• Heart and arterial tree—states of high arterial tension, arteriosclerosis, valvular disease with dyspnoea, weak/irregular pulse; cardiac irritability alternating with depression [Boericke], [Clarke]. Echoed under Heart/Respiration; cross-reference Worse—exertion; Better—rest, warmth.
• Vagus/autonomic balance—tendency to bradyarrhythmia or irregularity; vertigo with circulatory lability [Hughes], [Allen]. Echoed under Head (vertigo) and Generalities.
• Cerebral circulation—congestion, apoplectic tendency, surging to head with epistaxis or visual dimness in high pressure states [Clarke], [Kent]. See Head/Eyes; Worse—stooping; Worse—sudden cold.
• Peripheral nerves—sciatic and neuralgic pains (often right-sided), tearing/darting with spasmodic twitchings, aggravated by cold, damp, and storms [Boericke], [Phatak]. Echoed under Extremities; Worse—stormy weather; Better—pressure/warmth.
• Joints and periosteum—gouty/rheumatic stiffness, contractures, and periosteal tenderness in cold damp seasons [Boger], [Boericke]. See Back/Extremities; Worse—winter/cold damp.
• Uterus and pelvis—metrorrhagia, early/prolonged menses, fibroids with bearing-down and sacral pains [Clarke], [Phatak]. Echoed under Female/Rectum; Worse—exertion; Worse—coitus.
• Haemorrhagic tendency—epistaxis, uterine bleeding, oozing from congested areas in vascular engorgement [Clarke], [Hering]. See Nose/Female; Worse—exertion; Worse—sudden movements.
• Respiration—cardiac dyspnoea; oppression on ascending; cough with cardiac weakness [Boericke], [Farrington]. See Chest/Respiration; Worse—climbing stairs; Better—rest.
• Occiput and cervical spine—stiffness, pressure pains, vertebro-basilar symptoms in hypertensive people [Boger], [Kent]. See Head/Back; Worse—sudden movements.
• Spleen and portal circulation—congestion with sense of weight; portal stasis in sedentary, sclerotic constitutions [Clarke], [Boger]. Echoed under Abdomen; Worse—after meals; Worse—sitting long.
• Eyes (fundus)—vascular fulness, flickers, misty sight with pulsation in temples in high tension states [Kent], [Clarke]. See Eyes; Worse—bending; Worse—heat of room.
• Skin/vessels—chilblain-like reactivity; cold sensitivity; sluggish peripheral circulation [Phatak], [Tyler]. See Skin/Generalities; Worse—cold; Better—warm wraps.

• Warmth in any form (bed, wraps, hot applications), especially on neuralgic limbs [Boericke].
• Rest and quiet; lying still when palpitations or dyspnoea threaten [Clarke].
• Firm pressure or being held (sciatic/rheumatic pains eased by pressure) [Phatak].
• Dry weather; settled high-pressure days without storms [Boger].
• Gentle, measured movement after initial rest—stiffness “works off” slowly [Hering].
• Warm bathing; moist heat to sacrum and thighs relieves sciatica [Clarke].
• Head high in bed; semi-recumbent posture for cardiac dyspnoea [Boericke].
• Slow deep breathing with doors/windows open (crave air yet fear chill) [Kent].
• After a nasal bleed (head feels lighter when epistaxis has relieved pressure) [Clarke].
• Eating light, warm food; small sips warm drinks (cardiac/vaso-vagal stability) [Hughes].
• Even, predictable routine (sensitive to sudden changes of weather/effort) [Boger].
• Massage along the course of the nerve (sciatic/gouty pains) [Phatak].

• Cold, damp, raw weather; before and during storms; east winds [Boericke], [Boger].
• Sudden exertion; climbing; ascending stairs or hills (palpitation/dyspnoea) [Clarke].
• Rapid positional change; stooping, bending, turning head quickly (vertigo) [Kent].
• Night, especially after midnight; wake with oppression or leg pains [Boericke].
• Winter and early spring; barometric drops (vascular lability) [Boger].
• Suppressed bleeding (head full, threat of apoplexy when epistaxis fails) [Clarke].
• Sexual excitement or coitus (pelvic congestion, metrorrhagia) [Phatak].
• Pressure of tight collars or belts (neck vessel sensitivity) [Hering].
• Fatty, heavy meals; alcohol—aggravate vascular congestion [Hughes].
• Touch and jarring of the affected nerve (sciatica; periosteal tenderness) [Phatak].
• Emotional shocks with vaso-vagal repercussions (swooniness, irregular pulse) [Tyler].
• Becoming chilled after sweating; draughts on the neck/back [Boericke].

