# Eupatorium Perfoliatum

## Remedy Classification
- **Type:** Herbal Remedy
- **Miasm:** Tubercular Miasm
- **Temperament:** Chilly
- **Aggravation Time:** Morning

## Keynote Indications
Source: Derived from the fresh aerial parts of  Eupatorium perfoliatum , a perennial herb in the. Asteraceae family, native to North America, prepared for homeopathic use through maceration,. serial dilution, and succussion to eliminate toxicity and enhance therapeutic action. Traditional  Context:  Historically  employed  in  homeopathy  for  infectious,  musculoskeletal,. respiratory, and systemic disorders , particularly those involving fever, bone pain, and general. debility. It is noted for symptoms such as deep aching in the bones, chills, cough, and weakness,. often aggravated by cold, night, or motion, and ameliorated by rest, warmth, or sweating. Modern  Context:  Indicated  for  infectious  conditions (e.g.,  influenza,  dengue  fever),. musculoskeletal  conditions (e.g.,  myalgia,  arthritis),  respiratory  conditions (e.g.,  bronchitis,. cough), psychological conditions (e.g., irritability, anxiety), and systemic conditions (e.g., fatigue,. chills). It suits patients with acute or chronic symptoms characterized by fever, bone-deep pain,. respiratory distress, or profound weakness, typically exacerbated by cold, night, or motion, and. often seen in individuals with viral infections, chronic pain syndromes, or post-viral fatigue. The. remedy is particularly relevant for those with a chilly, exhausted constitution, often presenting with. physical symptoms like fever or myalgia alongside psychological symptoms like restlessness or. irritability, commonly observed in patients with influenza, fibromyalgia, or generalized anxiety. disorder triggered by illness.

## Modalities (Aggravations / Ameliorations)
Worse from: Cold (weather, air, drinks), night, motion, exertion, dampness, emotional. stress, lying down, cold drafts, morning, talking (in respiratory cases), infection.

## Symptoms by System

### Mind
- Feels at night as if going out of his mind.
- Anxiety, despondency.
- Very restless, cannot keep still, though 
wishes to.
- Sadness during heat.
- Moaning during chill.
- Moans with aching pains.
- Feels at night as if going out of his mind.
- Anxiety, despondency.
- Very restless, cannot keep still, though 
wishes to.
- Sadness during heat.
- Moaning during chill.
- Moans with aching pains.

