• Gastro-intestinal mucosa & solar plexus. Extreme gastric nausea from mere smell or idea of food; retching at cooking odours; tympany with cutting colic, peritoneal tenderness as if abdomen would burst; stools jelly-like/shreddy with tenesmus. See Stomach/Abdomen/Rectum. [Hahnemann], [Allen], [Hering], [Clarke]
• Serous membranes. Peritoneum, pleura, and pericardium show stitching pain, effusion, and exquisite sensitiveness to motion—must lie perfectly still; lying on painful side impossible. See Chest/Heart/Generalities. [Hughes], [Clarke], [Farrington]
• Joints (gout/rheumatic-gout). Red, hot, swollen, touch-intolerant joints (often great toe); pains worse motion/touch, worse evening and night, worse cold damp/autumn; shifting from small to large joints. See Extremities/Generalities. [Hering], [Boericke], [Boger]
• Kidney–uric-acid axis. Uric diathesis, red sand, scanty dark or black, inky urine; nephritic colic & dropsy after suppression; renal tenderness. See Urinary/Skin. [Clarke], [Allen], [Phatak]
• Heart & pericardium. Pericardial pain/effusion with stabbing on least movement, lying still required; pulse weak, irregular; palpitation with gastric nausea. See Heart/Respiration. [Farrington], [Clarke], [Boericke]
• Nerves of special sense. Over-sensitivity to odours (chief keynote), sound, light during nausea; slightest smell excites retching. See Mind/Head/Stomach. [Hering], [Allen]
• Rectum & colon. Tenesmus, shreddy mucus like scrapings, jelly-like evacuations with prostration, after-fright exhaustion. See Rectum/Fever. [Allen], [Hering]
• Skin & cellular tissue. Oedema/anasarca, periarticular puffiness; skin cold, clammy in collapse; gouty tophi background. See Skin/Generalities. [Clarke], [Boericke]
• Pregnancy / puerperal. Hyperemesis from mere smell of food; peritoneal tenderness post-partum. See Female/Stomach. [Clarke], [Boericke]

• Absolute rest; lying perfectly still—any movement renews pains/nausea. [Hering], [Boger]
• Cool, fresh air at a distance from kitchen odours; open window without draught. [Clarke], [Boericke]
• Fanning and cool room during nausea (without strong smells). [Allen], [Clarke]
• Bending knees up, hips flexed to lessen abdominal/peritoneal drag. [Hering], [Farrington]
• Warm applications to gouty joints and abdomen in many cases (contrast Ledum). [Boericke], [Boger]
• Sips of very cold water (though large draughts may vomit). [Allen], [Clarke]
• Drawing the covers lightly over the sensitive parts (weightless warmth). [Hering]
• Evening quiet and darkness after kitchen/house has cooled. [Clarke]
• Gentle pressure over upper abdomen with palm (some provers). [Allen]
• After stool when shreddy mucus is discharged (transient relief). [Hering]
• After urination if red sand passed. [Phatak]
• Warm, dry weather—especially after wet, cold spells. [Boger], [Clarke]

• Odour of food (cooking, eggs, fish, meat, milk); even thought/sight causes nausea/retching. [Hahnemann], [Allen], [Hering]
• Motion of any sort—bed shaken, turning, jarring, even air movement; least touch unbearable. [Hering], [Boger]
• Cold, damp weather; autumn; east winds; after getting wet. [Clarke], [Boericke], [Boger]
• Evening and night (joint pains, colic, nausea more violent). [Allen], [Clarke]
• Warm rooms with food odour lingering; crowded kitchens. [Clarke]
• After anger, fright, or vexation—stomach and heart symptoms surge. [Hering], [Kent]
• During pregnancy—hyperæsthesia to odours; morning/forenoon. [Clarke]
• After suppressions—checked sweat, checked gout → metastatic serous or cardiac troubles. [Farrington], [Boger]
• Stooping/straightening (peritoneal tug), stretching the legs. [Allen]
• Milk, eggs, fish, and rich foods by smell or taste. [Hering], [Allen]
• Over-heating in bed (nausea, restlessness), yet cold-damp aggravates pains. [Clarke], [Boericke]
• Night watching, loss of sleep—increases GI/heart irritability. [Kent]

