Carcinosinum - A Proving in Mexico

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Translated by Katja Schütt

Rosario Sánchez Caballero et al.*

Carcinosinum

A proving in México

*Authors: Rosario Sánchez Caballero, Edwiges Sánchez Caballero, Martha Riba Espinosa de los Monteros 

Translator: Katja Schütt et al.**

 

 

 

Introduction

Carcinosinum is a remedy of great value in our homeopathic practice, its symptom picture being primarily derived from clinical experience, so that the proving in México is a valuable contribution to the Materia Medica. Carcinosinum was proved by physicians and professors of Homeopatía de México, a school of homeopathy founded in 1960 by Proceso Sánchez Ortega, David Flores Toledo and Arnulfo Romero Moreno. The former academic director, P.S. Ortega, (d. 2005) encouraged his associates to continue the proving of remedies, because, according to the requirements of Hahnemann, it is necessary for each homeopathic practitioner to know the effects a substance is capable of producing in a healthy person if we wish to know what the substance is able to cure.

The study of Carcinosinum began in 1982, when the first data from the experiment were recorded. After perfecting the methodology of the trial, the proving was made in the 1990's with the subsequent prescribed methodology and results. The proving was presented at the 50th Congress of the Liga Medicorum Homoeopathica Internationalis in 1995 in Oaxaca, México and published in July 1997 in the journal La Homeopatía en el Mundo.

This article presents the complete symptom picture resulting from the proving in México, which was translated from the original Spanish by graduates and students of the British Institute of Homeopathy, U.S.A. Division, under the direction of Katja Schütt. Initial comments and annotations about the procedure of the proving, results and summary and the list of participants of the proving were mainly included from the German article of Dr.Thomas Peinbauer as published in Volume 20 of Documenta Homoeopathica (derived and summarized from the article in the journal La Homeopatía en el Mundo).

I would like to thank Dr.Rosario Sánchez Caballero, Dr.Fernando D. François-Flores, Dr.Thomas Peinbauer and Dr.Franz Swoboda, Dr.M.Bathia from Hpathy, Maria Bohle and Donna Earnest from BIH U.S.A. for their kind support and permission to translate and publish this proving on the website of the British Institute of Homeopathy, U.S.A. Division as well as on the website of Hpathy1. My thanks also goes to Della, Darla, Sylvia and Manuel, this work would have been impossible without them.

**Participants:

Katja Schütt, Gadebusch, Germany (DiHom) Della Heywood, Emeryville, USA (DiHom) Sylvia V. Doignon, Tahoe Vista, USA (DHom) Darla Graves Palmer, Maine, USA (DvetHom) Dr. Juan Manuel Zepeda del Valle, Zacatecas, Mexico

For the arrangement and administration of a database of symptoms of Carcinosinum I ask all homeopathic practitioners for support and to report recorded symptoms (1st grade), symptoms confirmed by re-provings (2nd grade) and symptoms verified upon the sick (3rd grade). This is so that the symptoms of Carcinosinum can be integrated in the homeopathic Materia Medica based upon the requirements as developed by Hahnemann. Please send your input to the following e-mail address: Carcinosinum@live.de

1 www.bihusa.com and www.hpathy.com

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Procedure

Direction and control of the proving:

Dr.Rosario Sánchez Caballero Dr.Edwiges Sánchez Caballero Dr.Martha Riba Espinosa de los Monteros

In actuality, the increase of diseases with more chronic and degenerative pathologies is alarming, so that we need remedies of increasingly deeper action. The nosodes, considered among the reactive homeopathic medicines, are now prescribed with increasing frequency, but often without certainty or knowledge of their proving effects, which is absolutely necessary to good prescribing. That’s why the following objective was proposed: To demonstrate the effects of Carcinosinum through a Hahnemannian proving, organized by physicians of Homeopatía de México.

Hypothesis: If the proving substance is capable of being used as a homeopathic remedy then it should produce symptoms when administered to a clinically healthy individual. Symptoms achieved from the proving derive from the nature and acting dynamism of the nosode as well as from the idiosyncrasy of each experimental prover.

Proving group: The proving substance (Carcinosinum) was given to 40 physicians of different levels of advanced education in homeopathy. Only clinically healthy provers were included. The age of the provers ranged between 21 years and 45 years, 45% were females and 55% males. The intelligence quotient of provers varied between 110 and 127 according to an abriviated intelligence test (WAIS).

Control group: This group was of a similar composition as the proving group and composed of 30 physicians who each received placebos.

Researchers: Medical professors of Homeopatía de México were the researchers who assembled the clinical histories, documented the symptoms and determined the laboratory values before and during the proving.

Director of the proving: The director of the proving was the physician who coordinated the proving. He was the only person who knew the substance of the proving, its potency and the identities of participants of each group.