### Vertigo
- Vertigo, sensation of falling to left, worse lying on right side, better vomiting.
- Early in morning whirling 
around in brain as if he had been whirled in cool screen: repeated after a short cessation.
- COMMENTS - Characteristic soreness, painful aching in the bones.
- Bruised feeling, especially in old injuries.
- Useful for residual bone pain, after the flu.
- Aching in limbs, throughout the body.
- Parietal protuberances, sore 
with pain.
- Pains come and go quickly (Bell., Coloc., Mag-p.).
- Pain and extreme tenderness of left glutei muscles.
- Aching 
in the right scapula (similar to Chel.,Phos., Gels.).
- Aright -sided remedy, difficult to lie on the left side (Phos.
- ).
- Swelling of the limbs.
- Headaches with internal soreness.
- Mi graine headaches, severe pain at the base of the brain.
- Co ngestive 
headache (Bell.).
- Headache with nausea and vomiting.
- Sleepiness and yawning.
- Dizzy with a tendency to fall 
to the left.
- Influenza, periodic flus (Bry., Ip., Nux-v., Ars.).
- Winter colds, with sneezing in the back of the head.
- Bursting, 
severe headaches and a thirst for cold water (Bry., Oscilloc.
- has the headache and bone pains).
- Eyeballs are 
sore and achy.
- Dizziness (Gels.).
- Runny nose (All-c.).
- High fever, alternates with chills.
- High fever with bone ache (Merc..
- Aur.).
- Bilious fevers.
- Edema with intermittent fever or malaria.
- Yellow fever.
- History of malaria.
- Periodic attacks of fever, colds, infection.
- High fever with increased aching, followed by 
scanty or profuse sweat.
- All pains better with sweat except headaches, which are worse.
- Headach e is better 
rising up.
- Prostration.
- Chilliness predominates, wants to be covered, better in the house, worse in open air.
- Chills with a shudder 
down the back.
- Chills begin in the small of the back with aching in the limbs as though every bone in the body 
were being broken.
- Difficulty getting comfortable because of a bruised feeling, restless (Ars.).
- Prominent catarrhal symptoms.
- Sore throat, hoarseness in the morning.
- Hoarseness with aching soreness of the trachea.
- Hoarse, rough, dry, hacking cough with scraping in bronchia.
- Desire for something cold to relieve the throat.
- Sternal pains, especially when coughing.
- Bruised feeling with cough, desire to hold the chest (Bry.).
- Cough 
with extreme soreness down trachea.
- Painful cough.
- Nocturnal, loose cough.
- Cough better by getting on hands 
and knees, kneeling with face towards pillow, worse lying on back.
- W.
- P.
- Defriez reported a case in which, every winter for several years, the patient had been annoyed by a dry, 
hacking cough with paroxysms lasting some time, only relieved by getting on hands and knees.
- Eup-per.
- cured.
- Cough arising from irritation of the liver.
- Bilious vomiting and diarrhea, bilious sick headaches.
- Liver pain, 
soreness, may de sire to rub the liver which is enlarged and tender.
- Hepatitis.
- Jaund ice, clay-colored, white 
stools.
- Bile in the urine, mahogany colored urine.
- Gout.
- Bitter, bile taste in the mouth.
- Intense thirst, but drinking cold water causes shud dering and vomiting of bile.
- Eating causes violent, distressing pains which are relieved only by vomiting.
- Can be disgusted by food, nausea 
from smelling food (Colch.).

### Head
- Head pains alternating with gouty pains.
- Occipital pain after lying down with sense of weight.
- Headache with soreness internally.
- Throbbing, sore pain.
- Sensation as of a metal cap on head.
- Top and back 
of head with painful.
- Headaches with soreness of eyeballs.
- Headaches bet ter by vomiting of bile, by 
conversation.
- Sick headaches every third and seventh day.
- Headaches with influenza.
- Lifts head with hands 
during headache.
- Headache and nausea every other morning, when awaking.
- Violent headache, comes on 
before the chill and lasts through all the stages, worse during the sweat.
- Head pains alternating with gouty pains.
- Occipital pain after lying down with sense of weight.
- Headache with soreness internally.
- Throbbing, sore pain.
- Sensation as of a metal cap on head.
- Top and back 
of head with painful.
- Headaches with soreness of eyeballs.
- Headaches bet ter by vomiting of bile, by 
conversation.
- Sick headaches every third and seventh day.
- Headaches with influenza.
- Lifts head with hands 
during headache.
- Headache and nausea every other morning, when awaking.
- Violent headache, comes on 
before the chill and lasts through all the stages, worse during the sweat.

### Eyes
- Eyes glistened.
- Yellow eyes.
- Painful soreness of eyeballs, lids.
- Sore aching eyeballs with headache.
- Great aversion to light.
- Intense, darting pain through eyes, as from needles.
- Increased lachrymation, during 
cough.
- Redness of margins of lids.
- Glutinous secretion from meibomian glands.

### Ears
- Buzzing in ears with heat on vertex.
- Could hear everything while seemingly in profound sleep, but 
couldn't speak.

### Face
- Sudden, severe contraction of muscles of right cheek.
- Yellow face.
- Sallow , sickly in intermittent fever.
- Pale face, during catarrhs.
- Flushed face during cough or fever.

