Justicia adhatoda

A hardy South Asian shrub, Justicia adhatoda contains quinazoline alkaloids (notably vasicine/peganine and vasicinone) with pronounced expectorant, broncho-active and haemostatic properties; in crude form it relaxes bronchial smooth muscle, promotes tracheo-bronchial secretion, contracts the gravid uterus, and has been used for hæmoptysis and menorrhagia in traditional medicine [Hughes], [Clarke]. For homœopathic use the fresh leaves (and sometimes flowers) are tinctured; triturations and centesimal potencies are prepared from the mother tincture [Allen], [Clarke]. The remedy picture—explosive sneezing, profuse coryza, raw larynx, hoarseness to aphonia, spasmodic and suffocative cough with rattling mucus but scant expectoration, nocturnal aggravation, and asthmatic oppression—arises from small [Proving]s and abundant [Clinical] confirmations collated by Allen, Hering, Clarke and Boericke [Allen], [Hering], [Clarke], [Boericke].

Small provings in India and Europe, supported by extensive [Clinical] usage, yielded: incessant sneezing with streaming coryza; burning, raw naso-pharynx; hoarseness or loss of voice; dry, spasmodic laryngeal cough passing to moist rattling with little power to expectorate; dyspnœa worse on lying; nocturnal cough with retching or vomiting; chest tightness as if a band; relief in open air and from warm drinks; some hæmoptysis and epistaxis in catarrhal fevers [Allen], [Hering], [Clarke], [Boericke], [Farrington].

Justicia adhatoda is the “window-and-warm-sips” remedy of catarrhal nights. The essence is a sycotic flood of mucus from above with an irritable, tickling larynx and a suffocative, spasmodic cough from below. The patient sneezes explosively and incessantly; the nose streams and burns; the throat feels as if a feather or dust sat just where the windpipe begins; hoarseness mounts to loss of voice if he persists in talking. Cough attacks come fiercest soon after falling asleep and after midnight; lying down precipitates a fit; turning in bed or a slight draught on the neck provokes another; sitting up, leaning forward, and breathing the cool night air give immediate relief. The chest rattles but little comes; a few sticky morsels raised, or a short retch and vomit, end the paroxysm with “ease” and a sigh. Warm drinks are craved and help; cold drinks jar the chest and renew the spasm. The room that is warm and close is hated; the window is loved; dust, smoke, and perfumes act like whipcord to the tickle. This polarity—worse warm, close rooms, dust and first sleep; better cool, open air, upright posture, warm drinks, and gentle expectoration—threads Mind (air-hunger, fear to sleep), Nose (torrent sneezing), Throat (raw tickle), Chest (spasm with rattling), Sleep (first-sleep seizure), and Generalities [Clarke], [Allen], [Boericke], [Boger], [Farrington].
Kingdom signature (Acanthaceae leaf with alkaloids) mirrors the functional plane: not deep destructive change, but tone and secretion in the mucous membranes and bronchial muscle; vasicine’s expectorant/broncho-relaxant profile undergirds the homœopathic direction of cure—“outlet and air” [Hughes], [Clarke]. Miasmatically the stool is sycotic: over-secretion, recurrent catarrh, mucus retained in bronchi; psora supplies hypersensitivity (dust, draught) and spasm; syphilitic shadows flicker at the edges as rawness bleeds (epistaxis, streaked sputa). In clinic, choose Justicia when the nose and larynx lead the march into the chest; when the patient says, “I can’t lie down; as soon as I do, I choke,” and when warm sips and open windows are his own inventions. Distinguish from Ipecacuanha (great nausea, pallor, less nose), Antimonium tart. (much prostration and coarse rales), Drosera (midnight-to-morning, whoop, less fluent coryza), Rumex (cough on cold-air inspiration at the sternal notch), and Spongia (dry bark, better eating/drinking warm, little coryza). Prescribing succeeds when regimen partners with remedy: ventilate, prop, wrap the chest warmly while the face takes the cool air, forbid dusting and perfumes, offer warm sips, and let outlets flow. Then, commonly, the first-sleep seizure vanishes, the voice returns, and the rattling chest clears without the drowning weakness of the “rales remedies.” Justicia is thus a practical polycrest for modern winter rooms and summer dust alike—the herb of fresh air, warm cups, and eased breath.

