# Zincum Metallicum ## Remedy Classification - **Type:** Homeopathic Remedy - **Miasm:** Psoric Miasm - **Temperament:** Chilly - **Aggravation Time:** Morning ## Keynote Indications Source: Derived from metallic zinc, a naturally occurring element, prepared for homeopathic use. through trituration and serial dilution to enhance therapeutic action while eliminating material. toxicity, in accordance with homeopathic pharmacopeia standards. Traditional Context: Historically employed in homeopathy for neurological, psychological,. musculoskeletal, and constitutional disorders , particularly those involving restlessness, nervous. exhaustion, and spasmodic symptoms. It is noted for symptoms such as trembling, twitching, and. aggravation from suppressed eruptions, often worsened by mental exertion, noise, or evening, and. ameliorated by motion, warmth, or discharges (e.g., eruptions, menses). Modern Context: Indicated for neurological conditions (e.g., restless legs syndrome, peripheral. neuropathy), psychological conditions (e.g., generalized anxiety disorder, depression),. musculoskeletal conditions (e.g., muscle spasms, fibromyalgia), and constitutional conditions. (e.g., chronic fatigue syndrome, neurasthenia). It suits patients with acute or chronic symptoms. characterized by restlessness, nervous exhaustion, twitching, mental fatigue, or emotional. irritability, typically exacerbated by mental exertion, noise, evening, or suppressed discharges, and. often seen in individuals with hypersensitive, depleted constitutions. The remedy is particularly. relevant for those with neurological or psychological conditions, often presenting with symptoms. like restless legs or anxiety, commonly observed in patients with restless legs syndrome,. generalized anxiety disorder, or chronic fatigue syndrome triggered by mental exertion, noise, or. stress. ## Modalities (Aggravations / Ameliorations) Worse from: Mental exertion, noise, evening, rest, cold, suppressed discharges (e.g.,. eruptions, menses), stress, confinement, touch, fasting, alcohol, morning. ## Symptoms by System ### Mind - Muddled mind. - Brain-fag. - Weak memory. - Forgets what has been accomplished during day. - Lethargic, stupid, forgetful. - Stupefaction after nosebleed. - Averse to work, to talk. - Excitement over trifles. - Excitement after hearing horrible things. - Ill effects of fright, grief, anger. - Fretful, peevish, cries if vexed or moved during sleep (children). - Child repeats everything said to it. - Chorea from fright. - Fear of rob bers. - Anxiety about thieves. - Anxiety fro m horrible apparition. - Desire for company from apprehension and boredom. - Starting in fright. - Stares as if frightened on waking and rolls head from side to side. - Fears being arrested on account of an imagined crime. - Confusion, dullness after wine. - Great fear, as if persecuted by men or the devil on account of crimes which he has never done. - Fears of becoming imprisoned or poisoned, or shot, or buried alive. - Changeable moods. - Alternately fretful, irritable, quarrelsome, despondent, depressed. - Irritability in evening. - Impetuous. - Weeps when angry. - Hypochondriacal mood with gastric symptoms. - Melancholy. - Cerebral depression. - Paresis. - Sadness when alone. - Periods of depres sion with disease. - Answers very slow and speaks as if in a bad temper. - Thinks of death calmly . - Religious affections. - Hears voices speaking from within him in abusive and filthy language. - Easily startled, excited or intoxicated. - Very sensitive to noise. - Sensitive to others, talking and noise. - Easily offended. - Weeping from vexation. - Screams with pa in. - Torments everyone with his complaints. - Loquacity. - Hysteria better during menses. - Kisses everyone before menses. - Starting from sleep during menses. - Nymphomania during pregnancy. - Causeless weeping before menses. - Muddled mind. - Brain-fag. - Weak memory. - Forgets what has been accomplished during day. - Lethargic, stupid, forgetful. - Stupefaction after nosebleed. - Averse to work, to talk. - Excitement over trifles. - Excitement after hearing horrible things. - Ill effects of fright, grief, anger. - Fretful, peevish, cries if vexed or moved during sleep (children). - Child repeats everything said to it. - Chorea from fright. - Fear of rob bers. - Anxiety about