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Kent's - Classical Homeopathy Online

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mucous membrane of the tonsils and pharynx and all parts that can be seen are in a state of granulation,are swollen, congested and inflamed. The pharynx feels dry and there is a chronic sensitiveness andsoreness. When swallowing food there is stinging and sensation as if the throat were full of little sticks,especially after a moment's rest, better by moistening and swallowing. In the night air, after keepingstill a while, there is an accumulation of ropy mucus. This extends into the larynx with soreness in thelarynx and chest and chronic dry, hacking cough. The same catarrhal state proceeds down into theesophagus, so that it becomes sensitive and clumsy. He swallows with difficulty. The bolus goes downwith an effort and he feels it all the way down. There is soreness and clumsiness, paresis and difficultyof swallowing. This paralytic weakness reminds the patient that he must put on a little force in order toswallow and this swallowing is felt while the substance goes down as if the esophagus was sensitive. Ithas a catarrhal state of the stomach, bowels and rectum, so that with the soft and difficult stool there isoften an accumulation of mucus. There is also a catarrhal condition in the bladder, kidneys and urethraand an old gonorrhea will be prolongs into a catarrhal or gleety discharge. Sometimes it is not a gleet,but the discharge remains for many months and instead of its being a light milky white, such as isnatural in most prolonged cases of gonorrhea, it remains yellow and is painless. So it is with the vagina.The mucous discharge from the vagina is a thick yellowish-white discharge, sometimes excoriating.Thus we see, in the constitution we have described, that an extensive catarrhal state belongs to theremedy.When we come to the skin we find that it takes on a similar state of affairs. The patient issubject to all sorts of eruptions. The skin withers, becomes dry and is subject to eruptions, thickening,indurations, ulcerations. cracking and bleeding. The eruptions itch worse in the warmth of the bed Theskin itches, even when there is no eruption, when becoming warm in bed, so that he scratches until theskin bleeds. This presents an idea as to eruptions that you will have to consider. A patient comes to youcovered with crusts, and he says: "When I get warm at night I have to scratch, and I scratch until theskin bleeds".Now in Alumina it is very important to find out whether these crusts were produced by thescratching or whether the eruption came out as an itching eruption, for in Alumina in the beginningthere is no eruption. but he scratches until the skin is off and then come the crusts. You must hereprescribe not for the eruption, but for the itching of the skin without eruption. Now Mezereum,Arsenicum, Dolichos and Alumina the skin itches and he scratches until it bleeds, and then he getsrelief. Of course after this there is an apparent eruption because crusts form. As soon as the healingbegins the itching begins, and he is only relieved when the skin is raw. With the bleeding and moistureof the skin there is relief of the itching. Now some of the books do not make the distinction betweenitching without eruption and itching with eruption, and hence mostly all young doctors get to thinkingthat itching of the skin must always be associated with eruption, and make a mistake in figuring outwhat kind of an eruption it is. The skin thickens and indurates and ulcerates, and there are indurationsunder the ulcers. There is a very sluggish condition of both mucous membrane and skin with atendency to induration. Thickening of the mucous membrane will be found anywhere; after thethickening come little ulcerations,and in the course of time indurations are formed at the base of theulcers. The same thing is true of the skin. Dryness and burning run through everything and may be saidof all the mucous membranes and the skin in general.Chronic granular lids. If we turn the eyelids down we will see that the mucous membrane isthickened. Sometimes this thickening or hypertrophy causes a turning out of the lids like ectropion."The eyelashes fall out", that is in keeping with the general state. The hairs all over the body fall out.Parts become entirely denuded of hair; the hair of the scalp falls out extensively. All sorts of sounds inthe ears, buzzing etc., and derangement of hearing; purulent otorrhoea."Point of nose cracked" is in keeping with the remedy.Induration here and there so that it favors lupus and epithelioma in one who is subject to theseswellings and eruptions. Alumina and Alumen, like Ars., Lach., Sulph. and Conium, are medicines thatrelate to these troubles. Some of these have made brilliant cures where there is infiltration. Upon theskin of the face and other parts of the-body there is crawling. Itching especially when getting warm.Sensation of tension. Peculiar sensation about the face and other parts not covered by clothing, asensation of dried white of egg on the face, of dried blood or cobweb on the face. If you have ever beengoing through a place where there are cobwebs and a little cobweb has strung across your face you willknow what a peculiar sensation of crawling it produces, and you cannot leave it alone until it isremoved. That sensation particularly belongs to Alumina, Borax, Bar. c. Little crawlings and creepingsin the skin. Itching of the face. These symptoms are so irritating that the patient will sit and rub his faceall the time. You will think that he is nervous. He has the appearance of being nervous as he sitsrubbing the back of his hands. It is well to find out whether he does this because he cannot keep his

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