• Skin & Appendages — Warts (soft/cauliflower or hard/filiform), moles, soft corns, split nails, brittle hair, oily, shiny face; sweat sour/offensive, only on uncovered parts; fish-brine odour. See Skin. [Hering], [Clarke].
• Genito-urinary (male/female) — Gonorrhoeal sequelae, urethral burning/stricture, forked urine stream, gleet, prostatitis, fig-warts, condylomata; left-ovarian pains, cervical polyps, vaginal warts, cystitis. See Urinary/Male/Female. [Hering], [Clarke], [Kent].
• Mucosae — Viscid, green/yellow, sometimes sweetish discharges; catarrh with obstructive hyperplasia (polyps). See Nose/Throat/Chest. [Clarke].
• Lymphatics/Soft tissues — Infiltrations, indurations of glands and peri-glandular tissue; peri-anal overgrowths. See Generalities. [Boger].
• Nervous system — Neuralgias (left-sided), twitchings, jerks; hypersensitivity to damp/cold; restless at night with sweat. See Head/Back/Extremities. [Allen], [Kent].
• Mind — Secretive, ashamed, rigid, meticulous, fixed ideas (hollow/brittle body; stranger within; being under control of another), religious/sexual scruples, compulsive rituals; stage-fright with tremor. See Mind. [Kent], [Tyler].
• Vaccinosis/Antigenic after-states — Chronic skin/ear/GU catarrh, warts, neuralgia, headaches after vaccination or recurrent inoculations (historic observations). See Generalities. [Clarke], [Burnett], [Boger].
• Rectum/Perineum — Fig-warts, fissures, moist oozing, shooting pains, sensation of glass. See Rectum/Skin. [Hering].
• Left Ovary & Pelvis — Stitching, darting, extending to thigh; periodicity; aggravated coition if warty excrescences present. See Female. [Kent], [Clarke].

• Warmth, dry air, and gentle heat to painful parts. [Hering], [Kent].
• Wrapping up, covering (sweat tends to appear on uncovered parts only). [Hering].
• Slow, steady motion; making oneself warm by exercise when chilled. [Clarke].
• Open bowels/urination when obstructed secretions relieve pressure. [Allen].
• Pressure on warty/condylomatous surfaces (temporary palliation). [Hering].
• After sleep in some neuralgias once circulation picks up (variable). [Kent].
• Dry weather, indoors if damp wind aggravates. [Clarke].
• Dull light (photophobia, meibomian catarrh). [Hering].
• Warm applications for ovarian/uterine cramps. [Kent].
• Discharges re-established (after suppression). [Boger].
• Fasting lightly—rich/fatty foods aggravate. [Allen].
• Mind: company of one trusted person, reassuring secrecy. [Tyler].

• Cold, damp, wetting, west winds; after bathing, after getting feet wet. [Hering], [Clarke].
• Night, 3–4 a.m., and early hours; new moon; periodicity of complaints. [Hering], [Kent].
• Vaccination and repeated inoculations; mercurials in sycotic subjects. [Clarke], [Boger], [Burnett].
• Suppressed discharges (menses, gonorrhoeal flow, skin eruptions). [Boger].
• Fatty/sweet foods, onions, tea, beer; after eating generally (fullness, flatulence). [Allen].
• Touch of warts/condylomata; coition when lesions present; sitting long (peri-anal lesions). [Hering].
• Left side generally (headache, ovarian); left→right progression at times. [Kent].
• Closed, warm rooms for head symptoms; overheating after chill. [Clarke].
• Music (oversensitive, weeps or shudders). [Tyler].
• Emotions involving shame, secrecy, sexual guilt. [Kent].
• Early morning coldness; first movement aggravates sacral/hip pains. [Hering].
• Damp cellars, basements, fog. [Clarke].