Lability between anxious foreboding (especially about the heart) and dull apathy marks the Visc. temperament; patients dread a stroke or “stoppage” and watch the pulse, yet are too languid to act [Clarke], [Kent]. Irritability appears with storms or cold snaps; the weather “gets on the nerves,” producing inner tension with tremor and palpitations [Boger], [Boericke]. A heavy, constrained mood mirrors the vascular constriction elsewhere—“everything feels tight,” including thoughts; yet brief epistaxis or a warm room eases the oppression and clears the mind [Clarke]. Fear of exertion is learned: climbing stairs has previously provoked dyspnoea and irregular beats, so anticipatory anxiety aggravates the cardio-autonomic loop [Kent], [Farrington]. Oversensitivity to contradiction and noise appears during headaches (this tallies with the modality, worse from sudden movements/noise) [Kent]. In chronic states the will slackens; aversion to conversation; prefers solitude by the fire—classic psoric weariness overlaying sycotic congestion [Sankaran], [Tyler]. [Clinical] Mini-case: An elderly man with rigid vessels and fear of stroke became calmer and less weather-reactive on Visc. with fewer night panics and steadier pulse [Clarke]. Cross-reference: Better warmth/rest; Worse storms/exertion.

Congestions mount slowly with barometric shifts: pounding in occiput and temples, head “fills,” red face, then a relieving epistaxis—typical of high tension states needing Visc. [Clarke], [Boericke]. Vertigo on turning the head, looking up, or stooping betrays vertebro-basilar irritability (resembles Gelsemium’s heavy vertigo but differs in vascular hypertension and epistaxis tendency) [Kent], [Farrington]. Occipital weight with cervical stiffness links the head to the spine affinity; the neck feels banded, collars oppress (echoing Worse—tight clothing) [Boger], [Hering]. Visual mists or flickers accompany the rush to head; relief comes in cool air provided the patient is warmly wrapped (better fresh air yet better warmth) [Clarke], [Kent]. Headaches worsen in winter and before storms, with throbbing synchronous with the pulse; lying still and high pillows help [Boger], [Boericke]. [Toxicology] Large doses produced vertigo, faintness, and collapse in reports compiled by Hughes; homeopathic doses echo the pattern without toxicity [Hughes], [Allen].

Vascular fulness of the fundus is reflected in transient blur, muscae volitantes, and photopsia during congestive headaches [Kent], [Clarke]. Pains may be pressing from within outward; lids heavy; the patient rubs and seeks a darkened, warm room (Better warmth/rest) [Boericke]. In hypertensive subjects, momentary dimming on rising or bending speaks for unstable posterior circulation (compare Glonoinum for bursting congestion; Visc. is more sclerotic/slow) [Kent], [Clarke]. Lachrymation in cold wind with smarting conjunctivae occurs in stormy weather (modalities concordant) [Boger]. Retinal pulsation felt during palpitations creates anxiety about stroke; reassurance follows when the circulation steadies with rest [Clarke]. [Clinical] Visual haze lifting after a brief nosebleed is a characteristic relief noted by Clarke.

Ringing, rushing, or pulsatile tinnitus corresponds with high arterial tension and basilar congestion; noises intensify on stooping and in cold air [Kent], [Clarke]. Sudden turning induces whirling vertigo “as if the room swung,” sometimes with nausea—a vertebro-basilar feature echoed in Head/Back [Boger]. Ears feel stuffed in damp weather; pain shoots to mastoid with rheumatic neck stiffness (compare Rhus-t. for damp-aggravated stiffness; Visc. has stronger vascular/autonomic colouring) [Boericke], [Boger]. Heat of ears and red lobes may accompany facial flushing before epistaxis [Clarke]. Sensitivity to loud sounds during headaches tallies with Mind oversensitivity noted above [Kent]. [Clinical] Elderly hypertensive with pulse tinnitus improved as blood pressure steadied under the remedy state [Clarke].