thieves. - Anxiety fro m horrible apparition. - Desire for company from apprehension and boredom. - Starting in fright. - Stares as if frightened on waking and rolls head from side to side. - Fears being arrested on account of an imagined crime. - Confusion, dullness after wine. - Great fear, as if persecuted by men or the devil on account of crimes which he has never done. - Fears of becoming imprisoned or poisoned, or shot, or buried alive. - Changeable moods. - Alternately fretful, irritable, quarrelsome, despondent, depressed. - Irritability in evening. - Impetuous. - Weeps when angry. - Hypochondriacal mood with gastric symptoms. - Melancholy. - Cerebral depression. - Paresis. - Sadness when alone. - Periods of depres sion with disease. - Answers very slow and speaks as if in a bad temper. - Thinks of death calmly . - Religious affections. - Hears voices speaking from within him in abusive and filthy language. - Easily startled, excited or intoxicated. - Very sensitive to noise. - Sensitive to others, talking and noise. - Easily offended. - Weeping from vexation. - Screams with pa in. - Torments everyone with his complaints. - Loquacity. - Hysteria better during menses. - Kisses everyone before menses. - Starting from sleep during menses. - Nymphomania during pregnancy. - Causeless weeping before menses. ### Vertigo - Vertigo in occiput. - Violent vertigo with stupor. - Vertigo deeply seated in brain. - Vertigo as if he would have a stroke. - Vertigo, as if the seat were undu lating when sitting up in bed in morning. - Vertigo while sitting up in bed, as if bed were constantly swaying back and forth. - Vertigo as if looking through mist, after eating. - Vertigo while smoking. - Vision - Blurring of one-half of vision. - Dim and misty vision in morning after waking. - Dim vision du ring severe headache. - Dim vision watery eyes in brain affections. - Dim vision with itching and stitching pain in inner canthi. - Impaired vision, as if a thick fog lay before eyes, during headache. - Luminous bodies after eye operation. - Objects appear elongated . - Yellow, blue and green rings. - Diplopia. - Flickering vi sion. - Fiery flakes floating in large circles, when looking at sky. - Vanishing vision with lachrymation and burning. - COMMENTS - Severe fatigue, nerve or brain -fatigue, muscle-fatigue. - Brain-fatigue from over-study or from night watching (Cocc.). - Restores suppressed eruptions. - Can cure the consequences of suppressions and set free the reactive power in conditions of undeveloped disease. - Symptoms worse from suppressed discharges, particularly foot sweat. - “Too weak to develop exanthemata or menstrual function to expectorate or urinate to understand to remember.” “Relief to all suffering as soon as menses begin to flow” or discharge is restored. - Nash noted that in asthma “the patient cannot expectorate, but as soon as he can he is relieved.” Sexual excitement in both genders. - Seminal losses and prostatorrhea of the male. - Nymphomania and masturbation in the female, can be associated with varicose veins or itching of the external genitals. - Tendency to press on the pubes or apply the hand to the genitals. - Severe boring pain in the left ovary. - Backache with emission, temporarily better by the emission. - Backache and spinal irritation in female sexual disorders as well. - Dull aching in spine, worse when sitting. - Bur ning pains all along the spine. - Burning pains, tension and constriction. - Facial neuralgias, trigeminal neuralgias. - Facial twitches and tics (Agar., Spig.). - Neu ralgia in malar bones with pressive pains. - Pressure at root of nose as if it would be pressed in. - Grinds teeth, especially in chil dren with worms. - “Teeth fail to develop.” Constriction in the chest, connected with both respiration and the heart. - “Sudden, spasmodic, bursting sensation about heart, it appears to be beating regularly, when it suddenl y seems as if it would burst through the chest.” Varicose veins of the thighs and labia, with fidgety feet. - Insatiable hunger and emptiness, nota bly at 11 a.m. - Great thirst. - Hasty eating and drinking. - Averse to meat, especially veal, sweets, cooked or war m food. - Pain is worse from eating or drinking wine. - Tear ing headache in side of head, worse from wine, after dinner. - Intolerance of wine, wine aggravates all symptoms. - Drunk