The Thuja psyche is guarded, secret, and brittle. There is a dual life—one face for the world, one for the conscience—breeding shame, guilt, and fear of exposure [Kent], [Tyler]. Fixed ideas abound: that the body is fragile like glass, that he is hollow, made of wood, or that a stranger is living inside; that thoughts are not his own, or the soul and body are separate [Hering], [Clarke]. Compulsions and rituals (counting, arranging, repeated ablutions) attempt to master inner impurity, often with religious scruples around sexuality. He is meticulous, perfectionistic, yet insecure, keeping secrets (past infection, habits). Anxiety crowds the early hours (3–4 a.m.); fears: of being observed, of knives/pointed objects, of strangers, of illness being discovered; stage-fright with tremor and weak knees [Kent], [Tyler]. Irritability follows tea, onions, or fatty foods; there is aversion to contradiction; sadness with silent weeping; dread of life alternating with religious zeal. Children are shy, shame-fast, clingy, with warts, otorrhoea, or enuresis, and a secretive bent. Case [Clinical]: a clerk with condylomata, forked urine, oily skin, insomnia at 3 a.m. and the fixed idea that his legs were glass, improved strikingly under Thuja. 200C, lesions shrinking as secrecy and shame softened [Kent], [Clarke].

Left-sided headaches, pressing as if a nail or wedge, or tearing over the left eye, worse damp and night, better dry warmth [Hering], [Kent]. Scalp oily, sweats, dandruff; hair split, falls, especially eyebrows/eyelashes (sycotic). Sensation of something alive crawling under scalp or in temples; skull feels thin. Meibomian catarrh; styes, chalazia recur at lashes. Temples tender; facial neuralgia left-sided, worse cold wind, better warm wraps [Clarke].

Photophobia to artificial light; lids red, oily margins; granular lids in sycotic children [Hering]. Warty growths on lids; trichiasis; falling of lashes. Lachrymation acrid in wind. Vision blur with migrainous left pain; black motes on first rising. Craves dusk, hates glare [Clarke].

Otorrhoea with sweetish odour; polyps of ear; pulsations; tinnitus like steam in damp weather [Clarke]. Warts around tragus or auditory meatus. Hearing dull from catarrh; left-sided worse. Pain extends to teeth.

Coryza thick, greenish, stringy, sweetish, with obstruction and snuffles in children; nasal polyps; bleeding on picking; saddle or warty bridge in some [Clarke]. Warts at alae nasi; smell altered—odours perceived sweetish-offensive. Excoriation in damp cold; worse new moon.

Greasy, shiny, sallow face with open pores; acne (papular/indurated), perioral warts, moles; sensitive to razors (men) [Clarke]. Left supra-orbital neuralgia; face cold to touch with flushes internally. Lips with pearly papules; cracks at commissures.

Aphthae, mucous patches, wart-like excrescences on mucosa; tongue mapped, triangular cracks, teeth feel long and loose [Hering]. Odour sweetish or fish-brine; salivation at night; taste bitter mornings after tea. Thick viscid mucus in fauces on waking; must hawk.

Rapid caries in sycotic adolescents; toothache after tea, onions, sweets; sore lower incisors; grinds teeth in sleep [Allen]. Gums spongy, bleed; warts on gum line rare but noted.

Raw, scraping, with viscid strings of mucus; small papillomata on soft palate/uvula in sycotic habit [Clarke]. Globus sensation, as of a plug; swallows constantly. Hoarseness in damp fogs; voice husky, worse morning.

Aversion to onions, fat, tea; eructations tasting onion-like even without eating them; nausea on rising, worse damp, better eating a little [Allen]. Pressure after small meals; distension with noisy flatus imprisoned; rumbling. Craving for cold water yet chills after. Sour risings; gastric catarrh in beer/tea drinkers.

Griping, stitching; left-iliac and ovarian region sensitive; sensation of something alive moving in abdomen; gurgling as of water (classic) [Hering]. Inguinal glands enlarged; warts about hernial rings. Flatulence trapped in small spots, noisy when released; abdomen sore to clothing.

Frequent urging, scanty, smarting at meatus; forked or split stream from meatal warts or stricture; dribbling after urine; cutting during last drops [Hering], [Clarke]. Gleet—thin, yellow, worse mornings; urine cloudy, iridescent film. Retention after chilling; enuresis in shy, warty children. Prostatic fullness with rectal pressure.

Fig-warts peri-anal, moist, cauliflower; itching, smarting, soreness; fissures with glass-splinter pains on stool; condylomata bleed on wiping [Hering], [Clarke]. Constipation with soft stool—must strain (paradoxical); or thin, ribbon-like stool. Moist oozing; fistulous tracts in sycotic constitutions. Tenesmus after suppressed gonorrhoea.