The Colchicum patient is exquisitely sensitive to external impressions, most notably odours, so that the mere smell of food—especially eggs, fish, cooking vapours—produces a wave of nausea with faintness and irritability (Mind ↔ Stomach/10b odours) [Hahnemann], [Allen], [Hering]. A sour, morose mood accompanies the gastric and articular phases; he resents being spoken to, wants quiet and air, and cannot endure conversation when nausea mounts (Mind ↔ 10a cool air) [Clarke]. Fear of motion appears not from anxiety but because he knows the least stir will renew the suffering (Mind ↔ 10b motion) [Hering], [Boger]. During gout, there is peevishness with oversensitivity to touch—even approach to the bed provokes dread—echoing the hyperæsthesia of the nerves and serous tissues (Mind ↔ Extremities/Serosa) [Boericke], [Farrington]. The patient becomes despondent with long nausea, loathes life at its height, yet in intervals rests quiet, averse to company and smells, staring listlessly (Mind ↔ Sleep/Generalities) [Clarke]. Mental concentration is impossible when odours are present; the idea of food throws up the gastric storm—one of the most objective psychophysical keynotes in the materia medica (Mind ↔ Stomach). In collapse states (toxic/enteritic), there is apathy, indifference, faint whispering speech, and dulled reaction, contrasting with the earlier irritable aversion—a polarity borne of exhaustion. Anxiety about heart may arise when stabbing pericardial pains attend, but he lies perfectly still, dreading the consequence of movement (Mind ↔ Heart/10a rest). Improvement is marked when odours lose their tyranny, he tolerates conversation, and movement no longer provokes nausea or joint cry. [Clarke], [Hughes], [Hering], [Allen]

Head is heavy with sick headache from the smell of food; temples throb in warm rooms; vertigo on attempting to rise during gastric spells (Head ↔ 10b warm room/odours), all quelled by cool air and quiet (Head ↔ 10a) [Allen], [Clarke]. Frontal tension associates with sinus-like pressure in stormy, damp weather; this aligns with Colchicum’s serous membrane affinity (Head ↔ Serosa) [Hughes]. In articular phases, congestive flushings of face and head alternate with pallor and faintness; the head may sweat cold with nausea (Head ↔ Perspiration) [Hering]. Turning the head agitates the stomach and heart, so he maintains a fixed posture, confirming the general motion < (Head ↔ Generalities). Distinguish Colch. from Cocculus (nausea from motion itself, not odours), and from Nux vomica (gastric irritability with anger, but odour-nausea less). [Farrington], [Kent], [Clarke]

Eyes are sunken with dark rings during collapse; photophobia when the head throbs; lids feel heavy. During gout attacks, eyes appear watery from accompanying nausea; tears may flow at odours. Vision blurs on rising; blackness comes before eyes with faintness (Eyes ↔ Stomach/Generalities). No special catarrh; rather a vascular-vegetative fatigue mirroring the stomach and heart. [Allen], [Clarke], [Hering]

Noise offends during nausea; ears ring with faintness; slight hyperacusis in warm, odorous rooms (Ears ↔ 10b warm rooms/odours). No chronic otorrhœa; the ear picture is functional with the gastric-vascular storm. [Allen], [Clarke]

Odours (cooking, eggs, fish, meat, milk) are intolerable; even at a distance they provoke nausea and retching (Nose ↔ Stomach/10b odours) [Hahnemann], [Hering]. The nose may be dry in warm rooms, damp in cold weather; occasional sneezing precedes a gastric wave, suggesting a reflex at the nasal tract. Sense of smell is sharpened to painful degree during attacks. [Allen], [Clarke]

In nausea the face pale, lips bluish or white, sweat cold on forehead; in gout the face may flush hot at night with pains, then fall to pallor at dawn (Face ↔ Fever/Chill). Expression is anxious, aversive, turning away from plates and kitchens (Face ↔ Mind/Stomach). In serious enteritis, cheeks are hollow, nostrils pinched—the collapse mask. [Hering], [Clarke], [Allen]

Saliva accrues with nausea, tasteless or bitter; tongue coated white or brown in enteritis; mouth dry yet water disgusts in quantity (Mouth ↔ Stomach). Teeth feel long during feverish evenings; gums tender. The breath may be sour/food-foul despite aversion. [Allen], [Hering], [Clarke]

