• Liver–biliary–portal system. Flatulent dyspepsia, early satiety, bloating after a few mouthfuls, craves sweets, biliary colic, right hypochondrial fullness, constipation with ineffectual urging; 3–5 p.m. sinking. See Stomach/Abdomen/Rectum/Food & Drink. [Hering], [Clarke], [Kent]
• Urinary tract (kidney, ureters, bladder). Renal gravel, “red sand” (uric acid), nocturnal polyuria, retention with slow stream; children with night wetting and timidity. See Urinary. [Allen], [Clarke]
• Respiratory mucosa. Dry catarrh, obstructed then rattling, fan-like alar motion; right-sided coryza; asthma at 4 a.m./evening, worse lying on back. See Nose/Chest/Respiration. [Hering], [Boericke]
• Digestive tract (gas–fermentative). Fermentation, loud rumbling, distension with little eating, soft stool difficult. See Abdomen/Rectum. [Allen], [Boger]
• Mind–autonomy axis. Anticipatory anxiety, fear of speaking, cowardice with domestic tyranny, worse 4–8 p.m., irritability from hunger. See Mind. [Kent], [Tyler]
• Right-sidedness → left. Complaints often begin right (throat, chest, abdomen) and travel left. See Throat/Chest/Abdomen. [Hering], [Boger]
• Skin & adnexa. Dry, scaly eruptions, fissures at orifices, premature greying, brittle nails, eczema in bends. See Skin. [Clarke], [Allen]
• Circulation/thermoregulation. One foot hot, the other cold, flushes of heat without thirst, emaciation of upper body with lower distension. See Generalities. [Hering], [Phatak]

• Warm food and drink (except marked thirstlessness); hot applications to abdominal spasm. [Clarke]
• Loosening clothes, unbuttoning waist after meals. [Hering]
• Eructations, passing flatus, after stool (partial relief). [Allen]
• Motion in open air (mental gloom lifts), gentle exercise (flatulence moves). [Tyler]
• Warm bed for chilliness; lying on right side for certain chest pains. [Boger]
• Taking a little food when faint at 4–5 p.m. [Kent]
• Head elevated during asthma; fanning desired. [Clarke]
• Consolation when anxious about failure; company (but not contradiction). [Kent]
• Warmth to feet when one is cold. [Hering]

• 4–8 p.m. (mental and physical); on waking unrefreshed; after sleep children wake cross. [Kent], [Hering]
• From small quantities of food; bread, cabbage, onions, beans, sweets, oysters; cold drinks. [Allen], [Clarke]
• Tight clothing about waist/abdomen; sitting bent after meals. [Hering]
• Lying on the back (asthma, cough), right-to-left direction. [Boger]
• Warm room (head), before menses, during digestion. [Clarke]
• Emotions: anticipation, public appearance, responsibility; contradiction angers. [Kent]
• Fasting long (irritable, tremulous), coffee in some. [Tyler]
• Cold food/drink, wet feet, sea-air aggravates catarrh in some. [Boericke]

A divided will: timid, self-distrustful in new situations yet domineering at home; dreads speaking or performing, fear of failure, blunders at the beginning then warms to the task. Anticipatory anxiety before exams, interviews, flights; stage fright with gas and bloating. Irritable when hungry, peevish late afternoon; suspicious, sensitive to contradiction, may humiliate subordinates while fearing superiors. Desires company but avoids intimacy; weeps from music; homesick yet cannot leave duties. Children are precocious, thin above, pot-bellied, shy yet bossy with siblings; crave sweets; fear the dark, wolves, ghosts; wake angry. This differs from Arg-n. (impulsive, diarrhoea from anticipation), Gels. (dull, paralysed by fear), Sil. (timid but principled, chilly, sweaty head), and Nux-v. (choleric, over-driven, not especially bloated from little food). Case: a lecturer who quailed before class with abdominal wind at 4 p.m., then spoke fluently once begun—Lyc. 200C steadied mind and belly. [Hahnemann], [Kent], [Hering], [Clarke], [Tyler], [Nash]

