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Gummata

Gummata are growths of pink, fleshy tissue that contain syphilis bacteria; they may appear as nodules or ulcers or become tumor-like masses. Gummata are rare. When they do occur, they range from 1 mm to 1 cm in size. Common sites of gummata include the:

·        Skin, where they cause shallow open sores that heal slowly.

·        Mucous membranes. These gummas may become cancerous.

·        Bones, where they cause destruction of bones and pain that is especially severe at night.

·        Eyes, resulting in visual impairment that may lead to blindness.

·        Respiratory system, where they cause hoarseness, breathing problems, and wheezing.

·        Gastrointestinal system, where they cause stomach pain, inability to eat large meals, belching, and weight loss.

 

Remedy

Characteristics Symptoms

Patient Worse by

Patient Better by

 Asafoetida

Hysterical and hypochondriacal patients

 

Deep ulcerations, caries of bones, especially in the syphilitic organism; here the extreme sensitiveness and terrible throbbing, nightly pains

 

Boring pains in and around eyes

 

Syphilitic ozęna, with very offensive purulent discharge

 

Caries of nasal bones

 

Great difficulty in bringing up wind

 

Flatulence and regurgitation of liquid

 

Great distention

 

Forcible eructation of gas

 

Gurgling and rolling of wind, which escapes afterwards with loud and difficult eructation

 

Darting pain and caries in bones

 

Ulcers affecting bones; thin, ichorous pus

 

Itching, better scratching; ulcers painful on edges

At night

 

From tough

 

Left side

 

During rest

 

Warm applications

Open air

 

From motion

 

Pressure

Aurum Metallicum

Mental states of great depression; hopeless, despondent, and great desire to commit suicide; every opportunity is sought for self-destruction

 

Exostosis, caries, nightly bone-pains, especially cranial, nasal, and palatine

 

Palpitation and congestions.

 

When syphilis is implanted on the scrofulous constitution, we have one of the most intractable morbid conditions, and gold seems to be especially suited to the vile combination

 

Extreme photophobia

 

Great soreness all about the eyes and into eyeballs

 

Double vision; upper half of objects invisible

 

Sees fiery objects.

 

Violent pains in bones around eye

 

Pains from without inward in eyes; sticking pains inward

 

Nose ulcerated, painful, swollen, obstructed

 

Inflammation of nose; caries; fetid discharge, purulent, bloody

 

Boring pains in nose; worse at night

 

Putrid smell from nose

 

Appetite and thirst increased, with qualmishness

 

Urine turbid, like buttermilk, with thick sediment

 

Destruction of bones, like secondary syphilis

 

Pain in bones of head, lumps under scalp, exostosis with nightly pains in bones

 

Caries of nasal, palatine and mastoid bones

 

Soreness of affected bones, better in open air, worse at night

 

Sleepless; sobs aloud in sleep

 

Frightful dreams

In cold weather when getting cold

 

Many complaints come on only in winter

 

From sunset to sunrise

 

 Berberis Aquifolium

Skin, chronic catarrhal affections, secondary syphilis

 

Tongue thickly coated, yellowish-brown; feels blistered

 

Nausea and hunger after eating

 

Skin pimply, dry, rough, scaly

 

 Eruption on scalp extending to face and neck

 

 

Calcarea Fluorica

 A powerful tissue remedy for hard, stony glands, varicose and enlarged veins, and malnutrition of bones

 

Hard knots in female breast

 

Congenital hereditary syphilis

 

Induration threatening suppuration

 

Congenital syphilis manifesting itself in ulcerating of mouth and throat, caries and necrosis with boring pains and heat in parts

 

Vivid dreams, with sense of impending danger

 

Unrefreshing sleep

 

Marked whiteness of skin

 

Chaps and cracks

 

Fissures or cracks in the palms of the hands, or hard skin

 

Suppurations with callous, hard edges

 

Indolent, fistulous ulcers, secreting thick, yellow pus

 

Hard, elevated edges of ulcer, surrounding skin purple and swollen

 

Swellings or indurated enlargements having their seat in the fascię and capsular ligaments of joints, or in the tendons

 

Indurations of stony hardness

During rest

 

Changes of weather

Heat

 

Warm applications

 Carbo Animalis

Seems to be especially adapted to scrofulous and venous constitutions, old people, and after debilitating disease, with feeble circulation and lowered vitality

 

Glands are indurated, veins distended, skin blue

 

Easily strained from lifting

 

Ulceration and decomposition

 