Substance of proving: Carcinosinum was the proving substance. The potencies 6 LM and 30 LM produced by the German laboratory Arcana, and 30 C produced by Homeopatía de México, were used. Potencies of 6 LM and 30 LM were available from Arcana. Because of the uncertainty about the original substance and origin of the medicine the directors decided to prepare their own remedy of Carcinosinum. The tissue of the mammary gland of an intraductal Carcinoma in situ and of an invasive breast cancer with Paget’s disease of the breast and metastases of 13 from 20 axillar lymph nodes were used, obtained by the Department of General Pathology, mediated by Dr. José Rodríguez Ramírez. During a pharmacology lesson a potency of 30 C was produced in the laboratory by Dr.Gonzalo Cortés Rodríguez at Homeopatía de México.

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The remedy was prepared according to rule 4a2, in which one part of the tissue and four parts of alcohol were used. The proving was based primarily on the method of classical homeopathy as prescribed in the Organon. A double blind trial was chosen, so that neither the provers nor the organizers of the proving knew anything about the used substance. The participants were randomized and divided into the proving and control group.

The participants were urged and instructed about the benefits and conditions of the proving through explanations given in the class, study in workshops, presentation of the summary of the subject and evaluations of comprehension. They were also encouraged to sign a document on which they made a moral commitment to participate in the research for the advancement of knowledge of homeopathic medicines.

The substance of proving was administered personally to each prover. The prover had to document the proving as a special diary and to send it each week in a closed envelope to the responsible organizer of the proving. The organizers contacted the provers during the week for exact details of symptoms. They gave instructions for the repetition of the dose or to stop dosage and assisted in emergencies.

The remedy was administered once but was repeated if no symptoms appeared.

The clinical histories were assembled as completely as possible according to the technique established by Homeopatía de México, and clearly show the miasmatic aspect in the wholistic homeopathic teaching hospital. For such a purpose it took the form of a clinical history, and in addition to the classical data of homeopathy, the following diagnoses were included: nosological and syndromatic, miasmatic, individual, holistic and therapeutic.

The IQ of provers was evaluated with an intelligence test assessed by the psychologist Alberto Flores Flores to ascertain that the provers were of sufficient intelligence to express their symptoms clearly, as mentioned by Hahnemann.

Considering that homeopathic remedies can change physiological and biochemical parameters significantly, the following laboratory analyses were realized before and during the presentation of symptoms: hematic biometrics, blood chemistry and urine in general. Most of these studies were made at the Hospital Nacional Homeopático, authorized by Dr.Alvaro Ixtla Salgado. However, this information is not available.

2 translator’s note: there is no further information available regarding this rule, rules may differ in the Pharmacopoeia of each country

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Results and summary

The proving confirmed that Carcinosinum is a reactive homeopathic medicine, as it provoked the reappearance of very old symptoms that had not been present for many years. It showed a special impact on the mental sphere, central nervous system, respiratory tract, digestive and urogenital tract as well as the extremities.

Outstanding mentals are: difficult concentration, sadness with desire to listen music, anxiety, despair and annoyance3. The most important general symptoms are: one-sided symptoms or symptoms alternating from side to side, paroxysmal and intermittent, burning and stabbing pains.

Carcinosinum produced notable alterations like: Several dreams: very vivid dreams, dreams of dead persons, mutilations, war, soldiers, cemeteries and persecution. Vertigo: on rising, when moving the head, appearing suddenly etc. Catarrhal discharges, inflammation of tonsils, purulent; inflammation of ganglia, painful; increased and frequent appetite, insatiable; marked abdominal distension, dark menstrual blood; burning in urinary organs, warm and intense color of urine. Numbness and burning of extremities as well as cramps, itching and dryness of the skin; bumps4 on different parts, symptoms changing the location etc.

The following summary is a compilation of more intensive symptoms that at least two or more provers recorded. Moreover, symptoms are listed which could be confirmed by clinical observation as described in the following references (these symptoms are marked by *): Clarke’s Dictionary (3rd edition), Materia Medica by Vijnovsky and computer software RADAR (with a totality of 373 Symptoms of Carcinosinum).

The numbers in parentheses after each symptom (striking mental and emotional symptoms, striking general and local symptoms) correspond to miasmatic seriation5.

Striking mental and emotional symptoms

Anger (2) with nonconformity6 (2)

with annoyance7 (2) prolonged (2-3) aggressive, thereby offensive, ironical and sarcastic (2-3)8

Annoyance9(1)

3 translator’s note: original Spanish „fastidio“, means annoyance/bother or boredom/ennui; in context with the listed symptoms (mind) both may be correct 4 translator’s note: see rubric back and extremities 5 translator’s note: 1 for psora, 2 for sycosis, 3 for syphilis according to P.S.Ortega in „Notes on the miasms“, p.115

6 translator’s note: original Spanish: „con inconformidad“, means nonconformity or discord 7 translator’s note: original Spanish: Cólera „con fastidio“, see footnote 3 8 translator’s note: there is no further information available regarding these symptoms 9 translator’s note: see footnote 3

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Anxiety (1) about future (1)

tears the skin around the fingernails* Old anxieties and fears* (2)

Apprehensive (1)

Apathy (1) lack of interest in things which were important before (1)

