• Throat & tonsils. Dusky, livid congestion; burning rawness; pain at root of tongue; stitches to the ears on swallowing; worse hot drinks, better cold sips. Diphtheritic membranes; cervical glands swollen and tender. See Throat. [Hering], [Clarke], [Allen]
• Mammae (breasts). Mastitis with hard, nodular glands; pain radiates from nipple to back/whole body on nursing; milk scant, stringy; cracked nipples. See Female/Chest. [Hering], [Farrington], [Clarke]
• Fibrous tissues, periosteum, tendons. Aching as if bruised in bones, periosteal tenderness; wandering rheumatism, worse damp cold, worse night; better dry heat. See Extremities/Back/Generalities. [Allen], [Boger], [Kent]
• Lymphatic & glandular system. Indurated nodes (cervical, axillary, inguinal, testicular, ovarian); “rock-hard” feel; slow to resolve. See Neck/Abdomen/Male/Female. [Clarke], [Hering]
• Mucosa of GI tract. Gastro-enteric irritation: nausea, vomiting, watery–bloody stools with tenesmus, rectal burning. See Stomach/Abdomen/Rectum. [Allen], [Hughes]
• Bones & periosteum (syphilitic). Night bone pains; tibial tenderness; nodes. See Extremities/Back/Skin. [Hering], [Clarke]
• Eyes (ciliary neuralgia). Deep aching pains radiating to head; worse night; sympathetic with rheumatic storms. See Eyes. [Hering], [Allen]
• Testes & ovaries. Orchitis/ovaritis with induration; drawing to groins; sexual glands sensitive to cold. See Male/Female. [Clarke], [Farrington]

• Cold drinks, cold applications to throat (brief relief of burning). [Clarke], [Hering]
• Warm dry heat to joints, limbs, and breasts (rheumatism/mastitis). [Boger], [Farrington]
• Rest, avoiding strain; gentle support/bandaging of breast. [Hering], [Clarke]
• After perspiration (moderate), and open cool air for febrile head-heat. [Allen]
• Discharge becoming free—sweat, menses, or lochial flow relieving congestive pains. [Clarke]
• Rinsing mouth/throat with cold water in acute pharyngitis. [Hering]
• Fasting lightly for gastric irritability (warm broths later). [Hughes]
• Firm pressure to periosteal aches; steady counter-traction to tendinous pains. [Boger]

• Night, especially after midnight—bone aches, ciliary pains, sore throat. [Allen], [Hering]
• Damp cold, getting wet, autumn winds; rheumatic and glandular pains. [Boger], [Kent]
• Motion, rising from bed, and swallowing (throat sends pain to ears). [Hering], [Clarke]
• Hot drinks/food for throat; warm room oppresses; the head throbs. [Clarke], [Allen]
• Nursing—pain darts from nipple through body; cracked nipples bleed. [Hering], [Farrington]
• Pressure on indurated glands (breast, testes); tight collars on cervical nodes. [Clarke]
• Exposure of neck/chest to cold air during sore throat/mastitis. [Hering]
• Coitus or sexual excitement in orchitis/ovaritis. [Clarke]
• Sudden cessation of discharges (menses/lochia) → mammary or throat congestion. [Farrington]
• Storms and change of weather for wandering rheumatism. [Boger]

A dull, heavy, oppressed mental state, as if the brain were bruised; apathetic yet irritable if disturbed. Restless at night from bone pains; gloomy forebodings in influenza with aching body; aversion to company—wants to lie still and be let alone. Anxiety about children when nursing (fear she will drop the infant when pain shoots through); oversensitive to pain, yet subdued rather than violent (contrasts with Cham.). Confusion with heat of head and cold extremities; slowness in answering, as if tired all over; memory dull. The moral tone is sober, even melancholic, when glands are indurated and milk fails. Compare Bry. (irritable, wants to be still but dry and hot, not dusky), Merc. (anxious, offensive sweat, tremulous), Lac-can. (alternating moods with throat). [Hering], [Allen], [Clarke], [Kent]

Head heavy, bruised, with deep aching in occiput during fevers; scalp sore as if the hair were pulled. Throbbing temples in warm room; head feels hot, face dusky. Pain extends from nape to vertex with ciliary neuralgia (eye to head). Vertigo on rising with nausea. The headache often eases in cool air and returns in warm rooms—tallying with general modalities. Compare Gels. (dull, band-like, eyelids heavy), Bry. (bursting, worse least motion), Sang. (right-sided, flushing). [Allen], [Clarke], [Boger]