• Upper air-passages — nose and naso-pharynx: violent sneezing, fluent acrid coryza, obstruction alternating sides, with rawness and burning (see Nose/Throat). [Clarke], [Boericke].

• Larynx and trachea — tickling, scraping, hoarseness progressing to aphonia; spasmodic laryngeal cough, worse at night (see Throat/Respiration/Cough). [Allen], [Hering], [Boericke].

• Bronchi and lungs — rattling, tenacious mucus with little expectoration; asthmatic oppression; paroxysms often followed by retching or vomiting (see Chest/Respiration/Stomach). [Clarke], [Boericke], [Farrington].

• Pertussiform cough — violent whooping fits; flushed face; vomiting of food or mucus; worse after falling asleep (see Cough/Sleep). [Allen], [Clarke].

• Haemorrhagic edges — epistaxis, streaked sputum; palliative in haemoptysis with raw chest (see Nose/Chest/Fever). [Clarke], [Boericke].

• Eustachian and ear catarrh — ringing, stuffiness during coryza (see Ears). [Clarke].

• Vagal stomach reflex — nausea and vomiting at the close of coughing bouts, with thirst for warm drinks (see Stomach). [Allen], [Boericke].

• Children and elderly — catarrhal broncho-spasm with inability to raise mucus; worse at night (see Sleep/Respiration). [Hering], [Farrington].

• Climatic sensitivity — damp, fog, and dust aggravate; cool, fresh air relieves (see Modalities/Generalities). [Clarke], [Boger].

Anxiety centres round breathing: fear of suffocation on lying down, with desire to get to cool air or a window—a mental echo of the respiratory modality (better open air; worse warm, close room) [Clarke], [Boericke]. Irritable at slight noise or dust, which seems to “go to the throat” and set him coughing; children push away anyone who stirs the air near the bed (Mind ↔ Throat). Dull, heavy, oppressed feeling in febrile coryza; indisposed to talk, as talking renews the tickle (Mind ↔ Voice). Restlessness increases towards midnight as paroxysms begin; the patient is calmer after a short, broken doze if a little mucus is raised (Mind ↔ Sleep/Chest). Hypersensitive to smells and powders; will not allow sweeping in the room (Mind ↔ Modalities). A melancholic tinge appears after many wakeful nights—the sense that breath will fail if he sleeps—yet reassurance and air give prompt relief [Clarke]. Children become peevish at bedtime, startle on falling asleep, then wake with a crowing or barking cough, grasping the mother—an image that links Justicia to the “nocturnal laryngeal” remedies (compare Acon., Spong.) [Hering], [Farrington]. Mental energy returns rapidly as the catarrh declines, showing the superficial, functional plane of this remedy.

Sleep broken by cough soon after falling asleep; wakes suddenly choking, must sit up; first sleep the worst (Sleep master-rubric) [Allen], [Boericke]. Dreams of suffocation; fear to sleep lest a fit seize him (Mind link). Later in night, longer intervals occur if a little mucus can be raised. Children doze, start, cry, and grasp the throat; sleep steadier with window open and head high.

Anxious; of being smothered in a close room; of dusty places provoking sneezing; of falling, waking with a cough (Mind ↔ Modalities) [Clarke]. Dreams abate as coryza clears.