Desperation (3) during pain (3)

Difficult concentration (1)

Despondent (1) with no desire to do anything and a desire to lie down (1)

Distracted (2) while reading (2)

Impatience (2) Indifference (3) Irritability (1)

in busy places (1) during pain (1)

Bad mood, with tendency to anger (3)

Amelioration by occupation (2)

Oversensitive to music (2) with desire to cry (1)

with marked sense of rhythm* (2) Very sensitive to reproaches * (2) Resentment, rancor about past events with desire to take revenge (3) Mental restlessness (2) Restless, cannot get comfortable (2)

Sadness (1) with desire to cry (1)

disinclined to talk (1) from listening music (1-3)

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Sensation as if something terrible or very sad would happen (2) Strong desire for sympathy* (1)

Striking general and local symptoms

Generalized adenopathy with fever* (2) Aggravation in the morning (1)

Aggravation in the afternoon (2)

Aggravation by cold and damp air * (1) Aggravation by heat* (3)

Aggravation after eating (3)

Alternating symptoms, from one side of the body to the other* (2)

Amelioration by cold (2)

Amelioration in the course of the day (2)

Amelioration after nap* (1)

Bumps10 on the back (2)

Burning pain in general (3)

Ejaculation during sleep (2) Emaciation (3)

Fever with exhaustion (2-3)

Great fatigue with extreme weakness* (2-3) worse in the morning on rising* (1)

Great sensitivity to cold air (1)

Increased appetite (2) with desire to eat frequently (2) with anxiety about eating (1)

Scanty and dark menses (1-3)

10 translator’s note: see rubric back

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Pain in the belly, ameliorated by pressure* (2) Paroxysmal pains (2) Pressing pain in breasts, from left to right (1) Purulent expectoration (3)

Purulent, greenish secretion of tonsils (3)

Desire for sweets (1)

Sensation of a drop running over the skin (2)

Stabbing headache on the right side * (2)

Jerking muscles of extremities and back* (2) Weakness, sensation as if beaten (1)

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MIND

Difficult concentration (2a) (4) (35) (36) (39); with mental restlessness. With sensation of emptiness in head. The preparation of a class requires more mental effort. Desire to listen music and feels that the music is romantic, melodious, and she cannot concentrate (4).

Sensation of inner restlessness while reading, distracting him, and does not remember what he has just read, then several thoughts arise in his mind; this occurs during the day (7).

Distracted (13) (36) and apathetic. Makes mistakes in talking, says one word instead of another (11). Forgetfulness: forgets what day it is (13). [10] Difficulty remembering names of persons or places (102). Difficulty coordinating thoughts (102). Sensation of unreality, as if he were in a dream, as if he is not himself, looks in the mirror and does not recognize himself, with fear of going crazy (23). Abstraction of mind, sensation of mental emptiness (34). Sensation of slowness in thinking (35).

Desire to listen music, which she feels is melodious (4). Sadness after listening music with ineffective desire to cry (8a). Feels that the music is sad with desire to cry, but cannot cry (4). Sadness, which provokes weeping, aggravated by music (105).

Despondency, does not want to go out or to see anybody (34). [20] Tendency to remain motionless with mental emptiness; listless, especially when alone (34). Sadness with desire to cry, want‘s to go home and lock herself in, with no desire to do anything, although she makes effort and begins to work with enthusiasm, she feels that idleness is depressing (34). Great depression (four days after the first dose): no desire to do anything, not to get up, not to study, does not want to see her friends; very thoughtful and precipitate11, thinks of different subjects (8a). Feels that it is not relevant to do important things (6). Feels sad and depressed (41). Cries a lot, very sad, thinks of past events, with sensation of incapacity, solitude and hopelessness, resentment and fear because of disapproval of those surrounding her (4). Sadness during stool, then he laughs when he notices that he was sad (23). Desire to cry (4). Sensitive with desire to cry (13). Weeps easily (4), [30] when talking (34).

Desires to be alone, which ameliorates (11). It bothers her to be with too many people, she is bothered by their talking (36). Desire for solitude (which had disappeared over time) with desire to concentrate on herself and bad mood (105). Reserved (38).

11 translator’s note: original Spanish: „precipitado“, translated literally: precipitate, headlong, hasty, hurried; in the German article „dejected“ is written

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Lack of interest in her usual occupations (105). Indifference to having failed an exam (4). Wants to do other things when she has to study, like watching TV or reading journals (13). Loss of interest, gives up and thinks that everybody is against her (4). Postpones things and feels worried (6). [40] Disinclined to read or study, feels lazy (13).

Great confidence while taking an exam without having studied (103). Things which formerly provoked anger are now of no importance (4).

Annoyance from listening to people’s talk (3). Feels annoyed, is fed up, with desire to scream and cry (103). Mental tiredness, feels annoyed, with no desire or motivation to do anything, tired of doing the same thing each day, with desire to cry (in the afternoons at 4 p.m.). Feels annoyed from hearing the conversation of others (34). Boredom (105).