### Mouth
- Taste bitter.
- Breath smells moldy, sourish.
- Paleness of the mucus membrane of the mouth.
- Cracks in 
corners of mouth.
- Soreness of the corners of the mouth.
- Tongue yellow, covered with white fur.
- Nose - Coryza with sneezing, with aching in the bones.
- Sneezing with influenza.
- Nose very dry and stopped 
up.
- Perspiration - Coldness during night sweats.
- Sweat, relieves all the symptoms except the headache.
- Sweat scanty.
- Skin bathed in sweat.
- Sweats at night, with 
chilliness.
- Sweats from moving oruncov - ering.
- Profuse sweat at night in old cases of intermittent fever.
- Copious sweats, in rheumatism.

### Throat
- Hoarseness, worse morning.
- Hoarseness and cough, with soreness in chest; must support it.
- Soreness in trachea and bronchia.
- Fauces sore, dryness of throat.
- Throat dry, at times becomes hoarse and 
loses her voice.

### Chest
- Cough, dry or productive, with chest soreness or tightness, resembling bronchitis or.
- viral pneumonia, worse with cold air, lying down, or night.
- Hoarseness  or  laryngeal  irritation,  with  a  raw  or  scraping  sensation,  resembling.
- laryngitis, aggravated by talking, cold, or exertion.
- Dyspnea or wheezing, with a sensation of oppression, resembling asthma or post-.
- viral respiratory distress, worse with motion or cold.
- Tendency to respiratory hypersensitivity, with aggravation from cold or infectious.
- triggers.
- Psychological:.
- Irritability  or  impatience,  with  a  tendency  to  feel  easily  provoked,  resembling.
- adjustment disorder, worse with fever, fatigue, or emotional stress.
- Anxiety or restlessness, with a sensation of inner tension or unease, resembling.
- generalized anxiety disorder, aggravated by illness, cold, or night.
- Mental dullness or confusion, with difficulty concentrating, resembling brain fog in.
- post-viral syndromes, worse with exertion or fever.
- Tendency  to  emotional  hypersensitivity,  with  aggravation  during  infectious  or.
- musculoskeletal flare-ups.
- Eupatorium perfoliatum (Boneset) 887.
- Systemic:.
- Profound  fatigue  or  weakness,  with  a  sensation  of  heaviness  or  prostration,.
- resembling chronic fatigue syndrome or post-viral exhaustion, worse after exertion,.
- cold, or emotional stress.
- Chills  or  coldness,  with  aggravation  in  cold,  damp  conditions  and  a  desire  for.
- warmth or rest.
- Hypersensitivity to external stimuli (e.g., cold, noise, motion), resembling sensory.
- processing disorder, aggravated by cold environments or fatigue.
- Tendency to systemic irritability, with aggravation in febrile or painful states.

### Stomach & Abdomen
- Tight clothing is  oppressive.
- Hiccoughs.
- Indigestion from alcohol of old people.
- Great thirst for 
cold water, but after drinking shuddering and vomiting of bile.
- Distressing pain in the stomach not better until 
all is vomited.
- Indiges tion consequent on the use of alcoholi c drinks.
- Nausea from smell or sight of food.
- Nausea, vomiting of bile at close of chill or hot stage, throbbing headache.
- Vomits water or food that has 
been taken.
- Vomiting and purging of bile of green liquid several quarts at a time.
- Vomiting preceded by thirst.
- Temperature - Chill preceded by thirst, with great soreness and aching of bones.
- Pain all over, in the 
bones as if broken, before the chill.
- Chill between 7 a.m.
- and 9 a.m.
- At the conclusion of the chill, vomiting of 
bile or after every draft.
- Thi rst continues during the chill and heat.
- Influenza with weak pulse, prostration, 
bones sore.
- Influenza in inebriates and with old people.
- Great weakness and prostration during the fever.
- Burning heat.
- Intermittent fever paroxysm generally commences in the morning.
- Abdomen distension and tym panitic.
- Avoids tight clothing.
- Colicky pains in upper abdomen with 
headache and other pains.
- Cramps.
- Griping pain worse after stool, with tenesmus.
- Tightness in left 
hypochondrium.
- Canine hunger during or before ague.
- Anorexia of alcoholics.
- Food has no taste.
- Thirst for cold water, 
before and during chill.
- Great thirst for cold water, but after drinking shuddering and vomit ing of bile.
- Craving 
for ice cream.
- Desire for acid drinks.