Ciliary neuralgia—boring, aching pains that radiate to head and teeth, worse at night and damp; eyes feel bruised and sore; lids heavy. Photophobia in febrile states; tears hot. Muscular asthenopia in readers with aching eyeballs. Compare Spig. (sharp, stabbing, left supraorbital), Ruta (strain, bruised eyes but less neuralgic radiations). [Hering], [Allen], [Clarke]

Sharp shoots to ears on swallowing, especially from root of tongue/tonsils; ears feel stopped during throat attacks; tinnitus with febrile head. External ears achy to touch; peri-auricular nodes swollen. Compare Merc. (ear pains with saliva/sweat), Bell. (red, hot, throbbing, not dusky). [Hering], [Clarke], [Allen]

Coryza with raw, burning posterior nares; discharge excoriates; smell diminished during fevers. The nasal vault feels sore; postnasal mucus tough, must be hawked with pain at root of tongue. Epistaxis with head heat and dusky face may relieve fullness. [Allen], [Clarke]

Pale or sallow face with hollow eyes in chronic states. Swelling of parotid or submaxillary glands. Pain in facial bones, especially the zygoma and mandible. Facial neuralgia extending from jaw to ear or neck. Expression anxious during acute illness.

Tongue mapped, coated white or yellow, tip crimson or pointed; burning in mouth; saliva increased yet mouth feels dry. Taste bitter or metallic; ulcers on mucosa (dusky base). Teeth ache with ciliary neuralgia; gums sore. Cold water soothes throat and mouth burning momentarily. Compare Merc. (flabby tongue, salivation, offensive breath), Kali-bi. (punched-out ulcers). [Allen], [Clarke], [Hering]

Teeth feel loose or elongated. Sensitive to cold air or water. Toothache with pain radiating to temples or throat. Bleeding on brushing. Blackened teeth in advanced syphilitic states.

Grand sphere. Fauces dark red—port-wine, livid, or “maple-leaf” pattern, burning and raw, with pain at root of tongue; pains shoot to ears on swallowing (milk, saliva, or food alike). Tonsils swollen (often right, extending left), with patches that look diphtheritic—hot drinks aggravate, cold water relieves a little; desire to gargle cold. Uvula elongated; cervical glands swollen and tender; neck stiff. Sensation of a lump or hot ball in throat; cannot swallow hot liquids. Voice husky; constant hawking of tough mucus. Compare Lac-can. (side-alternation, excessive dryness, “swallowing of liquids more painful”), Merc. (offensive breath, saliva, sweat), Bell. (bright scarlet, high fever), Kali-bi. (ropy mucus, punched-out ulcers). [Hering], [Clarke], [Allen], [Farrington]

Nausea persistent, with empty sinking; vomiting of mucus or bile (sometimes blood in toxic states). Aversion to food; thirst for cold water, which may be vomited when warmed in stomach; gastric burning. After nursing, mother feels nausea with shooting pains from nipple. Compare Ipec. (nausea constant without relief), Ars. (burning > heat, intense prostration). [Allen], [Hughes], [Clarke]

Soreness of abdominal walls as if bruised; mesenteric glands enlarged; dull ache in hypogastrium during menses or mastitis. Tensive pains in right iliac fossa; peri-umbilical griping with diarrhoea. Liver region sensitive; spleen may ache in fevers. [Hering], [Clarke]

Frequent urging with scanty, dark urine. Burning during and after urination. Albuminous or bloody urine in nephritic states. Pain in urethra on pressure or motion. Enuresis in weak, exhausted patients.

Dysenteric stools—mucus and blood, small quantities with tenesmus, burning rawness; cutting before, during, and after stool. Stools sometimes blackish or greenish with griping; constipation with hard, knotty stool in chronic glandular states. Haemorrhoids sore, burning, dusky. Compare Merc. (tenesmus but with sweat/salivation), Aloe (gushing with prolapse), Nit-ac. (splinter pains). [Allen], [Clarke], [Boger]

Orchitis/epididymitis after cold; testes swollen, hard, very sensitive; pains draw to groin and back; cords tender—> warm applications. Sexual desire low in febrile states. Compare Puls. (bland, weepy, > cool), Clem. (chronic, indurated cord). [Clarke], [Hering]

Mastitis—breasts hard, nodular, hot, sensitive; nipple cracked, fissured; pain radiates from nipple through back/whole body when the infant nurses (pathognomonic). Milk scant, stringy; weaning difficulties with congested glands. Ovarian pains drawing to thighs; menses dark, clotted, with back and bone aches; lochia suppressed → breast engorgement. Compare Lac-can. (alternating throat sides, lactation issues without hard nodes), Bry. (stitching pains, must hold breast; dry), Bell. (hot, engorged but bright red), Merc. (suppurative tendency with sweat). [Hering], [Farrington], [Clarke], [Kent]

Hoarseness, worse from talking. Short breath during fever or glandular swellings. Deep breathing painful. Oppression of chest in warm room. Dyspnoea relieved in cold air.