Irritability (10) (23) (8) (13). Angered easily, aggravated in crowds and from approach of strangers (10). Irritability from headache, when trying to talk, from waiting (23). [50] Angry in the morning, expressed by gestures (8). Irritability while driving the car (39). Irritable, does not want to talk to his wife (38). Does not tolerate any comments about his symptoms, does not want to talk to anybody (39). Uncustomary sensitivity to shouting and calls (6).

Rage with weeping, cannot bear anything or anybody (25). Desire to fight (4).

Rage with aggressiveness: desire to hit, beats and breaks things in his surroundings (10).

Anxiety : (10) (3) (11) (4) (6) (8a). Slight anxiety in the moment of the first dose, nervousness, with profuse sweat on palm of hands. [60] Anxiety, restlessness and great insecurity. Anxiety, wants to finish before she has began. Feels tensed with anxiety to finish something that is not urgent. Anxiety about future (his and his partner). Anxiety about things that he has to do. Anxiety at dawn, accompanied by restlessness, nausea, slight abdominal colic, dryness of mouth and bad taste. Anxiety about what may happen. Feels worried, but does not know why (4).

Unpleasant or erotic, fleeting, sudden and difficult to control thoughts, passing quickly, leaving an uncomfortable sensation in general, worse in the morning (10).

Very sentimental, cries when thinking of past events (25). [70] Reminders of past situations (of more than 10 years ago), tries to find an explanation for something that was no longer important (4). Reminders of adolescence as if it were recent (4).

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Unpleasant thoughts about past things (105).

Bad mood (13) (35) (105) (39): with desire to discuss in the morning on rising (35). Disposition to anger (39).

Annoyed (34) (39): Intolerant, irritable over the smallest mistake of others, the entire world seems to be unable to do or say anything right (34). Complains to his secretary of not being efficient (39).

Resentment (4). [80]

Desperation and desire not to work during pain (3). Desperation for a few seconds (8). Very sensitive and desperate, weeps about trifles, feels anxious (2a).

Very impressionable by stories, news and movies (34). Fear because of so many sudden symptoms (4). Fear with trembling in the whole body (4). Fear of going crazy (23).

Fear on approaching others in the street with aversion to touch (4). Impatient (3) (11). Hurried and sensation that the time passes very quickly while writing (7). [90]

Mental restlessness with difficult concentration (4). Inner restlessness, accompanied by blurred vision (4). Restlessness, desire to go from place to place, does not feel comfortable anywhere (39).

Feeling of solitude or abandonment with sadness and desire to cry (34). Sadness with feeling of solitude and hopelessness (4). Feeling of lack of love (4).

Feels better when occupied with work (34). It bothers him to have nothing to do, desires to be occupied without knowing with what (35). Wakes up early, earlier than usual, with necessity to do something, to be occupied (34).

Aversion to closed rooms (3). [100] Anxiety in closed rooms (3).

Sensation as if people retreat from and approach her (102). Sensation of unreality, as if he were in a dream, as if he is not himself, looks in the mirror and does not recognize himself (23). Imagines she sees someone crying, carrying a baby (4). Sensation as if the upper jaw and the teeth were very large, then the nose and the cheekbones, disappears on opening the eyes, but reappears each time on closing them again, lasts for 5 minutes and disappears on changing position (34). Sensation that she is getting fat (4).

Flushes easily (notes, that this had not happened for many years) (34). 11

VERTIGO

Vertigo after the first dose (4). Sensation of rotating and losing equilibrium, feels unsteadiness while ascending stairs (4). Objects seem to move around her on raising or turning the head, also occasionally when sitting quietly (102). [110]

Vertigo on turning the head from right to left, with slight oppression in the Fossa suprasternalis and with occipital headache and heaviness from nape to shoulder blades (4). Loss of equilibrium on turning the head, with stopped up ears (4). Vertigo on moving the head backwards (4).

Sensation as if everything would move with her when lying down (103). Vertigo when lying down as if she would tumble forward and fall (4). Vertigo which obliges her to sit down (4). Continuous vertigo all morning, aggravated on the bus (4).

Vertigo with mental dullness12 and impossibility to coordinate ideas (102). Feels dazed, as if things were moving in the same place (102). Vertigo after eating, as if everything were turning and she were about to fall (103). [120] Sensation of rotating forward, as if the whole body were floating, the head remains in the same position and prevents her from floating totally (4). Sensation of moving forward, as if she were trembling (4). Vertigo, not allowing her to fix her vision well (4). Vertigo on rising from sitting or lying, with sensation as if everything would turn around and with obscuring of vision (2a). Vertigo after rising and disappearing by exercise (4). Vertigo during menses with tendency to fall forward and sensation that something is crawling over the right cheek, leg and hand (4). Vertigo with heaviness in occiput (4).