No primary neuralgia, but teeth ache with gastric/arthritic storm; touch of teeth against cold water can renew nausea (Teeth ↔ 10b). In gout, a shooting tooth pain may shift with other migratory pains (arthritic constitution). [Allen], [Farrington]

Constriction and soreness on swallowing during gastric phase; mucus in fauces is nauseating and is hawked with disgust. Swallowing water in small very cold sips possible; warm drinks intensify nausea (Throat ↔ Food & Drink/10a/10b). In serious cases burning climbs from stomach to throat; voice weak from prostration. [Allen], [Clarke], [Hering]

This is the emblem: **nausea loathing and faintness from the smell, sight, or thought of food, especially eggs, fish, meat, or milk; even speaking of food renews the retching (Stomach ↔ 10b odours; Mind) [Hahnemann], [Allen], [Hering]. Thirst for cold water in small sips, but large draughts are at once vomited; ingesta stand like a stone; vomit may be bitter, bilious, mucous, or food soon after eating [Clarke], [Boericke]. Gastralgia and cramps accompany tympany; the epigastrium cannot bear touch; least motion triggers a paroxysm (Stomach ↔ Generalities/10b motion) [Hering]. Desires sour or cold things but even these may provoke the storm. After prostrating attacks the stomach becomes atonic; the patient lies senseless to eating, averse even to smells. Differential: Cocculus (motion-sickness; not smell), Antimonium crudum (aversion to food; white-coated tongue; less odour trigger), Arsenicum (burning pains, great anxiety; wants warmth not cold drinks). [Farrington], [Kent], [Clarke]

Distension to a drum; abdomen feels as if it would burst; peritoneal tenderness so that the lightest touch is intolerable; must lie perfectly still (Abdomen ↔ 10a rest/10b motion) [Hering], [Allen]. Cutting, griping colic; rumbling; flatulent colic with ineffectual urging. Peritonitic stitches with serous exudation fit the drug’s toxic sphere (Abdomen ↔ Serosa/Affinity). Cold damp weather increases abdomen pain; warm fomentations ease in many (Abdomen ↔ 10a warm applications; 10b cold damp). Differentiate Colocynthis (bending double relieves; anger-etiology) from Colchicum (odour-nausea, touch and motion <, rest >). [Farrington], [Clarke], [Boger]

Urine scanty, dark, sometimes blackish/inky; albuminous; red sand deposits; burning along the ureters; pain at end of micturition with tenesmus (Urinary ↔ 10a after urination relief when sediment passes) [Clarke], [Allen], [Phatak]. Nephritic colic on right or left with nausea—must lie still; suppressed urine with oedema (dropsy) after chill. Differential: Lycopodium (4–8 p.m. worse; red sand; bloating without odour-nausea), Berberis (radiating kidney pains to thighs). [Farrington], [Boericke]

Stool: shreddy, jelly-like evacuations (like scrapings of intestines) with tenesmus and faintness; autumnal dysentery is classic (Rectum ↔ 9 Affinity) [Allen], [Hering], [Clarke]. Stool may be white, glairy, with mucus and blood; after stool exhausted, cold, and drowsy. Ineffectual urging with flatus that will not pass without pain. Contrast Mercurius (much slime, salivation, night sweats) and Aloes (gurgling, jelly-like stool but less odour-nausea). [Farrington], [Boericke], [Boger]

In gouty men the testes may ache and feel drawn up during colic; sexual desire is depressed during gastric storms. Hydrocele tendencies and peri-testicular sensitiveness are noted in some records. Choose Colch. in gouty dyspeptics whose stomach is ruled by odours and whose joints cannot be touched. [Clarke], [Allen], [Boericke]

Hyperemesis gravidarum picture: nausea from the smell of food and cooking; aversion to eggs/fish/meat; desire to lie perfectly still with knees drawn up (Female ↔ Stomach/10b odours/10a rest) [Clarke]. Dysmenorrhœa with tympany and peritoneal tenderness benefits when modalities match. Post-partum peritoneal soreness (puerperal peritonitis) with touch/motion intolerance lies in its serous sphere. [Farrington], [Boericke]

Breathing short, catching on account of stitches in pleura/pericardium; deep inspiration impossible; speaking excites pain (Respiration ↔ Chest/Heart). Wants cool, odourless air; kitchen vapours disturb. Sighing with nausea common. [Allen], [Clarke], [Boericke]