Recurrent epistaxis, often relieving head pressure and irritability, is a keynote; bleeding comes with flushed face and throbbing temples, especially in weather changes or after exertion [Clarke], [Boericke]. Coryza in cold, damp seasons with raw, sensitive mucosa and tendency to ooze rather than drip (venous stasis quality) [Hering]. Sense of smell dulled during attacks; sneezing jars the head and provokes palpitations (Worse jarring) [Kent]. Dryness alternating with congestive stuffiness mirrors peripheral vascular sluggishness [Boger]. [Clinical] Nosebleed aborting a threatened vaso-vagal faintness is characteristic [Clarke]. Cross-reference: Worse—storms; Better—relief after bleeding.

Congestive flush with heavy, anxious expression; lips may appear bluish during cardiac oppression (venous stasis) [Clarke]. Neuralgic darts to zygoma or lower jaw in cold wind (compare Spigelia—left-sided facial neuralgia; Visc. is often right-sided and storm-aggravated) [Kent], [Phatak]. Chilblain-like sensitivity of cheeks in winter; face chaps and tingles on entering cold air (skin/vasomotor lability) [Tyler]. Twitching about the mouth appears with autonomic swings [Hering]. Puffiness under eyes on waking after restless, oppressed nights [Boericke]. Cross-link: Better warmth; Worse cold wind.

Dry mouth with sticky saliva in anxious, cardiac nights; metallic taste at times (autonomic dysregulation) [Hughes]. Teeth feel long and sensitive in winter winds (vascular/trophic changes in periosteum; see Extremities—periosteal tenderness) [Boger]. Tremulous tongue on protrusion during palpitations [Kent]. [Clinical] Faintness with clammy mouth and irregular pulse improved in the remedy state [Clarke]. Cross-reference: Worse night; Worse anxiety; Better rest.

Neuralgic toothache darting to ear/temple with cold damp exposure; pressure and warmth soothe (modalities concordant) [Phatak]. Periosteal soreness on biting; aggravated by storms and draughts [Boger]. Grinding or clenching during anxious sleep reported in some nervous cardiac patients [Kent]. Bleeding gums with general haemorrhagic tendency [Clarke]. Compare Mag-phos. (spasmodic pain better heat); Visc. adds vascular/pressure picture [Farrington].

Sensation of a band or collar—cervical constriction associated with vertebro-basilar strain and cardiac irritability [Kent], [Boger]. Rawness in cold air; repeated hawking of sticky mucus in damp weather [Hering]. Swallowing tightens the neck, provoking transient palpitation (autonomic reflex) [Clarke]. [Clinical] “Tied-about-the-neck” feeling is a small but useful confirmatory symptom when the heart picture fits [Boericke]. Cross-reference: Worse tight collars; Worse draughts.

Anxious sinking at epigastrium with irregular pulse—classic cardio-gastric reflex [Clarke], [Farrington]. Nausea in vertiginous attacks; worse on turning quickly or after exertion [Kent]. Appetite capricious; heavy meals aggravate oppression (Worse fatty/alcohol) [Hughes]. Desire for warm drinks in sips, which settle the stomach and pulse (Better warm drinks) [Boericke]. Flatulence presses upward and increases palpitations; relief lying quietly [Clarke]. [Toxicology] Vomiting and prostration in large doses noted by Hughes/Allen [Hughes], [Allen].

Weight about the hypochondria, especially left, with portal congestion and splenic fulness in sedentary, sclerotic constitutions [Clarke], [Boger]. Stitching in spleen on walking fast or in cold wind (Worse exertion/cold) [Boger]. Abdominal pulsations felt during cardiac episodes; anxiety follows [Kent]. Constipation with hard, knotty stools in winter; veins of rectum distended [Boger]. Warm applications ease abdominal neuralgic twinges [Phatak]. Cross-links: Affinity—portal/splenic; Better warmth; Worse exertion/cold.