easily. - Vascular headaches aggravated by the least sip of wine or alcohol. - Vertigo from the least alcohol. - Numbness, tingling, formication and fainting spells. - “Incessant and violent fidgety feeling in feet or lower limbs, must move them constantly, cannot keep them quiet.” These movements may continue during sleep. - Insomnia with restless legs. - Great restlessness in the legs and feet. - Great urge to stretch the legs. - Hyper re flex alternating with low reflex response. - Hyperactivity with restlessness. - Tendency toward spasms, leg cramps (Cupr.). - Jerking and twitchings of the limbs, convu lsions, epilepsy. - Convulsions in children, with a history of cradle cap (Cupr.). - Crawling, numbness, tingling sensation. - Legs go to sleep easily, painful. - Painful formication of the legs. - Neuralgic shingles. - Parkinson’s disease where the key trembling is o f the legs and feet, as opposed to the arms, with pacing and re stlessness. - Multiple sclerosis. - Spinal atrophy and deterioration of the spinal cord. - Paralysis, but the legs shake or are restless and move. - Paralysis after diphtheria (Lac -c.). - Meningitis with sharp pains in the head, worse from the least stimulant. - Encephalitis, with brain cry (cri cephalic) (Apis.). - Hear ing loss after meningitis (Hell.). - Children with brain disorders have a characteristic “crossness in the evening.” On waking there is delirium as if frightened, knows no one, screaming. - “Child repeats everything said to it.” Tendency to chilblains, which are swol len and painful and easily made worse by rubbing. - Sensitiveness to frostbite, the tip of the nose is easily frostbitten and the nose remains red long after it has been frostbitten. - The hands and feet are affected with inflam mation, painful eruptions, cracks. - There is also a “frost -bitten feeling” in the toes. - Gerstel called attention to Zinc’s action in fevers with inflammation of the brain. - In these cases the seat of the inflammation was the meninges. - He referred to a case of a child suffering from scarlatina who was “Entirely motion less, limbs icy cold, body cold, skin all over body bluish red, except the parts about the eyes, forehead and chin, which were white.” Zinc was then given and the child gradually recovered. - In a case of typhoid in a man in whom mental symptoms had set in, there was a “Muddled feeling in the head, an incapacity to relate anything and a sort of half-smiling loquacity.” Later on he had a “Staring look, almost hippocratic appearance, pale as wax, car - phologia, subsultus tendinum, constant trembling of the hands.” Zinc 2c saved the patient. - General twitchings and trembling, according to Nash, are equally characteristic of Zinc. - He recorded the case of Miss Smith.; 20, who had been ill for a week with headache, loss of appetite and especially prostration. - Over- study was the cause. - Under Gels., and later Bry., she was im proving, wh en she threw off the bed clothes while sleeping and perspiring and took a chill. - The bowels became enormously distended, profuse hemorrhage occurred (finally controlled byAlumn.),a low form of delirium came on and prostration increased in spite of the cessation of hemorrhage. - Her head was retracted, with complete unconsciousness. - Staring eyes rolled upward. - Lying on back and sliding down in bed, twitching or rather “intense, violent trembling all over so that she shook the bed.” Her hands had to be held constantly night and day by nurses. - Hippocratic face, limbs deathly cold to knees and elbows. - The pulse was intermittent, uncountable, all signs in short of impending paralysis of the brain. - Two drops of Zinc 200c were mixed in two teaspoonfuls of water. - One teaspoonful was worked, a little at a time, between the set teeth and the rest half an hour later. - About an hour after the latter dose the patient turned down her eyes and said “Milk.” Through a bent tube she swallowed half a glass of milk, the first nourishment she had taken for twenty-four hours. - From that time she improved steadily and received no more medicine for four days. - Afterwards she had a dose of Nux-v. - Recovery was perfect. - F. - W. - Payne reported a case of cataract in which the right eye was partially affected and the left was practically useless. - There was a bruised, sore, smarting, burning, itching