Palpitation with anxiety and prostration in influenza; pulse weak, compressible. Stitches about precordia on deep breathing; pains extend to left shoulder with rheumatic storms. [Allen], [Clarke]

Sore, bruised feeling in pectoral muscles. Breasts tender with nodules or tumours. Pain extends from chest to shoulder or down the arm. Tickling cough with raw sensation in trachea. Bronchitis with thick, stringy mucus. Pleuritic pains worse on motion.

Aching in sacrum and lumbar region as if bruised, worse night and damp; cervical and axillary glands tender; scapular pains with nursing—pain shoots from nipple to back. Stiff neck with tonsillar swellings. [Hering], [Clarke]

Rheumatism of fibrous tissues; periosteal pains, aching of bones as if bruised; pains shift and wander, worse at night, worse damp cold, better dry heat. Tendinous insertions sore; heels and tibiae tender; shooting to joints on movement. Hands stiff in damp weather; gripping pains in forearms. Compare Rhus-t. (stiff on first motion, > continued motion, loves heat/wet), Bry. (sharp stitches, absolute rest), Act-r. (migratory rheumatism, nervous). [Boger], [Allen], [Kent], [Clarke]

Indurated nodules, boils, and ulcers with indigo or purple borders. Eruptions burn and itch, especially around glands. Pustular, scaly eruptions on scalp or limbs. Desquamation and skin tension in syphilitic patients. [Hering] notes “indolent ulcers with foul discharge.”

Restless, unrefreshing sleep; frequent waking with bone pains; dreams of exertion, of nursing and being unable to bear the pain; worse after midnight. In fevers, sleeps in snatches, wakes hot-headed, limbs cold. [Allen], [Hering]

Disturbed dreams of falling, drowning, or being chased. Dreams reflect anxiety, illness, and unresolved grief. Prophetic or deeply symbolic dreams may occur in chronic cases.

Chill with aching bones and periosteum, then heat of head/face with dusky flush, then sweat slight but prostrating—a grippe-type cycle. Throat and glands congest with the fever; cold water relieves the throat momentarily. [Allen], [Clarke], [Nash]

Chill: creeps along back, limbs feel bruised. Heat: head hot, face dusky; throat burns. Sweat: scanty or sour, with relief of head heat but fatigue increased. Night aggravation through all stages. [Allen], [Hering]

Thirst for cold water (especially throat), aversion to hot drinks. Desire for juicy, cold things; little appetite; nausea from smell of food. Nursing mothers dread food during attacks (aggravates nausea). [Hering], [Clarke]

A remedy of dusky congestion, glandular induration, and fibro-periosteal aching, with a dark, bruised, sore feeling everywhere. Night, damp cold, and warm rooms aggravate; dry warmth soothes rheumatism, while cold drinks temporarily soothe the burning throat. Two pathognomonic radiations clinch the case: (1) throat pain shooting to ears on swallowing, and (2) mammary pain radiating from nipple through the body when nursing. The patient is prostrated, heavy, and wants quiet, yet is fretful when disturbed. [Hering], [Allen], [Clarke], [Kent], [Boger], [Boericke], [Farrington], [Tyler]

Tonsillitis / Diphtheritic throats

• Mercurius. Offensive breath, saliva, sweat; tremulous; less ear-shooting from root of tongue; hot and sweaty. [Clarke]
• Belladonna. Bright scarlet, high fever, throbbing; not dusky “port-wine” throat; hot drinks not so aggravating. [Hering]
• Kali-bichromicum. Ropy, plug-like mucus; punched-out ulcers; less mammary/glandular nexus. [Boger]
• Lac-caninum. Alternation sides; extreme dryness; liquids worse than solids; mammary symptoms milder, more erratic. [Farrington]
• Baptisia. Toxic, besotted stupor; fetor; prostration with septic look—throat less ear-shooting. [Clarke]