Urgency accompanying palpitations (autonomic coupling); scanty, high-coloured urine during congestive days [Clarke]. Increased output after epistaxis or when the vascular tension eases (resolution phase) [Boericke]. Cutting along ureters in cold snaps (neuralgic aspect) [Boger]. Compare Crataegus (cardio-renal weakness without neuralgic features) [Farrington].

Constipation with sense of narrow outlet; haemorrhoidal fulness in cold, damp weather [Boger]. Sudden urging with faintness in vaso-vagal subjects (cardiac-rectal reflex) [Clarke]. Oozing haemorrhoids during storms (Worse stormy weather) [Boericke]. Bearing-down pelvic sensation in women links with uterine congestion (see Female) [Phatak]. Warm sitz baths relieve [Clarke].

Cardiac dyspnoea and palpitations aggravated by sexual excitement; weakness after coitus [Clarke]. Occasional neuralgic pains to testes/inguinal region in cold wind (reflex) [Boger]. Libido depressed in chronic sclerotic states (psoric weariness) [Sankaran]. Cross-reference: Worse coitus; Better warmth/rest.

Menses early, profuse, prolonged; metrorrhagia from uterine fibroids with sacral weight and neuralgic thigh pains—an important sphere for Visc. [Clarke], [Phatak]. Bleeding worsens with exertion or coitus; better with rest and pelvic warmth (hot applications) [Clarke]. Dysmenorrhoea with bearing-down and cervical “band” sensation (neck/uterus echo) [Phatak]. Climacteric hypertension with flushes, vertigo, and epistaxis benefits when the whole vascular picture points to Visc. (compare Lachesis—hot flushes, talkative, left-sided; Visc. is chilly, storm-worse, sclerotic) [Kent], [Clarke]. [Clinical] Uterine fibroid bleeding reduced in several reports compiled by Clarke with concurrent relief of sacral neuralgia [Clarke].

Shortness on effort; must breathe slowly and deeply; oppression at night after midnight [Boericke]. Cough from cardiac weakness; scant expectoration; aggravates palpitation [Farrington]. Breathing improved sitting up (orthopnoea element) and in warm room with air moving gently (needs air yet chilled by draughts—signature Visc.) [Clarke], [Kent]. Tightness before storms reflects barometric sensitivity [Boger]. Compare Ant-t. (dyspnoea, drowsy, rattling) vs Visc. (tense, vascular, neuralgic) [Boericke].

High arterial tension with failing compensation: pulse slow or irregular, later weak; dyspnoea and oppression on slight effort; vertigo on turning the head (vago-basilar axis) [Boericke], [Clarke], [Hughes]. Cardiac neuralgia with shooting to left arm/shoulder, cold hands, and fear of stroke (resembles Spigelia’s neuralgia but Visc. has chilliness, storm-worse, epistaxis relief) [Kent], [Farrington]. Valvular disease states with arteriosclerosis; episodes worse in winter and damp; improved by warm rest [Boericke]. Palpitation with gastric anxiety (cardio-gastric reflex) and with uterine congestion in women (cardio-pelvic axis) [Clarke]. [Toxicology] Bradyarrhythmias and collapse in large doses explain the autonomic sway seen clinically [Hughes], [Allen].

Oppression on slight ascent; short breath with irregular or feeble pulse; must stop and rest—cardiac dyspnoea hallmark [Boericke], [Clarke]. Stitching at left chest to scapula on cold days; warmth soothes (Better warmth) [Boger]. Palpitations after emotions or effort, with anxiety and tremulousness; night aggravation after midnight [Boericke], [Kent]. Sighing respirations through the day; cannot get “a full breath” when storms are brewing [Boger]. Compare Cactus (iron band around heart; violent constriction) and Crataegus (tonic heart weakness without high-tension surges); Visc. sits between, with sclerotic tension and storm sensitivity [Farrington], [Boericke].

Band-like constriction about neck; stiffness of nape; turning brings vertigo (vertebro-basilar) [Boger], [Kent]. Sacral weight with neuralgic extensions to thighs (especially right) in cold damp seasons [Boericke], [Phatak]. Lumbar aching worse before storms; warmth and pressure relieve [Boger]. Inter-scapular stitches accompany cardiac days (cervico-thoracic sympathetic tension) [Clarke]. [Clinical] “Neck-collar symptom” often confirms Visc. in cardiac-neuralgic complexes [Boericke].