Congestive headaches from hunger or late afternoon, better eating a little; frontal–temporal with gastric derangement. Right-sided pains extend left; scalp sensitive, hair falls, premature greying. Vertigo on turning quickly or after meals; one side hot, the other cold. Headache from tight hats; faint sinking at 4–5 p.m. Compare Nux-v. (morning business headache), Sulph. (vertex heat), Sil. (head sweat, stitching). [Allen], [Clarke], [Boger]

Dryness, burning, sand sensation; ptosis from fatigue; astigmatic strain headaches. Styes on lids; eczema at canthi, cracks. Vision dim in warm room, black motes on rising. Children rub eyes at bedtime with fan-like nostril motion (catarrh). Compare Nat-m. (photophobia, grief), Sulph. (red lids, burning). [Hering], [Allen], [Clarke]

Sensitive to noise, especially music, which may cause weeping or anxiety. Cracking and roaring in ears with difficulty hearing. Earaches, especially right-sided, that extend to the throat. Blocked sensation in ears, worse in warm rooms. Discharge from ears may be yellow and excoriating. Hearing improves in a noisy environment.

Frequent coryza with dry crusts and internal soreness. Right-sided obstruction alternating with left. Sense of smell may be diminished. Sneezing in morning or after rising. Nasal polyps and chronic catarrh, particularly in children. Nosebleeds from right nostril, especially in the morning or during menses.

The face is often pale, earthy, or yellowish, particularly around the mouth or nose. Deep lines may appear across the forehead and between brows. In children, one cheek may be red while the other is pale. Pimples, acne rosacea, or eruptions worsen before menses. Twitching of facial muscles, especially around the mouth. Lips may be dry, cracked, or bleed easily.

Dry mouth without thirst, or thirst for warm drinks only. Aphthae, ulcers, or bad breath with metallic or bitter taste [Allen]. Tongue may tremble when protruded, appear coated yellow, or develop deep cracks. Toothache worse from cold drinks and better from warm. Gums recede and bleed easily. Complaints of sour taste or sour eructations.

Sensitive, especially during menses or pregnancy. Caries develop quickly despite good hygiene. Teeth may crumble or loosen prematurely. Neuralgic pain in the roots, especially in the evening. Grinding of teeth during sleep in anxious children.

Sensation of a plug, right-sided tonsil swells, extends left; must swallow often to clear mucus; choking on crumbs; dryness with husky voice; painless hoarseness to begin speaking then voice gains strength. Hawking of hard greenish plugs. Compare Lach. (left → right, < after sleep), Merc. (salivation). [Hering], [Clarke], [Boger]

Lycopodium is a major digestive remedy. There is a constant feeling of bloating and fermentation, with a loud rumbling of gases. The abdomen distends after even small meals [Clarke]. There is craving for sweets, warm drinks, and oysters, though these often aggravate. Hunger returns soon after eating, or there may be satiety after just a few bites. Acid reflux, sour eructations, and heartburn are frequent. Pain is often right-sided and worse from 4–8 p.m. [Kent]. Useful in peptic ulcers, sluggish liver, and gallbladder dysfunction.

Grand sphere. Meteoric distension with rumbling, gurgling, right hypochondrial tension; liver region sensitive, stitching to back; constipation with ineffectual urging, soft stool difficult from rectal atony/spasm. Colic 4–8 p.m., better passing flatus, worse from tight belts. Hernial tendency, especially right inguinal; flatulent colic of children (pot-bellied). Biliary pains run to right scapula. Compare Carbo-veg., China, Nux-v., Sulph. (morning diarrhoea, heat). [Hering], [Boger], [Kent], [Clarke]

Red sand (uric acid) in diaper or vessel; burning at neck of bladder; slow, interrupted stream with straining; polyuria at night; enuresis in shy, precocious children; must rise several times to urinate. Renal colic right → left; sediment brick-dust. Compare Sars. (end-stream burning), Berb. (radiating kidney pains), Nux-v. (tenesmus without sand). [Allen], [Clarke], [Hering]

Ineffectual urging, spasmodic constriction; stool large, hard, or small and knotty, followed by burning; haemorrhoids protrude, smarting; fissures at anus in the dry-skinned type. Flatulence noisy; stool at 3–4 a.m. in some liver constitutions. Compare Aes. (dry, purple piles), Nux-v. (constant urging), Sulph. (early morning). [Allen], [Boger], [Clarke]

Weak or absent sexual desire, often linked to self-esteem. Erections may be difficult to maintain. Impotence from performance anxiety. Emissions without erections, or sexual dreams without desire. Prostatic complaints in older men with frequent, ineffectual urging. Right-sided testicular pain.