Justicia is a front-line catarrhal–laryngo-bronchial remedy when the “upper passages run and the lower passages rattle.” The grand keynotes are: explosive sneezing with fluent coryza; raw, tickling larynx with hoarseness/aphonia; spasmodic, suffocative cough, especially soon after falling asleep and after midnight; rattling of mucus with little expectoration and paroxysms ending in retching or vomiting; oppression worse warm, close rooms and lying down; better in open, cool air, by sitting up, and by warm drinks (every section above confirms these) [Clarke], [Allen], [Boericke], [Boger]. The “outlet law” is clear: when coryza or expectoration flows, the whole patient is easier; when suppressed, the chest tightens (Nose/Chest cross-link). It suits children and elderly who “cannot get it up,” and anxious adults who dread the first sleep because cough seizes then. Compare Ipec. (rattling, nausea—cool air does not so promptly relieve; more pallor and gagging), Ant-t. (great rattling with prostration—bluish, sleepy, sweat; less violent sneezing), Drosera (hard, racking, midnight to morning, laryngeal spasm—less fluent nose), Rumex (minute cold-air tickle at sternal notch; cough worse cold air, voice husky), Spongia (dry, barking, better eating/drinking warm; less nose), Brom. (larynx worse dust, warm rooms; more left-sided gland), Hepar (croupy, chilly, oversensitive, wants wrapping), Phos. (laryngitis, aphonia with hæmoptysis and thirst for cold; greater weakness), Senega (old-people mucus with chest soreness on talking), Blatta/Aralia/Grindelia for asthmatic lying-down dyspnœa [Farrington], [Clarke], [Boericke], [Boger], [Kent]. Pace: quick in onset; violent nights; prompt improvement when regimen (air, posture, warmth of drinks) matches the remedy.

Catarrhal fever: chill in draughts, then heat of face and head in warm room, thirst for warm drinks, sweat with paroxysms [Clarke]. Evening rise; pulse soft. In influenza, alternating heats and chills with sneezing torrents and laryngeal tickle.

Chill on uncovering or in damp fog; internal heat with flushed face in a close room; sweat during and after a coughing fit, especially on face and chest [Clarke], [Boericke]. Sweat relieves oppression slightly but leaves weakness.

Coryzal, catarrhal headaches predominate: pressure over root of nose and frontal sinuses, worse sneezing and in warm rooms, better in open air or after a hot foot-bath (Head ↔ Nose/Generalities) [Clarke]. Bursting pain in forehead with each paroxysm of cough—the head seems to shake; hand instinctively presses the brow (Head ↔ Cough). Vertex heat with facial flushing alternates with chills on moving to a draught; scalp sensitive when perspiring at night. Dull, congestive occipital ache appears after much coughing and retching; lying high relieves (Sleep linkage). Provers note a “dryness of head” with fluent coryza—reflecting mucosal rawness rather than true dryness [Allen].

Smarting, burning, lachrymation with sneezing; lids raw at canthi; conjunctivæ injected in warm rooms, clearing at the window (Eyes ↔ Nose/Modalities) [Clarke]. Photophobia on entering sunlight from a warm room, with an urge to sneeze (nasal-ocular reflex). Vision blurs momentarily during paroxysms and after retching; heaviness of lids with fever. No deep ocular disease belongs to Justicia; signs are catarrhal and reflex.

Eustachian stuffiness with coryza; ringing and a “stopped” feeling, worse blowing the nose; transient stitching to ear from sore throat (Ears ↔ Nose/Throat) [Clarke]. Hearing dull in warm, close rooms; clears in cool air. Children tug ears at night more from congestion than otitis.

Hallmark fluent coryza: incessant sneezing; watery, sometimes acrid discharge excoriating nostrils and upper lip; obstruction alternates from side to side; smell blunted (Nose master-sphere) [Clarke], [Boericke]. Rawness and burning of nasal mucosa; tingling as of dust; dust, smoke or perfume immediately provoke sneezing and cough (Modalities echoed) [Clarke]. Morning bouts of sneezing with frontal pressure; evening stoppage in warm rooms. If coryza is checked, chest tightens and cough worsens—“better out than in” (Nose ↔ Chest). Epistaxis in catarrhal fevers relieves head for a time [Clarke].

Face flushed during paroxysms, then pale; lips dry; alæ nasi move with breathing; naso-labial and columella skin excoriated by discharge [Clarke]. Expression anxious before a night-fit; cyanotic around mouth in spasmodic cough with scant air (Chest linkage). Warm wraps comfort, but room must be cool—thermal paradox common to catarrhal states.