All its secretions are offensive

 

Local congestions without heat

 

Eating tires patient

 

Weak digestion

 

Flatulence

 

Repugnance to fat food

 

Menses too early, frequent long lasting, followed by great exhaustion, so weak, can hardly speak, flow only in morning

 

Spongy ulcers, copper-colored eruption

 

Glands indurated, swollen, painful, in neck, axillę, groin, mammę; pains lancinating, cutting, burning

After shaving

 

Loss of animal fluids

 

Condurango

 Painful cracks in corner of mouth

 

Chronic gastric catarrh, syphilis, and cancer

 

Painful affections of the stomach; ulceration

 

 

Corydalis Formosa

Syphilitic affections

 Ulcers of mouth and fauces

Cancer cachexia pronounced

Gummata and night-pains

Chronic diseases, with atony

Tongue clean, broad, and full

Tissues flabby, doughy, cold.

Skin dry, scaly scabs on face of old people

Lymphatic glands swollen

 

 

 Fluoricum Acidum

Especially adapted to chronic diseases with syphilitic and mercurial history

 

Glabella region bloated

 

Acts especially upon lower tissues, and indicated in deep, destructive processes, bedsores, ulcerations, varicose veins, and ulcers

 

Patient is compelled to move about energetically

 

Complaints of old age, or the prematurely aged, with weak, distended blood vessels

 

Early decay of teeth

 

Caries of skin

 

Caries of ossicles and mastoid, with copious discharge; worse warmth

 

Chronic nasal catarrh with ulceration of the septum; nose obstructed and dull heavy pain in forehead

 

Syphilitic ulceration of throat, which is very sensitive to cold

 

Averse to coffee, wants fancy dishes

 

Stomach symptoms relieved by tight clothes

 

Desire for highly seasoned food

 

Craves cold water, hungry

 

Warm drinks produce diarrhea

 

Menses copious, frequent, too long

 

Ulceration of uterus and os

 

Copious and excoriating leucorrhea

Warmth

 

Morning

 

Warm drinks

Cold

 

While walking

 Iodum

Rapid metabolism: Loss of flesh great appetite

Great debility, the slightest effort induces perspiration

The individual is exceedingly thin, dark complexioned, with enlarged lymphatic glands, has voracious appetite but gets thin

Tremor

Craves cold air.

Acute exacerbation of chronic inflammation

Acts prominently on connective tissue

Acute catarrh of all mucous membranes, rapid emaciation, notwithstanding good appetite, and glandular atrophy call for this remedy, in numerous wasting diseases and in scrofulous patients

Iodine is warm, and wants cool surroundings

Weakness and loss of breath going upstairs

Tendency to ulceration

 

Ravenous hunger and much thirst

 

Empty eructations, as if every particle of food were turned into gas

 

Anxious and worried if he does not eat

 

Loss flesh, yet hungry and eating well

 

Urine frequent and copious, dark yellow-green, thick, acrid with cuticle on surface

 

Acrid leucorrhea, thick, slimy, corroding the linen

When quiet

 

In warm room

 

Right side

 

After eating.

Walking about

In open air.

Kali Bichromicum

The special affinities of this drug are the mucous membrane of stomach, bowels, and air-passages; bones and fibrous tissues

 

General weakness bordering on paralysis

 

Especially indicated for fleshy, fat, light complexioned persons subject to catarrhs or with syphilitic or scrofulous history

 

Pains migrate quickly, rheumatic and gastric symptoms alternate

 

More adapted to sub acute rather than the violent acute stage

 

Mucous membranes everywhere are affected

 

Catarrh of pharynx, larynx, bronchi and nose, and a tough, stringy, viscid secretion is produced

 

Perforation of the septum

 

Round ulcer of stomach

 

Dislikes water

 

Cannot digest meat

 

Desire for beer and acids

 

Stool jelly-like, gelatinous; worse, mornings

 

After urinating a drop seems to remain which cannot be expelled

 

Ropy mucus in urine

 

Syphilitic ulcers, with cheesy, tenacious exudation

 

Yellow, tenacious leucorrhea

 

Profuse, yellow expectoration, very glutinous and sticky, coming out in long, stringy, and very tenacious mass

 

Ulcer with punched-out edges, with tendency to penetrate and tenacious exudation

Beer

 

Morning

 

Hot weather

 

Undressing.