Late, scanty, or suppressed menses with abdominal bloating, headache 4–8 p.m.; dyspareunia from dryness/fissures; leucorrhoea excoriating, worse before menses. Difficult labour from uterine inertia, gastric flatulence; bearing-down yet weak pelvic floor. Right ovarian pains moving left; vaginal flatus. Compare Sep. (bearing-down with indifference), Nat-m. (reserved grief), Sulph. (itching, heat). [Hering], [Clarke], [Farrington]

Shortness of breath, especially on exertion or from bloating. Chest feels constricted or compressed. Asthmatic episodes that begin after suppression of eruptions or discharges. Cough worse in warm rooms or in the evening.

Palpitations from emotion, eating, or lying on the left side. Pulse irregular and weak. Fluttering sensation, worse from anticipation. Pain in the chest or heart area radiates to right shoulder or arm. Heart complaints with gastric symptoms.

Dry tickling cough worse lying on back, worse evening 4–8 p.m., better warm drinks; asthma at 4 a.m., fan-like nostril motion, rattling with little expectoration; stitches in right chest to shoulder; emphysematous elders with flatulent abdomen. Voice weak at start, stronger after speaking. Compare Phos. (burning, thirst for cold), Sulph. (morning cough, heat). [Hering], [Clarke], [Boger]

Pain and stiffness in the lumbar region, especially in the morning. Weakness or fatigue in the back, particularly after digestive disturbances. Coldness in the sacral area. Sciatic pain, often right-sided. Children may exhibit spinal weakness or scoliosis.

Right-sided complaints dominate. Joints may crack, feel stiff, or be swollen. Gouty nodes and deformities. Feet cold and sweaty. One foot hot, the other cold. Nails become thick, ridged, or brittle. Hands tremble when writing. Paralytic weakness of lower limbs.

Dry, scaly eruptions, eczema in flexures, psoriasis-like plaques; fissures at orifices (mouth, anus, vulva); freckles, lentigines; warts flat; ulcers with indolent edges in emaciated states. Perspiration offensive at night of feet; premature greying. [Clarke], [Allen], [Hering]

Unrefreshing, wakes angry/cross, especially children; dreams of accusations, failure, being unprepared; talks in sleep; starts; sleeps on right side; sweats of head/neck. Night urination disturbs rest. [Hering], [Allen], [Tyler]

Dreams of powerlessness, humiliation, or disgrace. Themes of being chased, falling, or examinations. May dream of old events or people not seen in years. Children may have night terrors with shrieking.

Low-grade fevers with digestive upset. Heat and chill alternate. Sweating may be profuse at night or from anxiety. Heat often localised to head or face with cold limbs.

Chill: 4–8 p.m., from uncovering abdomen. Heat: flushes without thirst, hot head with cold feet. Sweat: night, on feet, smelly; sweat does not relieve weakness. [Hering], [Allen]

Desires sweets, pastry, hot drinks; aversion to oysters, onions, cold drinks; flatulent foods disagree; little satisfies yet distends. Thirst generally low, but desires warm drinks when chilly. [Hahnemann], [Clarke], [Allen]

Right-sided complaints that travel left; worse 4–8 p.m.; flatulent distension from little food; soft stool difficult; timidity with domestic tyranny; hunger with quick satiety; one foot hot, the other cold; emaciation of upper body with lower abdominal enlargement—the signature of Lycopodium’s fermentative, hepatic, and neuro-vegetative derangement. The remedy craves control yet fears exposure; needs warmth but cannot bear constriction. [Hahnemann], [Hering], [Kent], [Clarke], [Boger], [Boericke], [Phatak], [Tyler]