Condylomata acuminata on prepuce, frenum, corona; moist, offensive, easily bleeding; itch-smart; worse coition [Hering]. Gonorrhoea past—now gleet, stricture, prostatitis, pain in perineum as if sitting on a ball. Testes tender; sexual desire either exalted (with guilt) or depressed; premature emission with shame. Hair pubic sparse or broken in sycotic habit.

Left-ovarian pains—stitching, darting to back/thigh, worse coition, worse damp, better warmth and pressure [Kent]. Vaginal warts (cauliflower), itching, soreness, sweetish discharge. Cervical polyps, erosions; menses scanty with clots, or too early with neuralgic pains; dysmenorrhoea with left-sided colic. After vaccination—irregular cycles, acne, warts (historical observations) [Clarke], [Burnett]. Post-coital burning and bleeding if warty lesions traumatise.

Shortness of breath in damp, close rooms; better dry air. Cough from tickle at suprasternal fossa; spasmodic cough at night with sweat on uncovered parts [Hering]. Sycotic bronchitis with viscid strings.

Fluttering, irregular, soft pulse in nervous, secretive subjects; constriction at apex; neuralgic stitches left chest/breast [Kent]. Chilliness around precordia. Palpitation with stage-fright.

Catarrh with stringy, greenish, sometimes sweetish expectoration; sensation of a plug behind sternum; stitches left chest; palpitation on emotions or tea [Clarke], [Allen]. Asthmatic tightness in damp fog; voice husky mornings.

Pain sacro-iliac, as if loins would give way; stitches in coccyx; stiffness on first movement; worse damp, worse sitting long [Hering]. Warts along spine or nape; sweat of back but only where uncovered.

Warts on hands, fingers, under nails; ingrowing nails, split brittle nails; corns soft between toes [Hering], [Clarke]. Drawing, tearing left-sided neuralgias; cold, damp feet, sweat offensive. Knees tremble with stage-fright. Heels splitting, ragades.

Sycotic skin: greasy, sallow, damp; warts of every kind—filiform, sessile, cauliflower, pedunculated—especially on exposed/covered junctions (eyelids, lips, anus, genitals) [Hering], [Clarke]. Moles, naevi, soft corns, papillomata; sweat only on uncovered parts; sweetish/fish odour; itching worse scratching (then smarting). Peri-anal rhagades as of glass. Onychia; paronychia in damp workers.

Sleepless from twitching and crowding thoughts of shame; wakes 3–4 a.m. with anxiety, chilliness, and clammy uncovered sweat [Hering], [Kent]. Dreams of falling, of being discovered, of religious ceremonies, of indecent exposures; sighs in sleep. Perspiration occurs on face/neck/hands left uncovered, while covered parts remain dry—a keynote polarity. Teeth grind; jerks wake him. Children moan, pull at ears, and wet the bed. Position: prefers side, flexed, guarding abdomen/pelvis; dislikes draft on uncovered part yet sweats there. Morning finds him chilled, unrefreshed, head heavy; tea worsens late-morning fog. Naps aggravate head congestion.

Of shame, nudity, exposure, falling, funerals, religious rites, teeth breaking, nails splitting; sexual dreams with pollutions and guilt [Kent], [Tyler].

Chilliness predominates; chilly even near the fire; partial sweats occurring on uncovered parts; short dry heat phases with internal flush but cold surface [Hering]. Alternating chills and flushes in damp weather. Sweat has sweetish odour; fever blunted by tea.

Chill: from damp, washing, wet feet; shakes in cellars/fog.
Heat: short, internal, with redness of face yet cold extremities.
Sweat: sour/sweetish, offensive, only on uncovered parts—a keynote; stains yellow. [Hering], [Clarke].

Aversion: onions, fat, tea; beer disagrees (flatulence); sometimes potatoes aggravate eruptions. Craves cold water, sweets periodically; worse after fats/sweets with oily skin and acne. Taste bitter mornings. [Allen], [Clarke].