Mouth and fauces feel hot and raw; much hawking of thick mucus from posterior nares (Mouth ↔ Throat) [Allen], [Clarke]. Tongue coated thinly; thirst for warm drinks which soothe the tickle (Food & Drink). Taste flat or slightly bitter after paroxysm and vomiting. Saliva not copious; rather a sense of “dry, hot mouth” with running nose.

Teeth jar painfully with the shock of cough; upper incisors sensitive to cold air inhaled through mouth at night (Cough linkage) [Allen]. No primary odontalgia. Children may grind during feverish dozes between paroxysms.

Scraping, burning from soft palate down trachea; constant tickle in supra-sternal fossa with irresistible desire to cough (Throat master-key) [Clarke], [Boericke]. Hoarseness to complete aphonia on attempting to read aloud; voice cracks and fails, especially evenings in warm rooms; better after rest and warm sips (Throat ↔ Modalities). Sensation of a feather or dust on larynx; least draught on neck excites cough. Fauces red, uvula relaxed; tonsils seldom much swollen unless the cold “goes down.” Talking, laughing, or singing surely renew the fit (Modalities echoed).

Oppression behind sternum as if a band; need to loosen clothing; must sit up; rattling and wheeze with little power to raise—children “rattle” yet swallow mucus (Chest axis) [Boericke], [Clarke]. Paroxysmal cough: dry, teasing at first, then loose with scanty, difficult expectoration; ends in retching or vomiting; face flushed, then pale and sweaty [Allen]. Painful rawness along trachea; intercostal soreness from coughing; stitches beneath clavicles on drawing a deep breath. Expectoration—when it comes—is scant, viscid, sometimes streaked; relief follows small quantities “up.”

Palpitation with dyspnœa on ascending stairs or during night paroxysms; pulse quick in febrile coryza, soft during exhaustion [Clarke]. Precordial anxiety precedes fits; steadies in cool air. No primary valvular picture; cardiac signs mirror respiratory embarrassment.

Short breath, worse lying down and in warm rooms; better in cool air and sitting up (Respiration modalities) [Boericke], [Clarke]. Wheeze and sibilant rhonchi with mucus rales; “cannot get it up.” Suffocative attacks after first sleep; child wakens clutching the mother and gasping—immediately eased at open window (Sleep ↔ Respiration). Deep inspiration provokes cough; expiration prolonged, whistling.

Nausea attends the climax of a coughing bout; retching or vomiting of mucus or recently eaten food ends the paroxysm with brief relief—“vomit and ease” (Cough ↔ Stomach) [Allen], [Clarke]. Appetite small during acute coryza; aversion to cold drinks which aggravate cough; warm sips welcome (Food & Drink). Hiccough after laughing brings cough. Children vomit milk after a whoop-like series; prefer breast again when the paroxysm subsides (compare Drosera, Ipec.).

Soreness of abdominal walls from repeated coughing; stitching under costal margins; transient griping before an evening stool in catarrhal fever [Clarke]. Flatulence rises with talking, provoking cough. No true enteritis; abdominal notes are mechanical and myalgic.

Occasional loose stool during influenza; more often a normal evening stool after which head pressure eases (Rectum ↔ Head) [Clarke]. Children may pass urine or a little stool involuntarily at height of whoop; adults rarely.

Urine scant during fever, more copious and pale as catarrh resolves; frequent urging during coughing bouts (vesical reflex) [Allen]. Incontinence with paroxysm in children—anxious parent-complaint that guides to “paroxysmal cough” remedies.

Thirst for warm drinks which soothe and loosen; cold drinks aggravate cough and chest tightness (Food & Drink master) [Allen], [Boericke]. Appetite small; desire for light, warm broths. Milk may increase phlegm in some children at night.

No special sexual symptoms; cough may cause transient spermatic cord drag, relieved by support (mechanical).

Cough and dyspnœa worse around menses in some; uterine bearing-down during violent paroxysms (reflex); hæmoptysis at climacteric with raw chest has been soothed palliatively (hæmostatic signature) [Clarke]. Pregnancy cough with vomiting is borne better when sips are warm and patient sits up (Modalities).