Flatulent dyspepsia / hepatic

• Carbo-veg. Great air hunger, collapse tendency, wants to be fanned; Lyc. less collapse, more right hypochondrium + 4–8 p.m. [Clarke]
• China. Bloating from fruit/fermentation, painless distension, weakness from loss of fluids; Lyc. has small-food-distends, hepatic stitch. [Boger]
• Nux-vomica. Irritable over-worker, craving stimulants, morning nausea; Lyc. more anticipatory fear, sweet craving, right-to-left. [Kent]
• Sulphur. Heat, morning diarrhoea, philosophical indolence; Lyc. more timid-tyrannical with flatulent satiety. [Kent]

Urinary gravel / prostatic

• Sarsaparilla. End-stream burning, child screams; sand not as marked. [Clarke]
• Berberis. Radiating kidney pains to hips/thighs; Lyc. adds nocturnal polyuria, slow stream, red sand. [Boger]
• Canth. Tenesmus with burning “like fire”; less fermentative gut. [Allen]

Respiratory catarrh / asthma

• Nat-sulph. Morning green expectoration, damp-weather asthma; Lyc. evening/4 a.m., back-lying worse. [Clarke]
• Phosphorus. Burning chest, thirst for cold, tendency to bleed; Lyc. drier, flatterulent, right-sided. [Farrington]

Right-sided → left throat/chest

• Lachesis. Left → right, < after sleep, loquacious jealousy; Lyc. opposite direction, timid-proud. [Boger]

Constipation (soft stool difficult)

• Nux-v. Constant urging and spasm; Lyc. has rectal atony/spasm with wind. [Boger]
• Alumina. Absolute dryness, no desire; Lyc. has flatulence and liver. [Clarke]

Mind—anticipation

• Arg-nit. Impulsive, diarrhoea from fear, craves sweets and sugar aggravates; Lyc. has gas + timidity + tyrannical home self. [Kent]
• Gels. Paralytic fear, drowsy heaviness; Lyc. sharp, calculating, not drowsy. [Tyler]

Female pelvic

• Sepia. Bearing-down with indifference to family; Lyc. anxious, domestic tyrant yet dependent, flatulent. [Farrington]

• Complementary: Carbo-veg. (advanced flatulence), Nat-m. (chronic catarrh), Sulph. (constitutional psora), Graph. (fissures/eczema), Calc. (childhood metabolism), Sars. (urinary). [Kent], [Clarke], [Boger]
• Follows well: Nux-v. in gastric cases when irritability gives way to flatulent atony; Sulph. in chronic catarrh; Chel. in biliary colic sequels. [Farrington], [Clarke]
• Precedes well: Sulph. (to open psoric layer), Calc. (children), Sars./Berb. for gravel sequelae. [Kent], [Boger]
• Antidotes: Camph., Coff. (excess), Puls. (drugging of Lyc. picture). [Hughes], [Clarke]
• Inimical/Caution: Quick alternation with Lach. may confuse sidedness; let the case declare. [Kent]

• Exam/public-speaking fear with abdominal wind, worse 4–8 p.m.: Lyc. 200C on the day often settles mind and meteorism; follow with dietary simplification. [Kent], [Tyler]
• Biliary colic with right scapular stitch in a flatulent patient: Lyc. between Chel. doses for fermentative background. [Farrington], [Clarke]
• Child with nocturnal enuresis + “red sand” + pot-belly + cross on waking: Lyc. 30C–200C; address evening sweets. [Hering], [Allen]
• Chronic constipation (soft stool difficult) with much flatus: Lyc. plus abdominal breathing and belt-loosening after meals. [Boger]
• Asthma worse lying on back at 4 a.m., fan-like alar motion, right-sided catarrh: Lyc. in the flatulent–hepatic constitution. [Boericke], [Clarke]
• Mini-pearls

• • One foot hot, the other cold—remember Lyc. in dyspeptic–hepatic states. [Hering]
  • Fails at first, succeeds after—a psychological keynote that mirrors the voice and digestion. [Kent]
  • Red sandy urine that stains the commode—think Lyc. before complex investigations. [Allen]

Mind

• Anticipatory anxiety; fear of failure before appearing in public; improves after beginning. Practical prescriber’s key. [Kent], [Tyler]
• Timid with superiors; domineering at home; sensitive to contradiction. Character polarity. [Kent], [Clarke]
• Irritable when hungry; peevish late afternoon (4–8 p.m.). Temporal stamp. [Hering]
• Homesick; weeps from music; wants company yet avoids closeness. Emotional nuance. [Allen]
• Children precocious, shy-bossy, fear of dark/wolves, wake cross. Paediatric portrait. [Hering]