Thuja is the paradigm sycotic: excess of tissue (warts, polyps, condylomata), excess of secrecy (shame, hidden life), and excess of viscosity (stringy discharges)—yet with deficient integrity (brittle nails, split hair, fragile identity) [Boger], [Kent], [Hering]. The modal matrix—worse cold, damp, night, and after vaccination; better dry warmth and wrapping—reverberates from mind to skin and GU. Partial phenomena—sweat on uncovered parts only, forked stream, paradoxical constipation with soft stool, glass-splinter pains, sensation of something alive inside—are grand clues. The left side tends to be foreground (headache, ovary), though GU may be midline. Tissue change is proliferative: papillary outgrowths, infiltration, induration; the odour is sweetish or fish-brine. Suppression (of gonorrhoea, warts, eruptions) invites deeper mischief—catarrh turns inward, neuralgias wax, glands indurate [Boger], [Clarke]. Compare Nit-ac. (condylomata that bleed easily, fissures with splinter pains but more stitching, foul urine), Caust. (warts on stalks, rawness, better damp), Ant-crud. (thick white coat, soft warts, gastric at fat), Med. (sycotic diathesis with restlessness and travel desire), Sabina/Cinnab. (genital warts but different bleeding/heat portraits), and Sars./Clem. in GU sequelae. Direction of cure: (1) return or softening of warts then shrinking; (2) normalisation of urine stream; (3) relief of glass-pains at anus; (4) sleep continuity past 4 a.m.; (5) less secrecy, easier confession, guilt loosens.

Warts / Condylomata / Polyps

• Nitric acid — Moist condylomata that bleed easily, splinter pains; urine foul; temper irritable and vindictive. Thuja: less bleeding, more cauliflower/filiform, sweetish odour, secrecy. [Clarke], [Kent].
• Causticum — Pedunculated warts, raw, burning, better damp, worse dry cold; paralytic traits. Thuja: oily skin, fish odour, fixed ideas, sweat on uncovered parts. [Kent], [Tyler].
• Antimonium crudum — Soft warts, thick white coated tongue, aggravation from fats, petulant disposition. Thuja more sycotic GU links. [Clarke].
• Dulcamara — Warts in damp-cold subjects with rheumatic link; less GU sycosis. [Clarke].
• Cinnabaris — Red, sensitive condylomata; molluscum-like; mercurial taint. [Clarke].
• Sabina — Genital warts, bleeding, heat; uterine haemorrhage; more uterine excitability than Thuja. [Clarke].

Gonorrhoeal sequelae / Stricture / Gleet

• Medorrhinum — Restless, passionate, night-owl, hot feet, loves sea; extremes; strong family sycosis. Thuja: quiet, shame-fast, rigid, oily/warty. [Tyler], [Kent].
• Sarsaparilla — Dysuria at close of urination, sand, renal colic; less warts. [Clarke].
• Clematis — Burning urethra, orchitis; less condylomata. [Clarke].
• Cannabis sativa — Acute gonorrhoea (green discharge, burning); Thuja for sequelae. [Allen].

Rectal/Peri-anal

• Ratanhia — Fissures with knife/glass pains, burning; less warts. Thuja adds fig-warts, sweetish odour. [Clarke].
• Aesculus — Purplish piles, backache, fullness; no warts. [Clarke].
• Graphites — Moist eczema with thick honey exudation, obese chilly; soft papillae, not classic condylomata. [Clarke].

Female / Ovarian

• Lachesis — Left-ovarian congestion but hot, loquacious, worse after sleep, cannot bear tight clothing; not shame-secretive. [Kent].
• Sabina — Bleeding, uterine excitability, strong back-to-thigh pains. Thuja: warts, polyps, left ovary stitching. [Clarke].
• Pulsatilla — Soft, gentle, changeable, thirstless; catarrh bland; not the oily, warty Thuja type. [Kent].

Head/Mind

• Natrum muriaticum — Reserved, dwells on grief, loves salt, sun headache; no warts theme. [Kent].
• Arsenicum — Anxious, fastidious, fears disease, burning pains better heat; no fixed glass body idea. [Kent].
• Anacardium — Two wills, doubt, cursing, better eating; skin eruptions but not sycotic warty terrain. [Clarke].

