activity of mucosa. Compare Thuja (warty, oily skin, sweet-smelling sweat) and Nitric acid (splinter pains, bleeding). [Kent], [Clarke], [Boericke]

Vulvar condylomata and mucous patches; cervical erosion with greenish discharge; catarrhal women have frontal–nasal flare before menses, easing as flow begins (Female ↔ 10a) [Clarke]. Coition irritates and rekindles lesions (10b). Nasal polypi may swell premenstrually; reduction with flow is a small yet consistent pointer. Compare Kali bich. (thick strings without venereal signs) and Thuja (warty constitution, chilliness). [Hering], [Boger]

Tenderness over upper cervical attachments due to sustained head-forward posture in blocked nose; relief with open air and rinsing (Back ↔ 10a). Periosteal ache along ulna/tibia at night hints at miasm. [Clarke], [Boger]

Nocturnal bone pains, worse night/damp, better motion in open air (Extremities ↔ 10a/10b) [Hering], [Clarke]. Hands may chap from nasal discharges rubbed away; nails brittle in syphilitic terrain. Compare Aurum and Merc. iod. for deeper bone involvement. [Kent], [Boger]

Coppery eruptions, indurated ulcers, condylomata, and perinasal crusts in ozaena belong to Cinnabaris; suppression deepens disease (Skin ↔ 10b) [Hering], [Clarke]. Warts bleed easily; mucous patches moist and offensive. Skin about canthi excoriated by tears—links eye to nose. Polypoid and warty tendencies (sycotic) combine with destructive ulcers (syphilitic). [Boericke], [Phatak]

Post-nasal Catarrh / Sinusitis

• Kali bichromicum — Ropy strings, plugs, punched-out ulcers; localisation exact. Cinnabaris has bridge pain, caruncle, venereal tint, and lump behind uvula. [Boger], [Clarke]
• Hydrastis — Thick, stringy yellow mucus, drooping posteriorly; less bridge-of-nose pressure and venereal link. [Clarke], [Boericke]
• Sticta pulmonaria — Dry, stuffed nose, no discharge; restless, aggravated by night air; Cinnabaris requires tenacious discharge to hawk. [Boger]
• Lemna minor — Polypi with damp, musty weather aggravation and foul smell; less canthus/caruncle sign; pair when polypus dominates. [Clarke], [Boger]
• Pulsatilla — Bland yellow catarrh, open air >, evening aggravation, tearfulness; lacks venereal/bone-pain axis. [Kent], [Clarke]

Ozaena / Ulcerative Nasal Disease

• Aurum metallicum — Profound bone destruction with depression/suicidal thoughts; Cinnabaris less melancholic, more posterior lump and caruncle. [Kent]
• Mercurius corrosivus — Violent, rapid ulceration, bloody tenesmus; Cinnabaris slower, with tenacious green mucus. [Hughes], [Clarke]
• Hepar sulphuris — Splinter sensation, suppurative tendency; Cinnabaris has choanal lump, bridge pressure. [Boger]

Genital Warts/Chancre

• Thuja — Soft moist warts, oily skin, chilliness; Cinnabaris shows nocturnal bone pains, caruncle, ozaena. [Kent], [Clarke]
• Nitric acid — Splinter pains, easy bleeding; syphilitic–sycotic; Cinnabaris more posterior catarrh and bridge tenderness. [Hering]
• Mercurius solubilis — Profuse ptyalism, general mercurialities; Cinnabaris less salivation, more posterior hawking and caruncle. [Hughes], [Boericke]

Ciliary Neuralgia / Supra-orbital Pain

• Spigelia — Left-sided, severe, eye movement pains; Cinnabaris root-of-nose focus with catarrh. [Farrington]
• Sanguinaria — Right supra-orbital periodicity with gastric traits; less posterior hawking. [Clarke]
• Ruta — Ciliary strain from overuse; lacks catarrh map. [Boger]

Polypi / Adenoids

• Teucrium marum — Nasal polypi with itching and crawling; Cinnabaris adds posterior lump and caruncle. [Clarke]
• Calcarea carbonica — Adenoids in flabby children, sweat of head; but without green posterior mucus and bridge pressure. [Kent]

Bone/Periosteal Pains (Night)

• Aurum, Merc. iod. rubrum — Deeper bone disease; Cinnabaris when nasal bones and bridge are prime with catarrh. [Clarke], [Boger]
• Syphilinum — Nocturnal bone pains, destructive ulcers; Cinnabaris needed when catarrh + caruncle + condylomata combine. [Kent]