HEAD

Frontal headache, radiating to ears, with diminution of hearing acuity (4). Dull frontal headache with sensation of pressure above the eyes, recurs on the following day at night, accompanied by rigidity of nape, ameliorated by lateral motion of the head (10). Aching headache in the morning, mainly in the forehead, ameliorated by occupation (10). [130] Right-sided frontal headache as from a weight (25). Pain in the forehead and occipital region in the afternoon while taking an exam (26). Pulsating pain in the left forehead, synchronous with heartbeat, appearing after eye strain (13). Gradually appearing frontal headache (4). Excavating frontal headache (4). Pain in the left forehead, then in the entire forehead in the morning (38).

12 translator’s note: original Spanish: „entorpecimiento“, means mental dullness or numbness 12

Pain in right temple like a blow, extending upwards and to right side of face (4). Violent pain in the right side in the morning, beginning in vertex and extending to right side, with increased intensity in the right eye, stabbing and with sensation as if it would burst, better from strong pressure (101). Right-sided hemicrania, ameliorated by covering the right eye (4). Frontal headache, mainly on the right side, aggravated by movement, for three days at 3 p.m. (1). [140]

Stabbing pains (7) (25) (6) (13) (4) (5a) (2). Throbbing headache in temporal region, synchronous with pulse (4) (13) (7), beginning after exposure to sun for 2 hours, aggravated by walking and movement and ameliorated on lying motionless (7). Left-sided headache like pricks and numbness13 (25). Pain in temples which come and go like stabs (6). Stabbing pain in temples, disappearing when sleeping (6). Violent stabs in the left side of the head, lasting 5 to 20 minutes, decrease and reappear intensely (13). Violent stab in the left side after continuous mental effort, the stab was fleeting (6). Stabbing headache, especially parietal and temporal, not disappearing when sleeping (5a). Stabbing pain as if the head would burst, with much heat especially in temples, ameliorated in a fresh place and aggravated on ascending stairs (2). [150]

Pains, aggravated by movement (7) (104) (25) (10) (1). Right-sided supraorbital headache, especially at night and aggravated by movement (104). Headache only when moving, with sensation of numbness14 and desperation (25). Pain in temples and temporal bones, aggravated by abrupt motion of the head, with sensation of pressure as if by a band, especially on temporal bones and above and behind the ears, this occurs between 4 p.m. and 12 a.m. (10).

Pain in nape with heaviness, feels that the head would let go, as if it were too heavy and inner pain, ameliorated by pressure (2a) (101). Pain in the entire head, ameliorated by pressure on eyes and temples (35).

Heaviness in occiput (7) (4) (13) (2a). Sensation of emptiness in head and heaviness in occiput at night, which prevents sleeping although he is tired, worse on lying on the back (7). Heaviness in head with pressing pain on the right side (102). Painful heaviness in nape on waking, extending to ears (4). [160] Heaviness or tug15 in the occiput (4). Heaviness in nape, extending to the neck (4). Headache and pain with sensation of heaviness in the region of the 2nd radiating to the entire head, appears half an hour later on the left side of the head (13). Headache with sensation of heaviness in the entire head, accompanied by slight sleepiness (11). Heaviness from nape to shoulder blades, accompanied by hyaline nasal catarrh (4).

cervical vertebrae,

13 translator’s note: original Spanish: „ Dolor de cabeza en lado izquierdo como piquetes y aturdimiento“, „aturdimiento“ means a physical disturbance of the mind similar to the effect of an external agent like a blow, or a temporary emotional disturbance (numbness, stupefaction) 14 translator’s note: see footnote 13 15 translator’s note: original Spanish: „tirón“, means: tug, pull or jerk

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Heaviness in occiput, aggravated by cold and ameliorated by prolonged sleep; the pillow feels very hard, as if made of stone (4). Pain in nape with heaviness, feels that the head would let go, as if it were too heavy, and internal pain, ameliorated by pressure (2a).

Moderate headache, progressively worsening, as if the cranium were very heavy (in the entire head) with much sleepiness, ameliorated after sleeping for one hour; much thirst on waking (34).

Headache in the afternoon (3) (10) (26) (5) (1). Headache from 12 p.m. to 3 p.m. (3). [170] Headache each afternoon, with sensation of weakness in the whole body, which obliges to sleep (5). Suddenly appearing headache in the afternoon, accompanied by general weakness and sensation of heaviness (5).

Bursting pain (101) (3) (34). Frontal headache and pain in maxillary bones, as if the bones would burst, accompanied by nausea, sensation of heat, claustrophobia and desperation (3). Pain in temples, root of the nose and behind the eyes, as if they would burst, ameliorated after sleep (34).

Headache, worse at night (7) (104) (10). Violent headache from the heat of sun, ameliorated by cold, cold drinks and when unclothing

(23).

Pain, alternating the location (23) (13) (14) (38). Headache preceded by dazzling of eyes, begins at first in vertex and left temple, moves then from vertex to forehead (23). Headache and pain with sensation of heaviness in the cervical region, moving to the right side when sleeping for a while (14). [180]

Sensation of a blow in the right temple (4). Sensation of a blow in the head, in the right petrosal bone. (4). Dull headache in temples for more than one hour (13). Dull pain in the temple and right forehead (4).