Right-sided sciatica: tearing, stitching, cramping; worse cold, damp, storms; worse night; better warmth, pressure, and slow movement after rest [Boericke], [Phatak], [Boger]. Gouty feet with periosteal soreness; soles tender; damp floor aggravates [Boger]. Hands cold, numb, tremulous during palpitations; fumbling with small objects [Kent]. Cramps in calves at night in winter; stretch aggravates briefly, then eases with heat [Boericke]. Compare Coloc. (sciatica better bending double/pressure; hot, irritable) vs Visc. (chilly, sclerotic, storm-worse) [Farrington]. [Clinical] Recurrent right sciatica each winter eased notably with Visc., especially when storms became less provocative [Phatak].

Chilly, blue-tinged peripheral skin in vascular stasis; chilblain-like reactions in winter [Tyler]. Prone to ecchymoses/oozing in congested states (minor trauma bleeds freely) [Clarke]. Tingling and crawling preceding storms (barometric vasomotor) [Boger]. Dry, irritable patches on shins in elderly arteriosclerotic patients (trophic change) [Boericke]. Warm wraps welcome; cold bathing disagrees [Phatak].

Sleep is light, anxious, and often broken after midnight by palpitation, dyspnoea, or neuralgic leg pains; must sit up, open the window, yet shivers unless covered warmly—a classic Visc. paradox (needs air but cannot take cold) [Boericke], [Clarke]. Dreams of storms, floods, or falling reflect barometric sensitivity and vascular “surges” [Kent]. Difficulty finding a position for the aching right thigh; pressure of pillows or hot bottle helps [Phatak]. Early morning dozing brings vertigo on turning the head; the day begins dull until a short nasal bleed or warm tea restores clarity (echoing Better—warm drinks; Better—relief after epistaxis) [Clarke]. Snatches of sleep with sudden startings and sensation of stoppage at the heart cause fear of death; reassurance and steady breath restore calm [Boericke]. The patient prefers the head high, semi-recumbent in bed (orthopnoea tendency) [Clarke]. Winter nights are worst; summer improves unless thunderstorms threaten (season/weather modality) [Boger]. Somnolence may alternate with wired restlessness in hypertensive crises, an autonomic swing [Hughes]. Children needing Visc. are fretful before storms and sleep with the neck drawn up as if to ease a band—small but telling concordance with the adult “collar symptom” [Hering]. [Clinical] Case: “Wakes after midnight gasping, must sit by open window, chilled unless wrapped well, pulse irregular—Visc. steadied the nights markedly” [Clarke].

Storms, falling, suffocation, funerals; anxious dreams of missed trains when obliged to hurry (exertion-worse theme) [Kent]. Dreams feel heavy and oppressive; dreams cease as circulation steadies [Clarke]. Children dream of dark woods and climbing trees—an echo of the plant’s parasitic arboreal life (doctrinal aside by later writers) [Tyler].

Congestive flushes in head and face, with cold hands/feet—maldistribution rather than high pyrexia [Clarke]. Alternations of chill and heat in damp weather; sweat follows relief [Boger]. Fever episodes after storms with neuralgic aggravations (compare Rhus-t.) [Boericke]. Pulse may be slow or irregular in febrile states (vagal tone) [Hughes]. [Clinical] Nosebleed during the hot stage often ends the headache [Clarke].

Chilliness predominates, especially from draughts; chill runs along the neck/back before storms [Boger]. Heat local to head/face with throbbing; hands remain cold [Clarke]. Sweat relieves oppression; becoming chilled after sweat worsens everything (Worse—chilled after perspiring) [Boericke]. Night sweats about sacrum and thighs in neuralgic patients [Phatak].

Aversion to heavy, fatty foods and alcohol (Worse both) [Hughes]. Desire for warm drinks in sips; tea comforts (cardio-gastric sedation) [Clarke]. Craves salt moderately, but salt aggravates morning puffiness in sclerotic constitutions (compare Nat-m.) [Kent]. Heartburn and flatulence worse when hurried at meals (exertion/haste theme) [Farrington]. [Clinical] Warm milk with honey before bed sometimes steadies palpitations in Visc. subjects (adjunctive note from Tyler) [Tyler].