and stinging sensation. - At intervals, a sud den sensation as if pepper had been thrown into the eye, causing scalding lachrymation and spasm of the lids. - These spells were wo rse in the evening. - Burning dryness as if a stick was under lid scratching eyeball. - Flickering before left eye, blue and green rings, green halo around gas-jet at times. - Slight irritation of conjunctiva and ten dency of lids to adhere. - Worse by warmth, PB warm days, by aniüáa] Jj$M Patient nervous, tremulous, impatient, worse by mental emotion. - Chorea jerking of indi vidual muscles. - Zinc 200c, given occasionally, steadily improved the case. - In six months, the right eye was quite clear and the left steadily gaining. - Eleven years later, vision was practically perfect, though some small streaks could still be found in the left lens. ### Head - Brain-fag, headaches of overtaxed school children. - Forehead cool, base of brain hot. - Roaring in head. - Dullness of head after meals. - Headaches from drinkingsmall quantity of wine. - Headache with dim vision worse heat. - Pressive pain on vertex, at the roo t of the nose, extending to eyes with weak vision worse warmth, better hard pressure, open air. - Heavy aching pain in temples, worse biting. - Meningitis. - Hydrocephalus after infantile cholera or diarrhea. - Rolls head, bores in pillows and grinds teeth. - Occipital pain with weight on vertex. - Crashing in head, on falling to sleep. - Feels as if he would fall to left side. - Hair falls from vertex. - Vertex bald with soreness of scalp. - Hair brittle, bristle, sensitive. - Brain paralysis. - Automatic motion of head and hands. - Brain-fag, headaches of overtaxed school children. - Forehead cool, base of brain hot. - Roaring in head. - Dullness of head after meals. - Headaches from drinkingsmall quantity of wine. - Headache with dim vision worse heat. - Pressive pain on vertex, at the roo t of the nose, extending to eyes with weak vision worse warmth, better hard pressure, open air. - Heavy aching pain in temples, worse biting. - Meningitis. - Hydrocephalus after infantile cholera or diarrhea. - Rolls head, bores in pillows and grinds teeth. - Occipital pain with weight on vertex. - Crashing in head, on falling to sleep. - Feels as if he would fall to left side. - Hair falls from vertex. - Vertex bald with soreness of scalp. - Hair brittle, bristle, sensitive. - Brain paralysis. - Automatic motion of head and hands. ### Eyes - Intense burning after eye operation. - Pterygium, smarting, lachrymation, itch ing. - Smarting as from salt in eye. - Eyes as if pressed inward. - Pressure as if p ressed into head. - Itching and soreness of lids and inner canthi. - Conjunctivitis. - Red and inflamed conjunctiva, worse inner canthus. - Pupils contracted during headache. - Pupils dilated alternating with contracted. - Blurring of one -half of vision, worse stimula nts, with severe headache. - Photophobia during headache. - Dread of sunlight, with dim, watery eyes. - Amaurosis Ptosis. - Upper lids heavy, as if paralyzed. - Rolling of eyes. - Eyes feel drawn together. - Squinting. ### Ears - Earache with frequent acute sharp pains in children. - Itching, better boring into it. - Tearing, stitches and external swelling. - Discharge of fetid pus. - Offensive moisture from left ear. - Neuralgia of middle ear. - Carti lage of ear extremely sensitive. - Ringing, whizzing in ear. - Impaired, from increase of earwax. ### Face - Face pale and cold, alternating with heat an d redness of cheeks. - Bluish, miserable. - Paleness of face during convulsions. - Waxy, white or yellow face. - Lips, sticky, dry, cracked. - Pale lips and cracked corners of mouth. - Redness and itching eruptions on chin. - Tearing pain in facial bones. - Bones of face as if bruised. - Swell- ing and itching of left cheek. - Spasmodic twitching. ### Mouth - Bitter or bloody taste. - Copious secretion of saliva. - Sour, bitter water in mouth. - Fetid breath. - Inflammation of palate. - Ulcers on inner surface of cheek and in throat. - Herpes in mouth from sea bathing. - Grinds teeth. - Gnashing of teeth. - Teeth loose. - Difficult dentition, child weak, cold and restless feet. - Bleeding gums. - Echoes speech. - Neck - Pinching feeling on both sides of neck. - Nape of neck feels weary and tired from writing or any mental exertion. - Neck