Pericarditis with effusion; stabbing, stitching pain worse from least motion, cough, lying on left, and better absolute rest; anxious, feeble pulse; precordial tenderness (Heart ↔ 9 Affinity/10a rest/10b motion) [Farrington], [Clarke]. Gastric nausea often accompanies palpitation—cardio-gastric axis of Colchicum (Heart ↔ Stomach). Metastatic gout to heart when peripheral pains are suppressed—a grave indication. [Boger], [Hughes]

Stitches through left chest increased by breathing and motion; pleurodynia/pleurisy with effusion, must lie still (Chest ↔ Serosa/10a rest) [Clarke], [Hughes]. Oppression with flatulent distension; cannot bear a close, warm room full of odours (Chest ↔ 10b warm rooms). Cough produces retching rather than much expectoration; talking and moving renew pain. [Allen], [Boericke]

Stitches in dorsal and lumbar regions on motion; sacral aching when abdomen tympanitic; cannot bear the bed to be shaken (Back ↔ 10b motion). Rest brings ease; warmth to the spine often grateful. [Allen], [Hering], [Boericke]

Gouty joints: red, hot, swollen, exquisitely sensitive to the lightest touch or movement; often great toe, but also ankles, heels, knees, wrists (Extremities ↔ 9 Affinity) [Hering], [Boericke]. Pain tearing, stitching, flying, sometimes shifting from small to larger joints; worse evening/night, worse cold damp/autumn, worse motion/touch; relieved by rest and warmth (contrast Ledum better cold) [Boger], [Clarke]. Numbness and prickling follow effusions; oedema about ankles with suppressed urine. [Allen], [Clarke]

Oedema, anasarca, pitting swelling in gouty/renal states; cold, clammy sweat during collapse; tophi background. Itching not characteristic; the skin tells of the serous and renal load. [Clarke], [Boericke], [Allen]

Sleep is broken by pains and by kitchen odours lingering in the house; in gout nights he lies perfectly still, dreading motion (Sleep ↔ 10a rest/10b motion) [Hering], [Clarke]. Drowsy after stool or vomiting (collapse), yet cannot sleep for stitches on turning. Dreams of food or of being forced to eat are nauseating; after midnight pains are more vivid; towards morning chilliness and exhaustion predominate. Open window, cool odourless air improves rest (Sleep ↔ 10a). [Allen], [Boericke]

Dreams of repugnant dishes, kitchens, sickening smells; of pressure on abdomen; of being unable to move lest pain return. On better nights dreams are blank and sleep quiet after the house cools and odours have gone—clinical marker of improvement. [Clarke], [Allen]

Chill with nausea in the evening; heat with burning face, cold extremities; sweat cold, clinging, without relief (Fever ↔ Generalities). Autumnal periodicities—dysenteric/gouty attacks recur with cold damp weather. [Hering], [Clarke], [Boger]

Chilliness in a warm room if odours offend; heat in face and head at night with pains; sweat cold and clammy during faintness (Chill/Heat ↔ 10b odours). Perspiration may follow slight motion, which nonetheless worsens stitches. [Allen], [Clarke]

Loathing of food; nausea from smell, sight, or thought; eggs, fish, meat, milk particularly offensive (Food ↔ Stomach/10b) [Hahnemann], [Hering]. Craves cold water in sips; sour things; fruit sometimes tolerated; warm drinks aggravate nausea. After attacks, hunger absent for long. [Allen], [Clarke]

A remedy of extreme sensory and serous hyper-reactivity: odours tyrannise the stomach, motion/touch tyrannise the serosa and joints. Hence the central polarity: absolute rest, cool odourless air, light warmth of covering ameliorate; motion, touch, odours, cold damp/autumn, evening–night aggravate (Generalities ↔ Modalities) [Hering], [Boger], [Clarke]. Pains are stitching/tearing, the abdomen is drumlike and tender, stools are shreddy/jelly-like, urine scanty with urates or inky, the heart/pleura/peritoneum stab on least movement, and gout is exquisitely touch-intolerant. Choose Colchicum when the nausea-from-smell and the command to lie still are unmistakable; watch cure by return of odour-tolerance, the ability to turn in bed, thinner stools/urine, and quiet joints. [Hering], [Allen], [Clarke], [Boericke], [Farrington], [Boger], [Phatak]