Aching between shoulders with cough; cervical stiffness from guarding the larynx; better warm wraps and gentle rubbing [Clarke]. Dorsal muscles tender after a night of paroxysms.

Lassitude in limbs with fever; hands hot during paroxysm, then cool and moist; slight trembling after a hard fit (Generalities). Children stamp or kick with the spasms.

Flushed face with perspiration during paroxysms; then cool, moist skin. Nasal and upper lip excoriation from acrid discharge (Nose ↔ Skin). Urticarial blotches after a hot room exposure have been noted in sensitive subjects (psoric edge).

Aetiology / First hours of “cold”

• Aconitum — sudden chill with anxiety and dryness in the early stage; little or no secretion. Justicia, by contrast, has torrents of sneezing, fluent acrid coryza, and early laryngeal tickle. [Kent], [Clarke].

• Nux vomica — coryza stuffed at night but fluent by day, with irritability; less laryngeal spasm. Justicia has stronger craving for open air and paroxysmal cough fits. [Clarke], [Boger].

Laryngeal tickle and aphonia

• Rumex — exquisitely sensitive to cold air at the throat; cough on inspiring cool air; less fluent nasal discharge. Justicia presents violent sneezing, with warm drinks giving marked relief. [Farrington], [Clarke].

• Spongia — dry, barking cough, better for eating or drinking warm fluids, but with less acrid coryza. Justicia adds fluent sneezing and tickling hoarseness. [Boericke].

Rattling with little expectoration

• Ipecacuanha — constant nausea, pale face, little thirst; rattling large and coarse. Justicia lacks the persistent nausea, with more nasal flow and hoarseness, better for warm drinks. [Farrington], [Clarke].

• Antimonium tart. — marked drowsiness and prostration, cyanosis, and coarse rales. Justicia is more active, with violent sneezing and first-sleep aggravation. [Boger], [Boericke].

Nocturnal paroxysms / after first sleep

• Drosera — racking, suffocative cough after midnight, whoop-like fits; little nasal involvement. Justicia adds fluent nose, sneezing, and hoarse aphonia. [Clarke].

• Aralia — cannot lie down at night; cough starts on first lying, from throat tickle; less sneezing. Justicia has marked coryza and night aggravation with vomiting. [Boericke].

Asthmatic oppression in warm rooms

• Bromium — laryngeal spasm, worse in warm rooms and dusty atmospheres; left-sided glandular swelling; less vomiting after cough. Justicia shows whoop-like paroxysms ending in vomiting. [Clarke].

• Blatta orientalis — asthma in damp basements, especially in strong corpulent subjects; nasal symptoms minimal. Justicia clearer in coryza with hoarseness. [Boericke].

Hoarseness to aphonia

• Phosphorus — aphonia with raw burning larynx, thirst for cold drinks, hoarseness from talking, with haemorrhagic tendency. Justicia desires warm drinks and has less systemic weakness. [Farrington], [Clarke].

• Hepar sulph. — croupy, chilly, oversensitive to touch and draught, wants to be wrapped. Justicia tolerates cool air to the face but a neck draught excites cough. [Boger].

Coryza with violent sneezing

• Sabadilla — violent sneezing with lachrymation and chilliness; more periodicity; less laryngeal rattling. Justicia combines sneezing with hoarseness and chest rattling. [Clarke].

• Arsenicum — acrid coryza with burning, great restlessness, prostration, and chilliness. Justicia is milder, open-air ameliorates, and there is desire for warm drinks. [Kent], [Clarke].

• Complementary: Ipecacuanha — both have rattling with little expectoration; Ipecacuanha when nausea and pallor dominate, Justicia when nasal flooding and first-sleep paroxysms prevail. [Farrington], [Boericke].

• Complementary: Antimonium tart. — useful in elderly or chesty children; Justicia breaks the spasm early, Antimonium tartaricum completes the case when weakness and coarse rales set in. [Boger], [Clarke].

• Complementary: Senega — cough of the aged with soreness in the chest when speaking; follows Justicia when hoarseness lingers. [Farrington], [Boericke].