feels lame, followed by stupor. - Pain in cervical muscles at night. - Nose - Sore feeling high up, pressure upon root. - Stoppage of nose. - Obstruction of nose. - Fluent coryza with hoarseness and burning sensation in chest. - Coryza with hoarseness and burning in chest. - Frequent sneezing. - Sneezing after meals. - Frequent blowing of blood from nose. - Nosebleed followed by stupefaction. - Swollen. - Pain as from excoriation in interior of nose. - Redness of nose, remaining after freezing, tip of nose easily frosted. - Bores finger into nose or picks at dry lips. - Perspiration - Offensive, sour-smelling sweat. - Can’t tolerate any covering during sweat. - Profuse sweat all night, wants to uncover. - Easy perspiration, during day from exercise. - Sour sweat with itching over whole body. - Sweats on head and hands. - Sweats while walking in open air. - Sweats at night, especially on lower limbs. - Sweaty feet. ### Throat - Hoarseness with burning in trachea. - Dry, constant inclination to hawk up tenacious mucus. - Frequent acute tickling in region of larynx. - Rawness and dryness in throat and larynx, better eating. - Pain in muscles of throat externally while swallowing. - Pain in fauces when yawning. - Bitter taste in throat. - Accumulation of mucus in larynx and posterior nares. - Tongue - Tongue coated at root and dry, in brain affections. - Tongue white, as from cheese, without taste. - Tongue swollen on left side, hindering talking. - Blisters on tongue. - Tongue covered with vesicles or with white mucus. - Stitches in tip of tongue with salivation. - Urine - Urine turbid, loam-colored in morning. - Urine very yellow, deposits white flakes on standing a long time. - Emission of urine very slow and in a thin stream. - Dribbling urine in evening. ### Chest - Acute stitches in left clavicle. - Dull stitches in right side of chest. - Burning pressure beneath sternum. - Constriction and cutting in ches t. - Tightness in chest on walking in open air. - Chest as if constricted by aband transversely across it. - Pressure in chest as from incarcerated flatus. - Pressure under short ribs after eating. - Left-sided intercostal neuralgia. - Chest as if hollow and cold, after expectoration of tenacious mucus. - Weak and burning feeling in sternum. - Empty sensation behind sternum. - Burning in left axilla. - Pain in chest as if beaten. - Violent stitches in chest when walking in open air. - Constitutions - Nervous constitutions. - Coughs - Cough, must sit up, with asthmatic breathing. - Cough after wine. - Debilitating, spasmodic cough, worse eating sweets. - Dry cough, before and during menses. - Short cough from tickling beneath sternum. - Cough much relieved as soon as he brings up something. - Child grasps genitals during cough. - Pressure, spasmodic tension and heaviness in heart. - Sensations if a cap over the heart. - Hard heartbeat, taking breath away. - Irregular, spasmodic action of the heart, occasionally one violent thump. - Tension and stitches in precordial region. - Sti tch at every beat of heart, with palpita tions. - Violent pulsations in blood vessels during fever. - Pulse increased by wine. - Kidneys - Floating kidney. - Reflex symptoms from floating kidneys. - Pressive cutting about kidneys. - Pressure in region of left kidney. - Can only pass urine if sitting bent backwards. - Hysterical retention of urine. - Unable to retain the urine unless the feet are in constant motion. - Stitches in kidneys. - Sticking and bruised pain in left kidney while standing and walking. - Left kidney sensitive to touch. - Dyspnea from flatulence after eat ing. - Dyspnea, better as soon as expectora tion appears, worse flatulence. - Oppressed and difficult breathing. - Very heavy and deep breat hing. - Breathing, impeded, with apprehension and oppression. - Asthmatic bronchitis with constriction of chest. - Easy expectoration, at night when lying down, with cough. - Copious, expectoration of frothy mucus. - Yellow, purulent expec toration. - Blood- streaked e xpectoration. - Tenacious, sweetish, putrid expectoration. - Metallic tasting expectoration. - Large amount of mucus of milky color. ### Stomach & Abdomen - Atonic dyspepsia, feeling as if stomach were collapsed. - Empty feeling at stomach soon after eating. - Burning in stomach. - Heartburn from sweet things. - Hiccough after