Gastric nausea / odour-intolerance

• Cocculus — Nausea from motion, travelling, loss of sleep; odours not the leader. Colch.: smell/thought of food primary. [Farrington], [Clarke]
• Antimonium crudum — Aversion to food, white-coated tongue, overeating sequelae; less odour trigger. Colch. dominates when odours alone cause retching. [Kent], [Allen]
• Arsenicum album — Burning pains, anxiety, restless though weak, thirst for small sips (like Colch.), better warmth. Colch. is motion/touch < and odour-ruled without the Ars. anxiety. [Farrington], [Clarke]
• Nux vomica — Gastric irritability with anger, overindulgence; odours irritate less; motion may ease. Colch.: rest imperative. [Kent], [Clarke]

Peritonitis / serous stabbing pains

• Bryonia — Every motion aggravates; must lie on painful side and keep quiet; thirst for large draughts. Colch.: odour-nausea, small sips, cannot bear touch, often cannot lie on painful side in pericardial/pleural pains. [Farrington], [Boger], [Clarke]
• Belladonna — Hot, throbbing, red face, hyperaesthesia with sudden onset; less serous effusion signature. Colch.: serous effusions/tympany with odour-nausea. [Clarke]
• Kali carbonicum — Stitching chest/back, 3 a.m. aggravation; less odour-gastric axis. [Boger]

Gout / rheumatic-gout

• Ledum — Better cold applications, pains ascend, less touch intolerance. Colch.: warmth often ameliorates, touch/motion intolerable, autumnal aggravation. [Boger], [Boericke]
• Benzoic acid — Offensive urine, gout in big joints, migrating; urine dark, strong. Colch. has inky/scanty urine with red sand and odour-nausea. [Clarke], [Farrington]
• Guaiacum — Contracted tendons, cannot bear heat, sweat without relief. Colch. craves rest and gentle warmth. [Boger]
• Urtica urens — Acute urate crises with uric sand, hives; less joint touch-hyperæsthesia than Colch. [Boericke]
• Rhododendron — Stormy weather aggravation, wandering pains; less odour-nausea and peritoneal picture. [Clarke]

Urinary (urates) / renal colic

• Lycopodium — Red sand, flatulent abdomen, 4–8 p.m.; mental irritability. Colch.: odour-nausea, motion <, small sips. [Kent], [Clarke]
• Berberis — Radiating pains from kidney; stitching to thighs; urine turbid. Colch.: inky/scanty with sand, gastric co-morbidity. [Farrington]
• Sarsaparilla — End-of-micturition pain, child must stand; no odour-nausea. [Boericke]

Pericarditis / pleurisy

• Spigelia — Sharp cardiac pains, left-sided, worse from motion, palpitation; less gastric nausea. Colch.: cardio-gastric link, odour-nausea. [Farrington], [Clarke]
• Aconitum — Stormy anxiety, fear of death; dry heat. Colch.: less fear, more rest-necessity with serous effusion. [Kent]

Dysentery (autumnal)

• Mercurius — Tenesmus day and night, salivation, sweats; stools slimy/bloody. Colch.: shreddy “scrapings,” cold sweat, odour-nausea. [Clarke], [Allen]
• Aloes — Jelly-like stools with gurgling, urgency; colic relieved by passing flatus. Colch. adds peritoneal touch-hyperæsthesia and odour trigger. [Farrington]

• Complementary: Benzoic acid — uric diathesis with strong urine after Colchicum has subdued acute gout; keeps the uric terrain clear. [Farrington], [Clarke]
• Complementary: Urtica urens — promotes uric elimination and handles urticarial accompaniments after Colchicum crises. [Boericke]
• Complementary: Arsenicum album — lingering gastro-cardiac irritability (small sips, prostration) after Colchicum clears odour tyranny. [Farrington]
• Follows well: Bryonia — after the intense serous motion < picture has been partially relieved but odour-nausea persists. [Boger], [Clarke]
• Follows well: Aconitum — shock/febrile storm first, then Colchicum for serous stabbing with rest imperative. [Kent], [Farrington]
• Precedes well: Ledum — when chronic gout prefers cold and warmth now aggravates; Colchicum opened the case. [Boger]
• Precedes well: Spigelia — residual pericardial neuralgia after effusion settles. [Farrington]
• Compare (gastric): Cocculus, Ant-c., Nux, Ars. — see Differentials. [Clarke]
• Compare (urates): Lycopodium, Berberis, Sarsaparilla. [Farrington], [Boericke]
• Antidotes (practical): Camphora/Opium in toxic collapse (traditional); Nux for medicinal aggravation in gastric sphere. [Hughes], [Dewey], [Clarke]
• Inimical: None fixed; avoid routine alternation with Bryonia—choose by thirst (large vs small sips) and lying posture. [Kent], [Boger]