Head / Eyes / Ears

• Headache from hunger, better eating a little. Hepatic–gastric link. [Clarke]
• Premature greying; hair falls; scalp sensitive. Metabolic signature. [Allen]
• Dry eyes, sand sensation; styes; fissured canthi. Catarrhal dryness. [Hering]
• Eustachian catarrh with roaring/crackling; right > left. Directional clue. [Allen]

Nose / Throat

• Right-sided coryza going left; crusts; epistaxis on picking. Sidedness + dryness. [Hering]
• Fan-like alar motion (children) in chest colds. Classic sign. [Hering]
• Right tonsil swelling → left; hawks hard green plugs. Direction + secretion quality. [Boger], [Clarke]

Stomach / Abdomen / Rectum

• A little food causes fullness and distress. Lyc. keynote. [Hahnemann]
• Flatulence with loud rumbling; must loosen clothes. Mechanical sign. [Hering]
• Constipation: soft stool difficult; ineffectual urging. Rectal atony/spasm. [Boger]
• Hepatic soreness/stitches to right scapula. Biliary nexus. [Clarke]

Urinary / Male / Female

• Red sand in urine; nocturnal urination. Uric diathesis. [Allen]
• Enuresis in shy, precocious children. Temperamental tie. [Hering]
• Prostatic complaints with slow, interrupted stream. Ageing men. [Clarke]
• Right ovarian pains travelling left; vaginal dryness with fissures. Gynaec link. [Farrington]

Chest / Respiration / Heart

• Asthma worse lying on back; oppression evening/4 a.m. Positional/time key. [Clarke]
• Dry tickling cough; voice weak at first, stronger after using. Parallel to mind. [Hering]
• Palpitation after flatulent meals. Gastro-cardiac. [Allen]

Skin / Generalities

• Dry, scaly eruptions; fissures at orifices; brittle nails with ridges. Terrain. [Clarke]
• One foot hot, the other cold; hot head, cold feet. Thermic split. [Hering]
• Right → left; worse 4–8 p.m.; better warm drinks, loosening clothes. Core modalities. [Boger], [Kent]

Hahnemann — Materia Medica Pura & Chronic Diseases (1821–1830): primary proving—flatulent dyspepsia, small-quantity satiety, mental polarity.
Hering, C. — The Guiding Symptoms of our Materia Medica (1879–1891): right-to-left direction, paediatric portrait (fan-like alar motion), urinary sand.
Allen, T. F. — Encyclopaedia of Pure Materia Medica (1874–1879): gastric/urinary/respiratory data; modalities (4–8 p.m.).
Hughes, R. — A Manual of Pharmacodynamics/Pharmacography (1867–1868): crude spore actions; hepatic–fermentative rationale.
Clarke, J. H. — A Dictionary of Practical Materia Medica (1900): clinical keynotes (loose clothing, small-food distension, right-sidedness).
Kent, J. T. — Lectures on Homoeopathic Materia Medica (1905): mental essence (timid-tyrannical), anticipatory anxiety, complementaries.
Boger, C. M. — Boenninghausen’s Characteristics & Repertory (1905); Synoptic Key (1915): generalities (4–8 p.m., right→left), rectal atony.
Boericke, W. — Pocket Manual of Homoeopathic Materia Medica (1901): prescriber’s keynotes—uric sand, fan-like alae nasi, sweet craving.
Farrington, E. A. — Clinical Materia Medica (1887): hepatic–urinary linkages; gynaecological direction.
Tyler, M. L. — Homoeopathic Drug Pictures (1932): bedside picture—fails at first, succeeds after; public-fear dyspepsia.
Phatak, S. R. — Materia Medica of Homoeopathic Medicines (1977): distilled essentials—flatulence from little, right hypochondrium, modalities.
Nash, E. B. — Leaders in Homoeopathic Therapeutics (1899): practical clinchers—anticipation, red sand, 4–8 p.m. aggravation.
Dunham, C. — Lectures on Materia Medica (1879): fermentative dyspepsia, constitutional synthesis.