Vaccinosis / Post-antigenic states

• Silicea — Suppuration, defective assimilation; chilly; expels foreign bodies; good in post-vaccinal abscess. Thuja: warts, catarrh, fixed ideas, forked stream. [Clarke], [Burnett].
• Lyssinum — Post-bite neuroses, fear of water; different sphere. [Clarke].

• Complementary: Medorrhinum—deep diathesis partner in entrenched sycosis; Thuja for secrecy/overgrowth; Med. for extremes/restlessness. [Tyler], [Kent].
• Complementary: Sabal, Sabal-Serenoa (prostatic enlargement/gleet) and Clem./Sars. by urinary phase. [Clarke].
• Complementary: Sil. when suppurative focus persists after warts regress (expulsive action). [Clarke], [Boger].
• Follows well: Puls. in catarrhal uterine conditions when sycotic overgrowth appears; Nit-ac. in fissure after sharp pains subside but warts remain. [Clarke].
• Follows well: Cann-sat. or Merc-sol. after acute gonorrhoea when gleet/stricture develops. [Allen], [Clarke].
• Precedes well: Nit-ac. if fissures/bleeding dominate after warts recede; Caust. when pedunculated warts persist. [Clarke].
• Precedes well: Sabal/Chimaphila in prostatic hypertrophy once urethral irritability calms. [Clarke].
• Compatible: Ratan. (fissures), Aescul. (piles), Sabina (uterine warts). [Clarke].
• Antidotes (functional): Puls. (after-effects of tea in mild subjects), Camph. for over-action; heat and dry air often palliate. [Hering], [Clarke].
• Inimical: Avoid Merc. courses in marked sycotics unless clearly indicated—aggravations noted by some authors. [Boger].

• Genital/peri-anal warts (cauliflower/filiform) with sweetish odour: Thuja. 30C once daily for a week, then space; or 200C weekly. Expect reddening/softening before regression; avoid harsh caustics during constitutional course. [Hering], [Clarke].
• Gleet/urethral irritability with forked stream post-gonorrhoea: Thuja. 200C q7–10d; monitor nocturia, burning, stream; combine pelvic floor hygiene; consider Sabal/Clem. if prostatic/testicular involvement persists. [Clarke], [Allen].
• Left-ovarian neuralgia with cervical polyp/condylomata: Thuja intercurrently between acute measures; warmth and pressure locally. [Kent].
• Post-vaccinal skin/GU aggravations (historic “vaccinosis” picture): Thuja when the whole picture agrees—warts, catarrh, neuralgias, uncovered-sweat—never on theory alone. [Clarke], [Burnett], [Boger].
• Fissure with “glass-splinter” pains and peri-anal papillae: Thuja first; if bleeding, tearing remain > consider Nit-ac. [Clarke].
• Pearl cases

• • Shy adolescent, oily acne, peri-ungual warts, enuresis, wakes 3 a.m. ashamed—Thuja. 200C weekly × 4: warts shrank, bedwetting ceased, sleep consolidated. [Tyler].
  • Gleet with forked stream two years post-gonorrhoea, fish-odour sweat: Thuja. 1M monthly × 3; stream straightened, burning ceased. [Clarke].
  • Peri-anal cauliflower warts with glass pains on stool: Thuja. 30C daily × 10 days then weekly; regression over 6 weeks; fissure healed with sitz care. [Hering].

Mind

• Fixed ideas: body fragile/hollow/glass, foreign body within. (Keynotes.) [Hering], [Kent].
• Secretive, ashamed; fear of being observed/exposed. [Kent], [Tyler].
• Religious/sexual scruples, compulsive rituals. [Kent].
• Stage-fright with trembling knees. [Tyler].
• Anxiety 3–4 a.m., wakes with chill. [Hering].
• Aversion to strangers, hypersensitive to music. [Tyler].

Head/Eyes

• Headache—left supra-orbital, tearing; worse damp, better dry warmth. [Kent].
• Sensation of something alive in head. [Hering].
• Oily scalp; falling of eyebrows/eyelashes. [Hering].
• Chalazia/styes recurrent—meibomian catarrh. [Clarke].
• Photophobia—artificial light. [Hering].
• Warts on eyelids. [Clarke].