• Complementary: Kali bichromicum — both posterio-nasal; Cinnabaris for bridge pain/caruncle, Kali-bi. for plugs/punched-out ulcers. [Boger], [Clarke]
• Complementary: Hydrastis — mucosal tonic; follows when thick yellow catarrh persists after bridge pressure has eased. [Clarke], [Boericke]
• Complementary: Thuja — condylomata diathesis; Cinnabaris adds syphilitic and nasal poles. [Kent]
• Follows well: Mercurius sol. — after general mercurial storm; Cinnabaris for residual posterior hawking and caruncle. [Hughes], [Clarke]
• Follows well: Nitric acid — when splinter-pain, bleeding warts improve and post-nasal lump remains. [Hering]
• Precedes well: Aurum — if bone pains persist and mood sinks; use when destructive tendency outstrips catarrh. [Kent], [Clarke]
• Precedes well: Lemna minor/Teucrium — to finish polypus phase after catarrh is reduced. [Boger], [Clarke]
• Related: Merc. iod. rub./flav. — laterality in throats; Cinnabaris when nose–caruncle–condylomata triad is present. [Boericke]
• Compare: Syphilinum — constitutional antisyphilitic when ulcer/bone picture dominates over mucosa. [Kent]
• Inimical/Intercurrent: Avoid routine alternation with Aurum unless deep bone depression rules; select by nasal vs. bony centre. [Kent]
• Antidotes (practical): Hepar (mercurial surface), Nitric acid (mercurial ulcers), Ipecac. for nausea from fetor—clinical measures cited. [Hughes], [Clarke]
• Adjuncts: Air the rooms, saline lukewarm rinses (non-suppressive), avoid caustics, light evening meals, no fumes/dust. [Clarke], [Dewey]

• Posterior nasal catarrh with “lump behind the uvula”, bridge-of-nose pain, caruncle swollen. Dose 6C–30C once to thrice daily in flares; space/stop as hawking ends and open-air relief holds. [Hering], [Allen], [Clarke]
• Ozaena with fetid crusts; polypi/adenoids swelling in damp. Ventilate, avoid caustic suppression; Cinnabaris 6C–30C; intercurrent Kali bich. if plugs dominate. [Clarke], [Boger]
• Condylomata/chancres with nocturnal bone pains. Combine hygienic measures; 30C–200C depending on depth; compare/sequence Thuja, Nit. ac., Merc. sol. by surface vs. depth. [Hering], [Kent], [Boericke]

Case pearls (one-liners):
• Bridge-of-nose bar, incessant hawking of green masses, caruncle red—open air gives instant ease → Cinnabaris 30C b.i.d. × 5 days: hawking ceased, bridge pain gone. [Clarke], [Boger]
• Ozaena with crusts after cautery; fetor; polypi swell in rain → Cinnabaris 12C t.i.d.; cautery stopped; discharge normalised. [Hering], [Clarke]
• Fig-warts on glans/perineum, nocturnal tibial pains, posterior lump—Cinnabaris 200C single; warts shrank, night pains ceased as catarrh opened. [Hering], [Kent]

Mind

• Lascivious thoughts/dreams, especially at night. Sensual–mercurial erethism. [Hering], [Tyler]
• Irritability from obstruction (nose blocked, hawking in vain). Mood tracks venting. [Clarke]
• Anxiety about appearance/odour. Ozaena/venereal shame. [Clarke]
• Aversion to close rooms; desires open air. Environmental key. [Boger]
• Impatience, curt speech during frontal pressure. Pain–behaviour map. [Allen]
• Restlessness at night with bone pains. Miasmatic strand. [Hering]

Head

• Pressure at root/bridge of nose. Grand Cinnabaris keynote. [Boger], [Clarke]
• Headache from bridge to zygoma/teeth. Sinus–dental radiations. [Clarke]
• Worse damp, warm rooms; better open air. Modal cluster. [Boger]
• Ciliary neuralgia with frontal pressure. Eye–sinus axis. [Allen]
• Stooping/reading aggravates head. Posture trigger. [Allen]
• Periosteal tenderness nasal bones. Syphilitic terrain. [Clarke]

Eyes

• Caruncle inflamed/swollen; inner canthus feels lumpy. Signature sign. [Hering], [Allen]
• Smarting, excoriating tears. Discharge quality. [Allen]
• Pains from eye to root of nose. Ciliary link. [Boger]
• Light work aggravates; open air ameliorates. Modality echo. [Allen]
• Gummy inner canthi mornings. Catarrhal mornings. [Boericke]
• Photophobia with sinus pain. Reflex. [Clarke]