Congestive headache with some sneezing (6a). Headache with crystal clear coryza (8a).

Headache after long walking, as if a nail were piercing in the top of the head and emerging below and behind the ear, the pain appears suddenly and disappears slowly (34).

Headache, radiating to ears and with diminution of hearing acuity, accompanied by general weakness (4). Slight left-sided hemicrania (4).

Itching on right temple as if she had dandruff (4). [190] Copious dandruff, especially on temples, with bloody crusts (4). Dryness of hairy skin, increasing by anxiety – while taking an exam – (this symptom was present 4 years ago) (11).

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EYES AND SIGHT

Itching in eyes, especially at night, as if they were very dry (102). Itching in both commissures of the left eye, all day long, especially in the afternoon and accompanied by slight lachrymation (23).

Swelling of eyelids (4) (5a) (2a). Swelling of upper eyelids (4). Sensation of inflammation of the left upper eyelid, very painful (5a). Increased intensity of swelling of the lower eyelids in the morning, disappears in the course of the day and reappears at night with increased intensity (2a). Swelling of the left upper eyelid with scanty, purulent secretion on pressure (5a). Sensation of a tired vision and as if the pupils were dilated and the eyes bulging, swollen and hard (34).

Burning in eyes (23) (4). Sensation of sand in eyes with burning, aggravated by rubbing (4). [200] Sensation as if the eyes were filled with dirt. Pressing pain in right eye with sensation of grit, the sunlight bothers her, and this sensation obliges her to take off her glasses (2a). Dull, mild and constant pain in eyeballs, drawing backwards (5a).

Dazzling in left eye, as if out of focus, sees tiny lights: yellow, red, green, like sparkles, also in the other eye; afterwards headache (23).

Blurred vision with inner restlessness (4).

EARS AND HEARING

Stabbing pains (4) (2) (5). Throbbing pain in right ear (for 2 to 3 minutes) (4). Slight, burning stabs in left ear for 1 to 2 minutes, then in right ear for 20 seconds (5). Violent throbbing in the right ear while kneeling in the church, lasting for 10 minutes and accompanied by much heat (2). Pulsations in right ear when lying on that side, ameliorated when changing position (2). Throbbing in right ear on ascending stairs, with much heat and hypersensitivity to noise (2). [210] Slight pulsations in right ear since 5 p.m., five times and at intervals of 3 minutes (2).

Buzzing16 in the ears (4) (5) (34) (2a). Buzzing in the ears as from the sound of the high voltage power line (4). Sensation of obstruction in left ear, as if stopped up completely, with buzzing and with dryness of nose, for four days (5).

Stopped up ears (2) (4) (5) (23) (34).

16 translator’s note: original Spanish „Zumbidos“, means: buzzing or ringing in the ears 15

The right ear stopped up and unstopped in the morning, then in the afternoon acute pain inside the ear on swallowing or burping (23). Stopped up ears and roaring in the ears (4). Ears feel stopped up as if flying in an airplane, not ameliorated by yawning (2).

The right ear feels stopped up, and slight pressing pain all day long, disappears at nightfall (34).

Paroxysmal pains (2). [220] Violent paroxysmal pain in the left ear while sitting and reading, begins from outside inward, and disappears (this symptom was present at 12 p.m. and 5 p.m.) (7).

Alternating pains (4) (7). Pain in right ear and then in left ear, as if after being strongly scraped (4). Sensation of a blast in the right ear and then in left ear (4).

Pain in left ear, but when looking in the mirror she notices that the right ear is flushed, and that the body is hot in general without feeling inner heat (4). Irritation of the left ear (4).

Itching in right ear, with crawling sensation in the auditory canal as if by an animal (4).

Hypersensitivity to noise (5) (2) (34). Intolerance to noise after bathing, music bothers him, even if the music is low, ameliorated when lying down (5). Earache, aggravated by daylight and noise, and slightly ameliorated by pressure (34). [230]

Pain in the right outer ear, as if this region were infected (where the earrings are put) (13). Pain, radiating to root of nose (8a). Mild earache in the morning at 10 a.m., slowly progressing, as if the pressure were increasing (34).

Sensation as if the hearing had improved (4).

NOSE

Nasal discharge (9) (101) (23) (3) (2) (4) (39) (8a). Nasal catarrh. Profuse nasal secretion, aggravated by cold air, constant sneezing during the day (9). Fluent nasal catarrh, crystal clear, only right-sided, with lachrymation on the same side and with stabbing frontal headache, the nasal flow decreases when walking in open air (101). Crystal clear nasal secretion with lachrymation of the right eye, aggravated by heat of sun, ameliorated by bathing (101). Left-sided discharge of crystal clear mucus (101). White nasal secretion (102). [240] Very profuse, watery nasal secretion in the morning (23). Clear nasal secretion, accompanied by lachrymation and some coughing, worse in the afternoon (3). Nasal catarrh in the morning on rising (4).