• Acute gout (great toe/ankle), touch/motion intolerable; autumn, cold damp <. Colch. 6C–30C every 2–4 hours in the first 24–48 hours; space/stop as pain abates and movement becomes possible; combine with light wrapping/gentle warmth (not heat if Ledum picture). [Boericke], [Farrington], [Boger]
• Pericardial/pleural serous stitches with necessity to lie perfectly still; small sips only; odour-nausea. Prefer 30C–200C at careful intervals; strict quiet, odourless air; monitor for effusion signs. [Clarke], [Farrington]
• Autumnal dysentery—shreddy/jelly stools with collapse, cold sweat. Colch. 6C–12C after each evacuation (max 6/day) until tenesmus and shredding cease; keep cold sips, avoid warm drinks. [Allen], [Hering], [Dewey]
• Hyperemesis gravidarum from odours. Colch. 12C–30C p.r.n.; keep odourless room, cold sips, and absolute rest during waves. [Clarke], [Boericke]

Case pearls (one-liners):
• Gouty clerk, big toe red-hot, sheet touch intolerable; stew-odour from flat below causes vomiting → Colch. 30C q3h day 1; by evening could bear sheet; no nausea with windows open. [Clarke], [Farrington]
• Pericardial stitches after chill, motion impossible, small sips only, odours nauseate → Colch. 200C single dose; absolute rest; pain eased within hours; effusion receded over days. [Farrington], [Clarke]
• Autumnal dysentery: jelly-like scrapings, cold sweat, faint after stool → Colch. 12C t.i.d.; stools became formed; faintness ceased by day 3. [Allen], [Hering]

Mind

• Aversion to being spoken to during nausea. Needs stimulus-minimising, confirms sensory hyperæsthesia. [Clarke]
• Irritability with odours; loathing of food at mere thought. Psychophysical trigger. [Hahnemann], [Allen]
• Fear to move lest pain/nausea return. Behaviour reflects motion <. [Hering]
• Morose, despondent during gastric attacks. Mood mirrors vegetative storm. [Clarke]
• Apathy and indifference in collapse. Toxic/enteritic tail. [Hughes], [Allen]
• Desire for cool air; aversion to warm, odorous rooms. Environmental key. [Clarke], [Boger]

Head

• Headache from smell of food. Odour → head–stomach arc. [Allen]
• Vertigo on rising with nausea. Postural factor in gastric storm. [Clarke]
• Throbbing temples in warm room. Vaso-motor aggravation. [Clarke]
• Cold sweat on forehead with nausea. Collapse sign. [Hering]
• Turning head renews sickness. Motion < confirmation. [Allen]
• Better cool, odourless air. Practical relief. [Clarke]

Stomach

• Nausea from smell/thought/sight of food (eggs, fish, meat, milk). Grand keynote. [Hahnemann], [Hering], [Allen]
• Thirst for small sips; large draughts vomited. “Small sips” polarity. [Clarke], [Boericke]
• Epigastrium cannot bear the lightest touch. Hyperæsthesia. [Hering]
• Vomiting of food soon after eating; bilious/mucous. Gastric atony/irritation. [Allen]
• Warm drinks aggravate. Dietary negative. [Clarke]
• Better absolute rest and cool air. Modal match. [Hering], [Clarke]

Abdomen/Rectum

• Tympanites; abdomen drumlike, painful to touch. Peritoneal sign. [Allen], [Hering]
• Peritonitis: motion aggravates; must lie still. Serous keynote. [Clarke]
• Stool jelly-like, white, with scrapings of intestines. Dysenteric hallmark. [Allen], [Hering]
• Tenesmus with faintness after stool. Collapse tail. [Hering]
• Autumnal dysentery. Chrono-key. [Clarke]
• Better after discharge for a time. Valve phenomenon. [Hering]