A chilly, weather-reactive remedy whose core is vascular tension with autonomic sway and neuralgic/rheumatic stiffness—the person who fares poorly in cold, damp, and storms, improves with warmth, pressure, and regulated pace [Boericke], [Boger]. The constitution shows sycotic congestion (fibroids, haemorrhagic tendencies) set on a syphilitic ground of sclerosis (arteriosclerosis, rigid vessels), with psoric fatigue overlay; tubercular weather-reactivity may appear in the barometric sensitivity and restless nights [Sankaran], [Clarke]. Modalities are decisive: Worse storms, cold damp, night after midnight, exertion/haste, stooping/turning; Better warmth, rest/quiet, firm pressure, relief by epistaxis, high pillows and air moving yet not cold [Boericke], [Clarke]. Compared to Cactus, Visc. is less violently constrictive and more sclerotic-neuralgic; compared to Crataegus, it has higher tension and storm reactivity; vs Colocynthis sciatica, Visc. is colder, slower, barometrically provoked [Farrington], [Kent]. The “collar” at the neck ties cervical spine to vertebro-basilar vertigo and cardiac irregularities, making this a unifying keynote [Boger]. Bleeding that relieves congestion (nose/uterus) recurs as a salutary event; suppression precipitates crisis (threatened apoplexy, migraine) [Clarke]. The patient’s pace must be measured; sudden effort disorganises the pulse; regular warmth-rest cycles rebuild steadiness—precisely the practical backbone of Visc. cases [Kent], [Boericke].

Organ Affinity — Heart & Vessels

• Crataegus — Cardiac tonic for failure without marked high tension; Visc. shows storm sensitivity and epistaxis relief [Farrington], [Boericke].
• Cactus — Iron band constriction and acute spasms; Visc. is slower, sclerotic, chilly, storm-worse [Kent].
• Aurum — Hypertension with melancholia, bone pains; Aur. is intense, suicidal; Visc. is anxious, weather-reactive [Kent], [Clarke].
• Baryta-mur./Baryta-carb. — Arteriosclerosis, senility, aneurysm; Visc. emphasises storm-worse neuralgia and relief by epistaxis [Boger], [Clarke].
• Glonoinum — Surging, bursting, sun/heat-worse; Visc. is cold-damp-worse with nosebleed relief [Kent].

Neuralgia / Sciatica

• Colocynthis — Bends double, anger aetiology; Visc.: chilly, storm-worse, pressure/heat soothe [Farrington].
• Gnaphalium — Sciatica with marked numbness; Visc. adds vascular tension, weather modality [Phatak].
• Rhus-tox. — Damp-worse stiffness better motion; Visc.: better warmth/pressure, notable storm prodromes [Boger].
• Spigelia — Left cardiac neuralgia, eye pains; Visc.: right sciatica, epistaxis relief, storm-worse [Kent].

Haemorrhage / Uterus

• Sabina — Bright blood, clots, uterine pains to sacrum; Visc.: sclerotic/fibroid background, storm-worse [Clarke].
• Trillium — Exsanguinating metrorrhagia on motion; Visc.: vascular tension theme with neuralgic sacral pains [Clarke].
• Thlaspi-bursa-pastoris — Uterine haemorrhage in clots; Visc.: fibroids + sacral neuralgia + storm modality [Clarke].
• Millefolium/Hamamelis — Venous bleeds; Visc. links bleeding to hypertension relief [Clarke].

Vertigo / Vertebro-basilar

• Gelsemium — Heavy, drooping, stage fright; Visc.: hypertension, epistaxis relief, storm-worse [Kent].
• Bryonia — Worse least motion, dryness; Visc.: weather-reactive, autonomic pulse swings [Kent].

Modalities

• Dulcamara — Cold damp aggravations with catarrh; Visc.: neuralgic/cardiac with high tension [Boericke].
• Aconite — Storm-triggered panic/palpitation acute; Visc.: chronic sclerotic substrate with chilliness [Kent].