16

Right-sided hyaline, clear, semi-thick nasal secretion on a rainy day, very profuse at night (2). Fluent coryza, liquid, crystal clear, accompanied by headache (8a).

Profuse, thick nasal discharge, adhesive and yellow, with formation of crusts in mucosa (9). Mucosity, retronasal, adhesive (4). Fluent coryza in cloudy weather and cold air (39). Bloody nasal secretion in the morning (102).

Only one-sided nasal discharge (101) (4) (2). [250] Green mucus from the left side and transparent from the right side (101).

Burning pains: burning in right Fossa nasalis with catarrh (4). Burning in left Fossa nasalis (4). Irritation in right Fossa nasalis as if skinned (4). Frequent sneezing in the afternoon with burning in eyes and transparent coryza (38). Burning in nose (6).

Excoriated nose with outer burning (102). Burning in nose (103).

Frequent sneezing when exposed to open air (6). Green, thick secretion with nasal obstruction, aggravated by heat and ameliorated in the open air, with frequent sneezing and stopped up ears, as if they would burst (6a). [260] Frequent sneezing in the afternoon (38).

Epistaxis (6) (102) (104). Right-sided nosebleeding after walking on cold floor (6). Epistaxis on the right side while bathing – coagulates easily (6).

Pruritus nasalis (102) (4) inside the nose (102). Itching sensation in the nose, as if by a crawling animal in the right Fossa nasalis, which provokes sneezing (4). [270] Sensation that something is in the nose which provokes itching of the skin (4).

Dryness in the Fossae nasalis which provokes frequent sneezing (4). Irritation of right Fossa nasalis when singing (4).

Stabs at the root of nose, radiating to ears and left temporal region, several times in the afternoon for several days (8a).

Left-sided obstruction (6a) of nose, violent sneezing, accompanied by hyaline secretion all day long and tickling in nose and pharynx, on the following day the rhinorrhea is worse and sneezing is accompanied by much fatigue (8a).

At 2.30 a.m. in the morning she wakes up from a pestilent odor which disappears after 5 minutes (34). Anosmia, total loss of smell, even for strong odors (39).

17

FACE

Bursting pain in bones of the face, as if she had sinusitis, on the following day the pain returns in the morning (at 9 a.m.), but light and with amelioration by occupation (3). Pain in right malar region (4). [280] Slight pain in the temporo-maxillary articulation at height of right condyle with sensation as if he had eaten something hard (5a).

Confluent, maculopapular, not itching eruption (104). Small pimples on face, mainly on forehead, after bathing (13).

Sensation as if the face were rough (104). Light pricks in face (23).

Heaviness at the root of nose, extending to ears and occiput, preventing rapid movement (4). Flushes of heat in face and very hot hands, ameliorated by wetting with cold water and holding ice in the hands (13).

MOUTH AND TEETH

Increased salivation (4) (102) (2a). Cottony saliva and bitter taste (9). Thick salivation (102). [290]

Bitter taste (9) (42). Oily sensation on palate after tasting food, disappears when drinking water or brushing teeth, but reappears when eating any food (6).

Excoriating pain in commissures of lips, worse on right side (13). Burnt sensation of the tongue (34). Pain in gums on the left side, as if he had a small ulcer, all foods cause burning sensation (40).

Pustule on oral mucosa of the lower lip, with itching and burning on touch (13). Pimples in the mucosa, like cold sore17, from eating spicy food (13). Reddish area on right lower gum and sensation as if an abscess would form and with burning (101).

Sensation of numbness of the tongue at night after drinking a carbonated drink, with unpleasant taste, earthy and bitter; this recurs on the following day in the morning (42). Sensation as if the left middle border of the tongue is waking up after anesthesia (34). [300] Very fine tingling on the left border of the tongue, worse after eating or smoking, changes to burnt sensation of tongue after some days (34).

Right-sided toothache as if from biting ice (4). Pain like hypersensitive teeth18, later on the left side, and afterward in the lower incisors (4).

17 translator’s note: original Spanish: como „fuegos“, means fever blisters, cold sore, herpes labialis (in México) 18

Sensation as if she had bitten a stone with her teeth on the left side, feels the vibration that results from the impact of teeth with a stone and extends to right ear (4). Pain in one molar on chewing (14).

Bleeding of gums during and after brushing the teeth (13). Moderate bleeding of the right-sided upper gums while brushing the teeth (34).

THROAT

Sore throat with nasal and pharyngeal secretion, profuse, yellow, thick and easy to expectorate (9). Sore throat on waking, disappears on rising (101). Violent pain on waking, as if she had a foreign body from throat to chest, this pain provokes dry cough, and the more she coughs the worse the pain (101). [310]

Sore throat with sensation of dryness and sensation of scratching while coughing (102). Tearing sore throat on waking, aggravated by swallowing and movement (23). Very violent sore throat in the morning on waking, with sensation as if the throat were „closed“19, accompanied by itching in right ear (3). Violent sore throat in the morning with swelling of cervical lymph nodes and pain over the whole body; aggravated by sun, ameliorated in the shade and during the course of the day (3). Sore throat on waking (disappeared at 11 a.m.) (3). Sore throat in the morning with sensation of irritation and with swelling; since waking and lasting for 2 hours; decreases during the course of the day, for several days (25).