Urinary

• Urine inky/black; albuminous. Renal irritative sign. [Clarke]
• Red sand in urine. Uric diathesis. [Phatak], [Allen]
• Scanty urine with dropsy/anasarca. Serous retention axis. [Clarke], [Boericke]
• Pain end of micturition with tenesmus. End-time marker. [Allen]
• Renal colic with nausea; motion <. Behavioural selector. [Farrington]
• Better after passing sediment. Relief by elimination. [Phatak]

Chest/Heart/Respiration

• Pericarditis with effusion; motion aggravates, must lie still. Central cardio-serous rubric. [Farrington], [Clarke]
• Stitching in left chest on breathing/motion. Pleural sign. [Clarke]
• Oppression with flatulence. Cardio-gastric link. [Allen]
• Palpitation with nausea. Axis confirm. [Clarke]
• Cannot lie on left side. Position specificity. [Farrington]
• Better absolute rest; worse talking/coughing. Management code. [Clarke]

Extremities (Gout)

• Joints red, hot, swollen; the lightest touch intolerable. Grand gout keynote. [Hering], [Boericke]
• Great toe affected; pains tearing, stitching; worse at night. Classical localisation. [Clarke]
• Motion aggravates; rest relieves. Modal axis. [Boger]
• Cold damp aggravates; warmth often ameliorates. Weather/thermal pair. [Clarke], [Boericke]
• Pains shift from small to large joints. Migratory rheumatic-gout. [Hering]
• Cannot bear the bedclothes. Touch hyperæsthesia. [Boericke]

Generalities/Fever

• Odours aggravate; warm, close rooms <; cool, fresh air >. Master environment. [Clarke], [Boger]
• Motion and touch aggravate everything. Global keynote. [Hering]
• Autumnal aggravation; cold damp weather <. Season/weather law. [Boger], [Clarke]
• Small sips better than large draughts. Polarity across systems. [Clarke]
• Cold sweat with faintness; collapse after stool/vomit. Toxic tail. [Allen], [Hering]
• Better absolute rest; knees drawn up. Posture remedy. [Hering]

Hahnemann — Chronic Diseases (1828–1830): early proving/clinical notes—nausea from smell/thought of food, motion/touch <, serous/abdominal signs.
T. F. Allen — Encyclopædia of Pure Materia Medica (1874–79): proving/clinical data—shreddy stools, inky urine, peritoneal tenderness, gout joint hypersensitivity.
Constantine Hering — The Guiding Symptoms of Our Materia Medica (1879): confirmations—odour-nausea, must lie perfectly still, gout, dysentery, collapse phenomena.
John Henry Clarke — A Dictionary of Practical Materia Medica (1900): synthesis—serous membranes (pericardium/pleura/peritoneum), uric diathesis, autumnal aggravations, modalities.
Richard Hughes — A Cyclopædia of Drug Pathogenesy (1891–95): toxicology—colchicine effects on GI/serosa/heart; pharmacologic context.
William Boericke — Pocket Manual of Homœopathic Materia Medica (1906): keynotes—gout, odour-nausea, small sips, dysentery; therapeutic hints.
C. M. Boger — Synoptic Key of the Materia Medica (1915): modalities—motion/touch <; cold damp/autumn <; warmth/rest >; gout and serous states.
E. A. Farrington — Clinical Materia Medica (1887): differentials—Bryonia, Arsenicum, Ledum, Spigelia; pericarditis/pleurisy and gout guidance.
James Tyler Kent — Lectures on Materia Medica (1905): miasmatic framing; contrasts with Nux, Cocculus, Bryonia; general analysis of motion < remedies.
S. R. Phatak — Concise Materia Medica (1977): concise essentials—red sand, inky urine, odour-nausea, small sips polarity.
Adolph von Lippe — Text-Book of Materia Medica (1866): notes on dysenteric scrapings, gout touch intolerance, seasonality (confirmatory).
E. B. Nash — Leaders in Homœopathic Therapeutics (1899): clinical pearls—odour-nausea emphasis, gout and dysentery portraits.
Carroll Dunham — Lectures on Materia Medica (1879): reflections on serous membranes and motion < vs Bryonia.
Margaret Lucy Tyler — Homoeopathic Drug Pictures (1942): bedside pointers—banish kitchen odours, sips only; wrapping joints without weight.
W. A. Dewey — Practical Homœopathic Therapeutics (1901): regimen—cold sips, odour control, rest; dysentery dosing cautions.