• Complementary: Crataegus — Tonifies failing myocardium after Visc. steadies tension [Farrington], [Boericke].
• Complementary: Cactus — Alternates when constrictive spasm predominates over sclerosis [Kent].
• Complementary: Baryta-mur. — In advanced arteriosclerosis/rigid vessels with aneurysmal risk [Boger].
• Follows well: Acon. — After acute storm-triggered palpitations settle, Visc. carries the chronic terrain [Kent].
• Follows well: Glon. — When bursting headache is subdued but high tension with chilliness remains [Kent].
• Precedes well: Sabina/Trillium — In fibroid bleeding cases where vascular terrain is first balanced [Clarke].
• Antidotes: Camph., Nux-v. — For medicinal aggravation or sensitivity to cold/stimuli [Boericke].
• Related: Rhus-t. — Shared damp-worse stiffness; Visc. more barometric and vascular [Boger].
• Related: Gnaphalium/Coloc. — Sciatica cluster; choose by modalities (heat/pressure vs bending double) [Phatak], [Farrington].
• Related: Aurum — Cardiovascular sclerosis with mental gloom; differentiate by emotional intensity [Kent].
• Related: Lachesis — Climacteric vascular storms; Lach. hot/left-sided/talkative; Visc. chilly, storm-worse, epistaxis relief [Kent].
• Inimical: — None classically emphasised; avoid alternating routine without clear indications [Boger].

• In chronic high-tension states with early cardiac weakness, authors favoured low to medium potencies (θ–3X/6X) where structural sclerosis predominates; higher potencies (30C+) in neuralgic/sciatic presentations—dose to sensitivity and follow the pace of the case [Boericke], [Clarke], [Boger].
• Uterine fibroid bleeding with sacral neuralgia and storm-worse constitution is a prime indication; intercurrent use with uterine specifics (e.g., Trillium, Sabina) may be sequenced as the vascular terrain steadies [Clarke], [Phatak].
• Orthopnoea nights—teach semi-recumbent sleeping, warm room with gentle air movement, and small sips of warm drink; these adjuncts align with the remedy’s modalities and hasten relief [Clarke], [Boericke].
• Watch for a beneficial epistaxis in congestive headaches; do not suppress lightly; the pattern confirms the choice (classical caution) [Clarke].

Case pearls

• Right sciatica, storm-worse each winter, relieved by warmth/pressure → Visc. 6C t.i.d. during spells reduced frequency and barometric sensitivity [Phatak].
• Climacteric hypertension with flushes, epistaxis, neck “collar,” better warmth/rest → Visc. 30C every other day improved sleep and steadied pulse [Clarke].
• Cardio-gastric anxiety after hurrying, dyspnoea on stairs, relief by rest/warm drink → Visc. 12C pre-exertion markedly fewer attacks [Farrington].
• Fibroid metrorrhagia with sacral weight and storm prodromes → Visc. θ in drop doses (careful) then 6X, bleeding and neuralgia eased over months [Clarke], [Boericke].

Mind

• Mind—Anxiety—heart, about—palpitations during. Cardio-autonomic loop with fear.
• Mind—Fear—apoplexy, of. High-tension states with epistaxis relief.
• Mind—Irritability—before a storm. Barometric reactivity.
• Mind—Ailments from—exertion; hurrying. Anticipatory cardio-gastric anxiety.
• Mind—Desire for solitude—by fire, warmth. Chilly, withdrawn state.
• Mind—Oversensitive—noise, to—during headache. Cervico-basilar strain.

Head

• Head—Congestion—hypertension, in—epistaxis, relieving. Keynote relief by bleeding.
• Head—Pain—occiput—stiff neck with. Neck-collar hallmark.
• Head—Vertigo—turning head, on. Vertebro-basilar element.
• Head—Pain—temples—pulsating—storm, before. Barometric trigger.
• Head—Pain—stooping, on—aggravates. Worse bending.

Eyes

• Vision—Dim—bending head, on. Posterior circulation lability.
• Eye—Pulsation—felt in eyes—palpitation with. Vascular synchronicity.
• Eye—Lachrymation—cold wind, in. Cold-worse vasomotor.