Mastitis / Lactation pains

• Bryonia. Stitches, must hold breast, dryness; no radiating pain from nipple through body keynote. [Farrington]
• Belladonna. Hot, red, throbbing engorgement; not nodular hard as in Phyt. [Hering]
• Lac-caninum. Erratic pains; alternating sides; less induration. [Clarke]
• Pulsatilla. Mild, changeable, bland discharges; cool air relieves but pains less radiating. [Farrington]
• Hepar-s. Suppurative stage, fetid; extreme chilliness; Phyt. is earlier, hard-node stage. [Kent]

Rheumatism / Bone & periosteum

• Rhus-toxicodendron. Worse first motion, better continued motion; loves hot wet packs; Phyt. bruised bone aching, night worse. [Boger]
• Bryonia. Worse every motion, wants absolute rest; serous membranes; less dusky gland theme. [Kent]
• Actaea rac. Migratory, nervous rheumatism; uterine nexus; pains more muscular than periosteal. [Farrington]
• Syphilinum. Night bone pains, ulcerations—deeper destructive miasm; Phyt. is less destructive, more indurative. [Clarke]

Dysentery / Enteritis

• Merc. Tenesmus with sweat/saliva; offensive; Phyt. more burning rawness and bone-ache background. [Allen]
• Aloe. Gushing, urgency, prolapse; less bone soreness. [Boger]
• Coloc. Colic doubles patient; stool not typically bloody-mucous as in Phyt. [Clarke]

Orchitis / Glandular induration

• Clematis. Hard testis, > warmth; chronic; less bruised, periosteal aching. [Clarke]
• Puls. Acute, mild, chill-open air desire; less induration. [Farrington]

Ciliary neuralgia

• Spigelia. Sharp, stabbing, left supraorbital; more neuritic; Phyt. deep aching radiating to teeth/head. [Allen]
• Ruta. Strain and bruised eyes without ciliary nights; less radiating pains. [Hering]

• Complementary: Bry. (serous/pleuro-rheumatic link), Rhus-t. (fibrous–tendinous), Merc. (ulcerative/diphtheritic edge), Hepar-s. (suppurative sequel in mastitis/throat), Lac-can. (lactation/throat alternation), Kali-bi. (ropy, ulcerative throat), Sil. (induration resolving slowly). [Clarke], [Kent], [Boger]
• Follows well: Acon. (first chill–fever edge), Bell. (hot, bright engorgement), when the state turns dusky, nodular, ear-shooting. [Farrington]
• Precedes well: Hepar-s. (if suppuration supervenes), Merc./Kali-bi. (membranous sequel), Puls. (milk regulation once pains subside). [Hering], [Clarke]
• Antidotes: Nux-v. (drugging/gastric irritability), Bell. (vascular storm), Merc. (salivary–septic aggravations). [Clarke], [Hughes]
• Inimical/Use with caution: Rapid alternation with Merc. in septic throats—let case declare sequence; avoid crude poke preparations. [Clarke]
• Related (signature): Conium (indurated glands, stony feel but chill-quiet), Iodum (hyper-plastic restless hunger). [Clarke], [Kent]

• Mastitis (early, nodular, radiating nipple pains): Phyt. 30C–200C; warm dry compress, firm support. If suppuration, intercurrent Hepar-s.; if milk erratic, Puls.. [Hering], [Farrington], [Clarke]
• Tonsillitis with ear-shooting pains, worse hot drinks, “port-wine” throat: Phyt. often aborts within 24–48 hours; cold water gargles for comfort. [Hering], [Allen]
• Ciliary neuralgia (aching to head/teeth), night-worse, damp-worse: Phyt. with eye-rest and warmth; compare Spig. if stabbing. [Hering], [Clarke]
• Periosteal rheumatism of shins/heels, bruised bones, night-worse: Phyt. + dry heat; contrast Rhus-t. (first-motion <). [Boger], [Kent]
• Dysenteric stools with burning tenesmus in “grippe” → consider Phyt. when the throat and glands also speak. [Allen], [Nash]
• Mini-pearls

• • Nursing mother: pain shoots from nipple through body every suck → Phyt. is near pathognomonic. [Hering], [Farrington]
  • Right tonsil first, dusky, ear-shooting, hot drinks worse, cold water palliative—Phyt. outstrips Bell. [Clarke], [Allen]
  • Bruised-bone influenza with dusky throat and nodes → Phyt. rapidly restores. [Nash], [Tyler]