### Urinary & Genital
- Itching of the groin.
- Herpes on scrotum and thighs.
- Itching of the mons veneries.
- Herpes on thighs.

### Extremities
- Deep bone pain or aching, with a sensation of soreness or bruising, resembling.
- fibromyalgia or post-viral myalgia, worse with motion, cold, or morning.
- Muscle stiffness or soreness, with a tendency to cramping, resembling myofascial.
- pain syndrome, aggravated by cold, damp weather, or exertion.
- Joint pain or rigidity, with a sensation of heaviness, resembling osteoarthritis or.
- rheumatoid arthritis, worse with cold or night.
- Tendency to musculoskeletal hypersensitivity, with aggravation in febrile or painful.
- states.
- Respiratory:.
- Cough, dry or productive, with chest soreness or tightness, resembling bronchitis or.
- viral pneumonia, worse with cold air, lying down, or night.
- Hoarseness  or  laryngeal  irritation,  with  a  raw  or  scraping  sensation,  resembling.
- laryngitis, aggravated by talking, cold, or exertion.
- Dyspnea or wheezing, with a sensation of oppression, resembling asthma or post-.
- viral respiratory distress, worse with motion or cold.
- Tendency to respiratory hypersensitivity, with aggravation from cold or infectious.
- triggers.
- Psychological:.
- Irritability  or  impatience,  with  a  tendency  to  feel  easily  provoked,  resembling.
- adjustment disorder, worse with fever, fatigue, or emotional stress.
- Anxiety or restlessness, with a sensation of inner tension or unease, resembling.
- generalized anxiety disorder, aggravated by illness, cold, or night.
- Mental dullness or confusion, with difficulty concentrating, resembling brain fog in.
- post-viral syndromes, worse with exertion or fever.
- Tendency  to  emotional  hypersensitivity,  with  aggravation  during  infectious  or.
- musculoskeletal flare-ups.
- Eupatorium perfoliatum (Boneset) 887.
- Systemic:.
- Profound  fatigue  or  weakness,  with  a  sensation  of  heaviness  or  prostration,.
- resembling chronic fatigue syndrome or post-viral exhaustion, worse after exertion,.
- cold, or emotional stress.
- Chills  or  coldness,  with  aggravation  in  cold,  damp  conditions  and  a  desire  for.
- warmth or rest.
- Hypersensitivity to external stimuli (e.g., cold, noise, motion), resembling sensory.
- processing disorder, aggravated by cold environments or fatigue.
- Tendency to systemic irritability, with aggravation in febrile or painful states.

### Neck & Back
- Backache before and during chill.
- Chill spreads from back.
- Pain in back of neck and between the 
shoulders.
- Intense backache.
- Pain as if beaten, pain ascends.
- Aching pain in back.
- Beating pain in nape and 
occiput, better after rising.
- Trembling in bac k during fever.
- Weakness in small of back.
- Deep -seated pains in 
loins, with soreness from motion.
- Trembling in back during fever.
- Breasts - Aching, under left breast, can't lie on left side.
- Pain through right nipple, when breathing.
- Causations - Ill effects of the ice-house.

### Skin
- Profound  fatigue  or  weakness,  with  a  sensation  of  heaviness  or  prostration,.
- resembling chronic fatigue syndrome or post-viral exhaustion, worse after exertion,.
- cold, or emotional stress.
- Chills  or  coldness,  with  aggravation  in  cold,  damp  conditions  and  a  desire  for.
- warmth or rest.
- Hypersensitivity to external stimuli (e.g., cold, noise, motion), resembling sensory.
- processing disorder, aggravated by cold environments or fatigue.
- Tendency to systemic irritability, with aggravation in febrile or painful states.

### Sleep
- Stretching and yawning, before chill.
- Sleepiness with difficult breathing.
- Has to lie with head high.
- Headache on awaking.