breakfast. - Bitter eructa tions after eating, followed by vomiting. - Sour eructations, after milk. - Sweetish rising into throat with sweet taste. - Globus hystericus rising from pit of stomach. - Sensation as if a worm crawling up to the throat from the pit of stomach, causing coughing. - Nausea, vomiting of bitter mucus. - Nausea and vomiting, worse wine. - Nausea from taking even a small sip of wine. - Nausea from sight of meat or anything fatty. - Vomiting of almost all food or liquid immediately after swallowing it. - Stools - Hard, small, constipated stool. - Stools, large, dry, difficult, followed by involuntary urination. - Offensive, diar- rheic stools alternating with constipation. - Stool at first solid, then liquid. - Very soft stool immediately after dinner, with and followed by vertigo and roaring in head. - Green mucus discharges. - Teeth - Drawing, tearing, jerking pains. - Throbbing in a hollow tooth. - Grinding of teeth. - Sensa tions as if teeth would be pulled out. - Teeth as if long and loose, with swelling of submaxillary glands. - Teeth as if sore. - Teeth feel on edge. - Difficult denti tion. - Bleeding gums on slightest touch. - Retraction of gums. - Gums painful while eating. - Gums white, ulcerated. - Temperature - Chills begin after dinner. - Chilliness in the back, as if fever would appear. - Cold limbs, especially hands and legs. - Chills from touching anything cold. - Chills on approach of a storm. - Frequent, febrile shiverings down back, with flushes of heat, trembling of limbs, short breathing and pulsation throughout whole body. - Chills followed by cold sweat. - Chill alternating with heat. - Fever at night, often with sweat. - Febrile flushes, with sudden crying out to be fanned, and thirst. - Griping in upper abdomen after s oup. - Violent cutting pain in abdomen after milk. - Sensation as if a lump in liver region or at navel. - Neuralgia of spleen. - Jerking from groins to penis. - Pain after a light meal with tympanitis. - Gurgling and griping, distended. - Flatulence and rumbling, worse alcohol. - Hypogastric flatulence. - Hot, putrid flatus. - Flatulent colic with retraction of abdomen (Plb.). - Reflex symptoms from floating kidney. - Loss of appetite, with clean tongue. - Ravenous hunger about 11 a.m. - (Sulph.). - Great greediness when eating, cannot eat fast enough. - Extreme thirst. - Thirst, with heat in palms. - Desire for beer. - Aversion to meat, especially veal, during pregnancy. - Aversion to sweets, cooked or warm food. - Wine aggravates, cannot stand smallest quantity of wine. ### Urinary & Genital - Drawing pain in testicles, spermatic cords. - Penis painfully sensitive. - Long-lasting and violent erections. - Easy sexual excitement, emission too rapid or difficult during embrace. - Emissions with hypochondriasis. - Sadness after emission. - Discharge of prostatic fluid without any cause. - Atrophy of testes. - Neuralgia of testes worse walking. - Testicles swollen, drawn up. - Shriveling of scrotum. - Falling off of pubic hair. - Grasps genitals with cough. - Female symptoms are associated with restlessness, depression, coldness, spinal tenderness and restless feet. - Downward pressure on uterus, bladder and rectum, compelling her to sit cross - legged. - Stinging pain in pudendum when walking. - Bloody leucorrhea, with burning an itching of pudenda, after menses. - Menses too early, painful, with bloating of abdomen. - Profuse lumpy menses when walking. - Menses too late, suppressed, lochia suppressed (Puls.). - Menses flow more at night (Bov.). - Complaints all better during menstrual flow (Eupi., Lach.). - Ovarian pain, better excessive flow. - Ovarian pain, especially left, can’t keep still (Vib.). - Sexual desire increased. - Nymphomaniaof lying-in women. - Desire for masturbation. - Complete loss of sexual desire. - Profuse falling of hair from genitals. - Varicose veins of external genitals, with fidgety feet. ### Extremities - Muscle spasms or cramps, with a sensation of tightness or jerking, resembling. - muscle spasms, worse with mental exertion, cold, evening, or rest, often with. - soreness or twitching. - Generalized aching or soreness, with a tendency to stiffness or fatigue, resembling. - fibromyalgia, aggravated by mental exertion, cold, or stress, often with trigger points. - or weakness. - Joint pains or stiffness, with