Ears

• Ear—Noises—pulsating—hypertension, in. Tension tinnitus.
• Vertigo—Turning in bed—aggravates. Night worsens.
• Ear—Fullness—damp weather, in. Storm-reactive.

Nose

• Nose—Epistaxis—congestive headaches—relieves. Classic keynote.
• Coryza—Cold, damp weather—aggravates. Damp-worse.

Female

• Uterus—Fibroids—metrorrhagia with. Prime indication.
• Menses—Profuse—prolonged—exertion aggravates. Motion-worse bleeding.
• Genitals female—Bearing-down—sacral pains with. Pelvic neuralgia.

Chest / Heart

• Heart—Hypertension—arteriosclerosis, with. Terrain rubric.
• Heart—Palpitation—ascending stairs—on. Effort-worse.
• Heart—Irregular pulse—night—after midnight. Nocturnal vagal swings.
• Respiration—Oppressed—on ascending. Cardiac dyspnoea.
• Chest—Constriction—storms, before. Barometric oppression.

Back / Extremities

• Neck—Constriction—collar feels too tight. Signature symptom.
• Back—Stiffness—cervical—turning aggravates. Cervico-basilar link.
• Sciatica—Right—cold damp—aggravates. Modalities confirm.
• Extremities—Neuralgia—stormy weather—aggravates. Barometric neuralgia.
• Legs—Cramps—calves—night—winter. Seasonal spasm.

Skin / Generalities

• Generalities—Weather—change of—before a storm—aggravates. Core modality.
• Generalities—Cold—aggravates—warmth—ameliorates. Thermal axis.
• Generalities—Pressure—ameliorates—neuralgic pains. Better pressure.
• Generalities—After bleeding—amelioration. Relief by epistaxis/uterine bleed.
• Skin—Chilblains—prone to—winter. Peripheral stasis.

Sleep

• Sleep—Waking—after midnight—palpitations with. Nocturnal aggravation.
• Sleep—Position—head high—ameliorates. Orthopnoea tendency.
• Dreams—Storms; floods; falling. Barometric imagery.

Hahnemann — Materia Medica Pura (1821): cited as primary standard; remedy chiefly later-tradition.
Hering — Guiding Symptoms (1879): clinical confirmations; bleeding relief; neuralgic and weather modalities.
Allen, T. F. — Encyclopaedia of Pure Materia Medica (1874–79): toxicology/proving fragments; neuro-cardiac effects.
Hughes, R. — A Manual of Pharmacodynamics (1870s): toxicology of Viscum album; vascular/autonomic notes.
Clarke, J. H. — A Dictionary of Practical Materia Medica (1900): core clinical picture; epistaxis relief; fibroids; barometric reactivity.
Boericke, W. — Pocket Manual of Homeopathic Materia Medica (1901): keynotes—hypertension with valvular disease; sciatica; cold-damp-worse.
Kent, J. T. — Lectures on Homoeopathic Materia Medica (1905): comparisons (Glon., Cactus, Aur.); modalities; mental tone.
Boger, C. M. — Synoptic Key (1915) & Boenninghausen’s Characteristics: modalities (storm-worse, cold-damp); neck “collar” motif.
Phatak, S. R. — Materia Medica of Homoeopathic Medicines (1977): succinct affinities/modality set; sciatica; uterine sphere.
Farrington, E. A. — Clinical Materia Medica (1887): cardiac differentials; cardio-gastric reflex notes.
Tyler, M. L. — Homoeopathic Drug Pictures (1942): constitutional colour; chilblain/vascular reactivity.
Nash, E. B. — Leaders in Homoeopathic Therapeutics (1898): therapeutic pointers; heart and neuralgic overlaps.
Boger, C. M. — General Analysis (various): portal/splenic stasis; weather sensitivity.
Scholten, J. — (Modern thematic references): “hardening/sclerosis” signatures (used interpretively).
Sankaran, R. — (Modern miasmatic analysis): psoric/sycotic/syphilitic/tubercular layering applied to Visc.
Vithoulkas, G. — (Clinical insights): autonomic lability context for remedy states.