• Follows well: Aconite — after the dry, febrile outset of influenza, when sneezing and hoarseness declare themselves. [Clarke], [Dewey].

• Follows well: Nux vomica — after the nasal alternation (stuffed at night, fluent by day) passes into laryngeal tickle with nocturnal cough. [Clarke].

• Precedes well: Drosera — when residual whoop-like night-fits remain after the coryza subsides. [Clarke].

• Related remedies — Rumex, Spongia, Phosphorus, Bromium, Hepar sulph., Aralia, Blatta, Grindelia; see differentials for closer distinctions. [Farrington], [Boericke].

• Antidotes — warm drinks and open air; Nux vomica for drugging or aggravation in overheated rooms; Camphora for sudden suffocative spasm in close rooms (supportive). [Clarke], [Hughes].

• Inimicals — none fixed; avoid routine alternation with Ipecacuanha or Antimonium tartaricum without fresh indications. [Kent], [Clarke].

Indications
Influenza or coryza running into laryngitis and bronchitis, marked by violent sneezing, hoarseness or aphonia, paroxysmal nocturnal cough, rattling with scant expectoration, and dyspnoea when lying down. Pertussiform coughs in children often end with retching. Asthmatic oppression is felt in warm, close rooms, while cool, fresh air brings relief [Clarke], [Boericke], [Allen], [Farrington].

Posology
In acute states, 6C–30C may be repeated every 1–3 hours at first, lengthening intervals as paroxysms space out. A single bedtime dose of 30C–200C in “first-sleep” cough has often proved striking [Dewey], [Tyler].

Repetition strategy
Cease dosing on clear amelioration (for example, when the first sleep is spared or the open-air relief holds). Resume only if relapse occurs. In elderly with rattling weakness, follow Justicia with a short course of Antimonium tartaricum when power to raise mucus is lost.

Adjuncts
Ensure fresh, cool air with the head raised high. Avoid dust, perfumes, and overheated rooms. Use warm demulcent drinks to soothe the throat, gentle percussion to mobilise mucus, and absolute rest for the voice. Coryza should never be suppressed—“better out than in” [Clarke], [Boger].

Clinical Pearls

• Child — streaming coryza, hoarse whisper, suffocative fit after first sleep, vomits and then falls asleep: Justicia 30C at bedtime broke the sequence [Clinical], [Clarke].

• Teacher — evening aphonia, dry tickle relieved by warm sips, cough aggravated in warm classroom, ameliorated outdoors: Justicia 200C restored voice overnight [Clinical], [Boericke].

• Elderly asthmatic — “room air sticks,” rattling cough with little power to raise, eased at window with warm tea: Justicia 6C every two hours, followed later by Antimonium tartaricum 6X three times daily to clear the rales [Farrington], [Boger].

Mind

• Anxiety—suffocation—on lying down; desires window open. Bedside guide to “air remedy.” [Clarke]

• Irritability—odours/dust provoke cough. Environmental trigger. [Clarke]

• Dullness—catarrhal fever—talk aggravates cough. Behavioural management. [Allen]

• Fear—sleeping—lest a fit seize him. First-sleep problem. [Boericke]

• Consolation—from cool air and sitting up—amel. Practical cue. [Clarke]

Head

• Head—Pain—frontal—coryza with—sneezing—agg.; open air—amel. Sinus pressure sign. [Clarke]

• Head—Bursting—cough—during. Shock-headache rubric. [Allen]

• Head—Heat—vertex—in warm room—agg. Thermal index. [Clarke]

• Scalp—Sweat—during paroxysm. Objective sign. [Boericke]

• Eyes—Lachrymation—sneezing—agg. Naso-ocular duet. [Clarke]

Nose

• Coryza—fluent—sneezing—violent—acrid. Crown nasal rubric. [Clarke], [Boericke]

• Obstruction—alternating sides—coryza. Alternating flow. [Clarke]

• Odours—sensitive to—dust, smoke—agg. Trigger. [Clarke]

• Epistaxis—catarrhal fevers—relieves head. Palliative outlet. [Clarke]

• Suppressed coryza—chest—agg. Law of direction. [Clarke]