a sensation of pulling or aching, resembling myofascial. - pain syndrome, worse with mental exertion, cold, or evening, often with reduced. - mobility or tenderness. - Tendency to musculoskeletal hypersensitivity, with aggravation in cold or exerted. - states. - Zincum metallicum (Zinc) 2076. - Constitutional:. - Chronic fatigue or exhaustion, with a sensation of weakness or burnout, resembling. - chronic fatigue syndrome, worse with mental exertion, noise, evening, or suppressed. - discharges, often with chills or weight loss. - Nervous exhaustion or fragility, with a tendency to low vitality or irritability,. - resembling neurasthenia, aggravated by mental exertion, noise, or stress, often with. - hypersensitivity or insomnia. - General sensitivity or debility, with a sensation of depletion or trembling, resembling. - post-viral fatigue syndrome, worse with mental exertion, noise, or evening, often. - with emotional lability or flushing. - Tendency to constitutional hypersensitivity, with aggravation in noisy or depleted. - states. ### Neck & Back - Pain in small of back. - Backache better seminal emission. - Spinal irritation. - Spine sensitive, cannot bear it touched (Agar., Ther.). - Burning along whole spine, worse sitting. - Aching in spine, small of the back worse turning in bed, sitting and stooping. - Dull aching about the last dorsal or first lumbar vertebrae, worse sitting. - Cracking in lumbar region while walking. - Lumbar region as if screwed in, on rising from seat. - Weakness in lumbar region worse standing. - Tension and stinging between sAoufoers. - Tearing pain, burning in shoul der blades, between shoulder blades, better belchings. - Small pimples like boils on and between scapulae. - Bladder - Bladder symptoms better urination. - Cramp in bladder, precededby colic. - Bladder neuralgia. - Pressure upon bladder, but not to urinate. - Constant pressure downward in urethra if call to urinate is delayed. - Frequent urging at night with scanty discharge. - Involuntary urination when walking, coughing or sneezing. - Burning urination during menses. - Burning in urethra before, during and after urination. - Cutting pain in orifice of urethra, in evening while sitting. - Bleeding after uri nation. - Vicarious bleeding from suppressed menses. - Breasts - Breasts and genitals painful with suppressed menses (Kali -c.). - Breasts swollen and sore to touch. - Left breast as if swollen. - Violent pressing in right breast. - Itching about nipples. - Nipples sore . - Pressing, sore, about right nipple. - Stitching pain, beneath breast. - Causations - Ill effects of fright, grief, anger, surgery, night watching, excessive study. - Ill effects from brain concussion, frostbite, suppressions of eruptions, otorrhea, men ses, lochia, milk. - Chorea from fright or from suppressed eruptions, worse during sleep, the feet especially affected. ### Skin - Eczema. - Eczema of the hands, in the anemic and neurotic. - Sudden itching here and there. - Itching of thighs. - Itching in the hollow of knees. - Formication of feet and legs as from a bug crawling over the skin, preventing sleep. - Urticaria-like eruption after scratching. - Retrocession of eruptions. - Ulcers. - Slight injury of skin bleeds very profusely. - Varicose veins, especially of lower limbs (Puls.). - Varicose veins of genital organs. ### Sleep - Constant yawning. - Overpowering sleepiness. - Nervous insomnia with intolerable itching of skin at night. - Broken, unrefreshing sleep. - Sleep disturbed by violent headaches and painful cramps in calves. - Jerks and starts on falling asleep. - Cries out while sleeping, body jerks, wakes frightened, startled. - Nervous motion of feet when asleep (Kali-p.). - Loud screaming in sleep without being aware of it. - Somnambulism (Kali -p.), after sup- pressed emotions. - Awakens at night from coldness of feet. ### Generalities - Uneasy, as if he had committed a crime. - As if he would have a stroke. - As if hair bristled. - As if scalp were drawn together. - As if she had a large goiter which she could not see over. - Pains as if between the skin and the flesh. - Nauseating weak ness as after smoking too strong tobacco. - As if kidney would be twisted off. - Wrist and foot as if sprained. - As if soles swollen. - As if tendons of right sole too short. - As if ball of great toe frozen.