Ears/Nose

• Otorrhoea—sweetish, polypi. [Clarke].
• Nasal polyps, green stringy coryza. [Clarke].
• Warts—alae nasi/bridge. [Hering].
• Snuffles in warty children. [Hering].
• Tinnitus—steam-like—in damp. [Clarke].

Mouth/Throat

• Mucous patches, papillomata; mapped tongue. [Hering].
• Taste bitter mornings, worse tea/onions. [Allen].
• Viscid strings of mucus—must hawk. [Hering].
• Teeth feel long/loose. [Hering].
• Aphthae in sycotic subjects. [Clarke].

Stomach/Abdomen/Rectum

• Aversion to onions/fat/tea; eructations tasting of onion. [Allen].
• Sensation of something alive in abdomen. [Hering].
• Flatulence imprisoned, noisy on escape. [Allen].
• Constipation with soft stool; ribbon-like stool. [Hering].
• Fig-warts peri-anal; fissures with glass-splinter pains. [Hering], [Clarke].
• Gurgling as of water. [Hering].

Urinary/Genital

• Forked or split urine stream (meatal warts/stricture). [Clarke].
• Gleet; burning meatus last drops. [Hering].
• Prostatitis with rectal ball sensation. [Clarke].
• Condylomata (male/female). [Hering].
• Left-ovarian stitches to thigh; cervical polyps. [Kent], [Clarke].
• Vaginal warts with sweetish discharge. [Clarke].

Chest/Respiration/Heart

• Viscid, stringy expectoration, sweetish; tickle at fossa. [Clarke].
• Stitches left chest, precordial flutter. [Kent].
• Hoarseness—damp fog. [Hering].
• Asthmatic tightness—damp weather. [Clarke].
• Palpitation with stage-fright. [Tyler].

Back/Extremities/Skin

• Sacro-iliac weakness, coccyx stitches. [Hering].
• Warts under nails, split/brittle nails. [Hering].
• Soft corns, interdigital. [Clarke].
• Sweat only on uncovered parts. (Keynote.) [Hering].
• Warts—filiform, pedunculated, cauliflower (general). [Hering], [Clarke].
• Oily skin, fish-brine odour. [Clarke].

Hahnemann — Materia Medica Pura (1821–34): proving—fixed ideas (fragility/hollowness), onion aggravation, GU and skin phenomena.
Hering, C. — The Guiding Symptoms of Our Materia Medica (1879): warts/condylomata, uncovered-sweat keynote, fig-warts, forked stream.
Allen, T. F. — Encyclopaedia of Pure Materia Medica (1874–79): provings—left-sided headaches, onion-like eructations, paradoxical constipation.
Clarke, J. H. — A Dictionary of Practical Materia Medica (1900): sycotic constitution, polyps, peri-anal/genital warts, vaccinal after-states.
Kent, J. T. — Lectures on Homoeopathic Materia Medica (1905): mental secrecy, fixed ideas, sycotic philosophy, left ovary, damp aggravation.
Boericke, W. — Pocket Manual of Homoeopathic Materia Medica (1901): keynotes—warts, condylomata, onion aversion, sweat on uncovered parts.
Boger, C. M. — Synoptic Key (1915): sycosis doctrine, suppression dangers, direction of cure.
Hughes, R. — A Manual of Pharmacodynamics (1870s): thujone toxicology; mucosal/nerve effects.
Tyler, M. L. — Homoeopathic Drug Pictures (1942): portraits—secretiveness, stage-fright, warty skin/hair/nail changes.
Phatak, S. R. — Materia Medica of Homoeopathic Medicines (1977): terse generals—worse damp, onion/fat/tea; fig-warts; forked stream.
Nash, E. B. — Leaders in Homoeopathic Therapeutics (1899): sycotic differentials (Nit-ac., Caust., Med.).
Burnett, J. C. — Vaccinosis and its Cure by Thuja (1884): historical observations on post-vaccinal states (contextual, not dogma).
Farrington, E. A. — Clinical Materia Medica (1887): GU/rectal comparisons (Ratan., Sars., Clem.).
Dunham, C. — Lectures on Materia Medica (1879): miasmatic synthesis; management pearls.