Throat / Voice

• Larynx—Tickling—feather as of—provokes cough. Signature. [Clarke]

• Voice—Aphonia—evening—talking—agg.; warm drinks—amel. Teacher’s throat. [Allen], [Clarke]

• Throat—Rawness—burning—warm drinks—amel. Soothing rubric. [Boericke]

• Neck—Draught—agg.—cough at once. Prevention tip. [Clarke]

Respiration / Cough / Chest

• Cough—paroxysmal—after first sleep—retching/vomiting—ends in relief. Master rubric. [Allen], [Boericke]

• Cough—worse—lying down; better—sitting up/open air. Postural rule. [Clarke]

• Expectoration—scant—viscid—rattling—little power to raise. Selection key. [Boericke]

• Respiration—oppressed—warm room—agg.; open air—amel. Environmental polarity. [Clarke]

• Chest—Constriction—as of band—behind sternum. Sensation rubric. [Clarke]

• Asthma—night—first sleep—agg.—dust—agg. Asthmatic link. [Boger], [Clarke]

Stomach

• Nausea—during cough—vomiting—relieves. Reflex rubric. [Allen], [Clarke]

• Drinks—warm—amel; cold—agg.—cough. Practical rule. [Boericke]

• Appetite—lost—catarrh—returns as nose/voice clear. Course note. [Clarke]

Sleep / Generalities / Fever

• Sleep—wakes—shortly after falling asleep—cough suffocative. Bedtime warning. [Allen]

• Generalities—Warm room—agg.; Open air—amel.; Lying—agg.; Sitting up—amel. Remedy axis. [Clarke]

• Generalities—Dust/perfume—agg. Avoidance cue. [Clarke]

• Fever—catarrhal—chill in draught—heat in room—sweat with paroxysm. Typical cycle. [Clarke]

• Perspiration—during cough—face/chest. Objective accompaniment. [Boericke]

Allen, T. F. — Encyclopædia of Pure Materia Medica (1874–1879): proving/clinical notes—violent sneezing, hoarseness/aphonia, nocturnal paroxysms, post-tussive vomiting; modalities.
Hering, C. — The Guiding Symptoms of Our Materia Medica (1879–1891): clinical confirmations—children’s first-sleep cough, hoarseness, rattling with little expectoration; relationships.
Clarke, J. H. — A Dictionary of Practical Materia Medica (1900): full remedy portrait—coryza–laryngeal–bronchial sphere; open-air amelioration; hæmorrhagic edges; regimen.
Boericke, W. — Pocket Manual of Homœopathic Materia Medica (1901): keynotes—sneezing, aphonia, night cough with suffocation, rattling mucus scant, warm drinks amel.; comparisons.
Boger, C. M. — Synoptic Key of the Materia Medica (1915): repertorial pivots—worse first sleep/lying; better open air; dust/odour aggravations; asthma rubrics.
Farrington, E. A. — Clinical Materia Medica (1890): comparisons—Ipec., Ant-t., Drosera, Rumex, Spongia; bronchitic elders and pertussiform coughs.
Hughes, R. — A Manual of Pharmacodynamics (late 19th c.): substance chemistry (vasicine/vasicinone), expectorant/bronchoactive and hæmostatic actions informing sphere.
Kent, J. T. — Lectures on Homœopathic Materia Medica (1905): miasmatic framing; contrasts with Arsen., Hepar, Phos., Spong.; thermal/air modalities.
Phatak, S. R. — Materia Medica of Homoeopathic Medicines (20th c.): concise essence—sneezing, hoarseness, nocturnal cough, better warm drinks and open air.
Tyler, M. L. — Homœopathic Drug Pictures (20th c.): lively sketches of “window remedies” for throat–chest; first-sleep seizures.
Nash, E. B. — Leaders in Homœopathic Therapeutics (1899): practical bedside contrasts in rattling coughs (Ipec., Ant-t., Senega vs. Justicia).
Dewey, W. A. — Practical Homœopathic Therapeutics (early 20th c.): dosing and sequencing in coryza/bronchitis/pertussiform coughs; bedtime prescribing.