Nose/Throat

• Post-nasal catarrh; hawks thick, green/yellow mucus. Central rubric. [Hering], [Allen]
• Sensation of a lump/string behind the uvula. Key sensation. [Clarke], [Phatak]
• Ozaena with fetid crusts. Destructive catarrh. [Clarke]
• Polypi/adenoids worse damp/close rooms. Environment pointer. [Boger]
• Anosmia alternating with hyperosmia. Functional swing. [Clarke]
• Better after free discharge. Relief valve. [Hering]

Skin/Genitals

• Condylomata, moist, fig-like (genital/anus). Syco-syphilitic hallmark. [Hering], [Allen]
• Ulcers with coppery base; mucous patches. Syphilitic depth. [Clarke]
• Chancres/chancroids with fetor. Venereal target. [Boericke]
• Warts bleed easily. Fragile overgrowth. [Phatak]
• Night itching of genitals/anus. Circadian cue. [Allen]
• Suppression of discharges aggravates. Law of direction. [Hering]

Generalities/Environment

• Worse at night; worse damp/close rooms; worse warmth of head. Master aggravations. [Boger], [Allen]
• Better in open, cool air; better after discharge/hawking. Master ameliorations. [Clarke], [Hering]
• Fumes/odours aggravate (paint/dust). Occupational hint. [Hughes], [Clarke]
• Bone pains nocturnal. Miasmatic marker. [Hering]
• Sweat at night without relief. Mercurial pattern. [Allen]
• Tendency to polypi and warts. Sycotic theme. [Phatak]

Teeth/Face

• Toothache from sinus pressure (upper molars). Reflex path. [Clarke]
• Soreness at infraorbital ridge/malar bones. Facial extension. [Boger]
• Upper lip excoriated by nasal discharge. External sign. [Boericke]
• Rubbing bridge gives relief. Behavioural cue. [Phatak]
• Face coppery in ozaena. Terrain colouring. [Clarke]
• Caruncle–nose–tooth triad present. Selection cluster. [Hering]

Hering — The Guiding Symptoms of Our Materia Medica (1879): core picture—post-nasal hawking, caruncle swelling, condylomata, nocturnal bone pains; clinical confirmations.
T. F. Allen — Encyclopædia of Pure Materia Medica (1874–79): detailed catarrhal/venereal symptoms; modalities; head–eye–nose relations.
Richard Hughes — A Cyclopædia of Drug Pathogenesy (1891–95): toxicology of mercury compounds; stomatitis, fetor, bone pains; occupational aggravations.
John Henry Clarke — A Dictionary of Practical Materia Medica (1900): synthesis—ozaena, polypi, posterior “lump/string”, caruncle, condylomata; management cautions against suppression.
William Boericke — Pocket Manual of Homœopathic Materia Medica (1906): keynotes—post-nasal catarrh, polypi, canthus swelling, venereal lesions; practical modalities.
C. M. Boger — Synoptic Key of the Materia Medica (1915): modal environment (damp/close vs. open air); bridge-of-nose pressure; polypi; localisation.
S. R. Phatak — Concise Materia Medica (1977): concise keynotes—root-of-nose pain, hawking “lump,” caruncle; syco-syphilitic terrain; modalities.
James Tyler Kent — Lectures on Materia Medica (1905): miasmatic analysis; contrasts with Thuja, Aurum, Mercurius in venereal/nasal disease.
E. B. Nash — Leaders in Homœopathic Therapeutics (1899): mercurial tendencies and night pains; practical dosing notes (contextual).
W. A. Dewey — Practical Homœopathic Therapeutics (1901): catarrhal dietetics (sweets/fats), non-suppressive measures; adjuncts.
Margaret Lucy Tyler — Homoeopathic Drug Pictures (1942): vivid mind/sleep vignettes—lascivious dreams; practical pointers for catarrh cases.
Rajan Sankaran — The Substance of Homœopathy (1991): miasmatic layering—sycotic/syphilitic interplay (interpretive).
George Vithoulkas — Materia Medica Viva (1991): modern clinical portrait—nasal–venereal axis; open-air modality (interpretive).
Roger Morrison — Desktop Guide to Keynotes & Confirmatory Symptoms (1993): quick confirms—caruncle, bridge-of-nose, posterior lump, condylomata.
Adolph von Lippe — Text-Book of Materia Medica (1866): accessory notes on catarrh/venereal signs and glandular involvement.