Mind

• Heaviness, dullness with prostration, irritable if disturbed. [Allen], [Clarke]
• Anxiety during nursing; fear she will drop child when pains shoot. [Hering]
• Aversion to company; wants quiet and to lie still. [Clarke]
• Gloomy forebodings during influenza. [Nash]
• Slowness in answering; mental fatigue with bone aches. [Allen]

Head

• Head bruised, heavy, occipital ache in warm rooms. [Allen]
• Throbbing temples, better open cool air. [Clarke]
• Pain from nape to vertex; vertigo on rising. [Allen]
• Ciliary neuralgia extending to head and teeth. [Hering]

Eyes

• Ciliary neuralgia, deep aching, night-worse, damp-worse. [Hering]
• Eyes feel bruised; lids heavy; photophobia in fevers. [Allen]

Ears

• Pains shoot to ears on swallowing (tonsillitis). [Hering]
• Ears stopped during throat attacks. [Clarke]

Throat

• Dusky, livid fauces; “maple-leaf” congestion. [Clarke]
• Pain at root of tongue on swallowing; ear-shooting. [Hering]
• Hot drinks aggravate; cold water relieves. [Allen]
• Cervical glands swollen, tender. [Hering]

Stomach / Abdomen / Rectum

• Nausea with empty sinking; vomiting of mucus/bile. [Allen]
• Dysentery: mucus–blood stools with burning and tenesmus. [Allen], [Clarke]
• Abdomen sore as if bruised. [Hering]

Female / Breast

• Mastitis with hard nodules; pain radiates from nipple through body on nursing. [Hering], [Farrington]
• Milk scanty, stringy; cracked/fissured nipples. [Clarke]
• Lochia suppressed → breast engorgement. [Farrington]

Male

• Orchitis with induration; > warm applications. [Clarke]
• Cords tender; drawing to groin. [Hering]

Extremities / Bones

• Aching in bones as if bruised; periosteal tenderness. [Allen], [Boger]
• Rheumatism night-worse, damp-worse, better dry heat. [Boger]
• Tibiae and heels tender to touch. [Allen]

Generalities

• Night aggravation; damp cold aggravates. [Allen], [Boger]
• Better dry warmth (rheumatism); better cold drinks (throat). [Clarke]
• Dusky, port-wine colour of inflamed parts. [Clarke]
• Indurated glands (cervical/axillary/mammary). [Hering]

Hahnemann — Materia Medica Pura & Chronic Diseases (1821–1830): methodological foundation; early notes on poke root actions.
Hering, C. — The Guiding Symptoms of our Materia Medica (1879–1891): radiating nipple pains; ear-shooting throat; glandular and periosteal confirmations.
Allen, T. F. — Encyclopaedia of Pure Materia Medica (1874–1879): provings; GI, throat, and bone-ache data; ciliary neuralgia.
Hughes, R. — A Manual of Pharmacodynamics / Pharmacography (1867–1868): toxicology (emeto-cathartic, glandular, mucosal irritation).
Clarke, J. H. — A Dictionary of Practical Materia Medica (1900): dusky “maple-leaf” throat; modalities (hot drinks <, cold water >); mastitis nodes.
Kent, J. T. — Lectures on Homoeopathic Materia Medica (1905): miasmatic reading; gland–periosteum essence; rheumatic modalities.
Boger, C. M. — Boenninghausen’s Characteristics & Repertory (1905); Synoptic Key (1915): generalities—night <, damp <; fibrous–periosteal sphere.
Boericke, W. — Pocket Manual of Homoeopathic Materia Medica (1901): keynotes—mastitis, sore throat radiations, dysenteric tendency.
Farrington, E. A. — Clinical Materia Medica (1887): breast–throat–gland axis; comparisons (Bry., Lac-can., Hepar-s.).
Tyler, M. L. — Homoeopathic Drug Pictures (1932): influenza with bone aches; practical bedside Phytolacca.
Nash, E. B. — Leaders in Homoeopathic Therapeutics (1899): “bruised-bone grippe,” sore throat cold water >; clinical pearls.
Phatak, S. R. — Materia Medica of Homoeopathic Medicines (1977): distilled keynotes—ear-shooting swallowing, mastitis radiations, periosteal aches.
Dunham, C. — Lectures on Materia Medica (1879): glandular indurations and rheumatic–catarrhal relations in Phyt.