Burning in throat (4) (2a) (11) and difficulty to articulate words while speaking, the speech is slow and salivation increased (4). Burning in throat at noon with aggravation by cold and secretion of stringy mucus of pharynx, with tickling, cough and increased salivation (2a).

Burning on swallowing and dryness, aggravated by damp weather and ameliorated by warm weather (2a). Burning in esophagus after eating spicy food (11). [320] Burning in throat and increased salivation (4).

Swelling and ulceration of tonsils with pain on swallowing, with difficulty moving head, neck and entire body (6a). Enlarged and red right tonsil, with purulent, yellow greenish cream and coating and metallic taste (2a).

More secretion from the right tonsil than from the left one (2a). Wakes up with pain in left tonsil with difficulty swallowing of saliva, the tonsils are swollen and ulcerated, especially the left one (6a).

Pain in tonsil as if by a fishbone, radiating to the ear (41). Approximately each hour sensation as if from needles in the right side of pharynx, appears suddenly, lasting for seconds, and repeats six times at intervals of approximately 5 minutes (34).

18 translator’s note: original Spanish: „Dolor como de dientes destemplados“, means that the teeth are hypersensitive, temperature sensitive to cold or hot food or drinks, resulting in pain 19 translator’s note: original Spanish: con sensacion de tenerla „cerrada“

19

Itching sensation in throat and nose, which provokes cough and lachrymation when breathing deeply (13).

Pain in tonsils, accompanied by aching pain in back (6).

Sensation of dryness and as if it were scratched when coughing (102). [330]

Dry and irritated throat on waking (4) (2a).

Sensation of a foreign body in throat, as if something were obstructing (23). Sensation of suffocation when drinking water (4).

Irritated throat, as if „closed“ (4) (25).

EXTERNAL THROAT

Swelling of lymph nodes on the neck on waking, ameliorated as day warms (3). Swelling of the left retroauricular gland, painless on palpation (104). Unbearable discomfort in tonsils with swelling of cervical glands, painful to touch, worse at night and accompanied by pain in temples (2a).

Itching on neck, followed by dryness (3). Itching and redness of skin of neck after seeing a person with dermatitis (3). Pimples on neck with much itching, which become enlarged by rubbing of clothes or necklace, the itching extends to the back (13). [340]

Pressing pain on the left side of neck, ameliorated by movement (25). Aching pain in muscles and joints of neck (6a). Pain in one lymph node below the left mandibular angle on pressure (36). Pain in neck, like torticollis, after drinking a cold drink, aggravated by turning the head to the left side (40).

STOMACH

Nausea, almost to the point of vomiting, at night and in the morning (102). Nausea with sensation of emptiness in stomach and with borborygmus in abdomen and flatulence one hour after breakfast (102). Nausea when brushing teeth (4) in the morning (102). Nausea at night with eructations after eating egg (102). Nausea before eating (103). [350] Nausea from eating snow (23). Nausea from the odor of ground bread20 (4). The odor of food is unpleasant (4). Nausea with increase of heat and salivation (4).

20 translator’s note: original Spanish: „pan molido“, translated literally: ground bread = breadcrumbs ? 20

Nausea and slight colic, dryness of mouth and tongue, accompanied by anxiety and difficulty to sleep (6). Nausea during pain (34). Nausea all day long and with sensation as if the wind were knocked out of her stomach, the same in the chest, behind the sternum, as if she were beaten, with strong desire to lie down and sleep (34).

Intense nausea, especially when seeing food (34). Nausea from odor of food (39).

Increased appetite (13) (102). [360] Very hungry, nothing satisfies – even after eating – craves everything (102). Increased appetite, especially in the morning (102). Much hunger with anxiety about eating (102). Sensation of hunger or craving, not satisfied by eating (4). Wants to eat without being hungry, with constant sensation of emptiness in stomach (4). Eats very well until satisfied and is ravenous after 2 hours, as if she had eaten nothing (13). Ravenous hunger at 12 p.m. with burning in stomach and esophagus, ameliorated by eating (34). Very hungry on rising (34). Huge appetite, yet a little food satisfies (2a). Sensation of hunger after eating with burning in epigastrium (38). [370] Always feels hungry (4).

Burning pain (4) (34) (23) (9) (38). Burning in epigastrium (4). Burning in stomach, ameliorated by eating (34). Burning pain in epigastrium, which is enlarged, aggravated by movement (at 11 p.m.), sensation as if the stomach were connected to the vagina by a cord (4).

Discomfort in epigastrium (4). Pain in epigastrium and mesogastrium (4). Pain in epigastrium one hour after eating (11 a.m.), as if there were something radiating up into the esophagus (34).

Increased thirst (102) (9) (4) (37) (2a). Thirst at night before lying