From heat

Kali Iodatum

Profuse, watery, acrid coryza

 

Glandular swellings

 

Syphilis may be indicated in all stages

1.      In acute form with evening remitting fever, going off in nightly perspiration

2.      Second stage, mucous membranes and skin ulcerations

3.      Tertiary symptoms; nodes. Give material doses

 

Diffused sensitiveness --(glands, scalp, etc).

 

Symptoms like loss of weight, spitting of blood, etc

 

Cold food and drink, especially milk, aggravate

 

Much thirst

 

Menses late, profuse

 

Rough nodules all over, worse any covering; heat of body intense

Warm clothing

 

Warm room

 

At night

 

Damp weather

Motion

 

Open air

Mercurius Solubilis

Secondary stage of syphilis where there is a febrile chloro-anęmia, rheumatoid pains behind sternum, around joints, etc; ulcerations of mouth and throat, falling of the hair, the eruptions and ulcerations of mouth and throat, etc

 

Tremors everywhere

 

Weakness with ebullitions and tremblings from least exertion

 

Complaints increase with the sweat and rest; all associated with a great deal of weariness, prostration, and trembling

 

A human "thermometer"; sensitive to heat and cold

 

Parts are much swollen, with raw, sore feeling; the profuse, oily perspiration does not relieve

 

Breath, excretions and body smell foul

 

Tendency to formation of pus, which is thin, greenish, putrid; streaked with thin blood

 

Great thirst, with moist mouth

 

Intense thirst for cold drinks

 

Menses profuse, with abdominal pains

 

Leucorrhea excoriating, greenish and bloody; sensation of rawness in parts

 

General tendency to free perspiration, but patient is not relieved thereby

At night

 

Wet, damp weather

 

Lying on right side

 

Perspiring

 

Warm room and warm bed

 

Mezereum

Skin symptoms

 

Affections of bones

 

Bruised, weary feeling in joints, with drawing and stiffness

 

Pains of various kinds, with chilliness and sensitiveness to cold air

 

Bone pains

 

Burning, darting sensation in the muscles; subsultus tendinum

 

Pains shoot upward and seem to draw patient up out of bed

 

Semi-lateral complaints

 

Patient is very sensitive to cold air

 

Desire for ham-fat

 

Mouth waters

 

Menses too frequent, soon, profuse

 

Leucorrhea like albumen; very corroding

 

Violent sexual desire

 

Ulcers itch and burn, surrounded by vesicles and shining, fiery-red areola

 

Bones, especially long bones, inflamed and swollen; caries, exostosis; pain worse night, touch, damp weather

 

Eruptions ulcerate and form thick scabs under purulent matter exudes

Cold air

 

Night

 

Evening until midnight

 

Warm food

 

Touch

 

Motion

Open air

Nitricum Acidum

Selects for its special seat of action the outlets of the body where the mucous membrane and skin meet; these pain as from splinters. Sticking pains

 

Acts best on the dark complexioned and past middle life

 

Syphilis, after abuse of Mercury

 

Pains appear and disappear quickly

 

Blisters and ulcers in mouth, tongue, genitals; bleed easily

 

All discharges very offensive, especially urine, feces, and perspiration

 

Persons who have chronic diseases, and take cold easily and disposed to diarrhea

 

Excessive physical irritability

 

Great hunger, with sweetish taste

 

Longing for indigestible things-chalk, earth, etc

 

Loves fat and salt

 

Urine scanty, dark, offensive; smells like horse's urine; cold on passing

 

Leucorrhea brown, flesh-colored, watery, or stringy, offensive

 

Menses early, profuse, like muddy water, with pain in back, hips and thighs

Evening and night

 

Cold climate

 

And also hot weather

While riding in carriage

Phytolacca

Aching, soreness, restlessness, prostration

 

Glandular swellings with heat and inflammation

 

Has a powerful effect on fibrous and osseous tissues; fascię and muscle sheaths; acts on scar tissue

 

Syphilitic bone pains

 

Cannot swallow anything hot

 

Menses too copious and frequent

 

Disposition to boils, and when sloughing occurs

Electric changes

 

Wetting

 

When it rains

 

Exposure to damp, cold weather

 

Night

 

Exposure

 

Motion

 

Right side

Warmth

 

Dry weather

 

Rest

Silicea

Increased susceptibility to nervous stimuli and exaggerated reflexes

 

Diseases of bones, caries and necrosis

 

Periodical states; abscesses, quinsy, headaches, spasms, epilepsy, feeling of coldness before an attack

 

Suppurative processes

 

Silica patient is cold, chilly, hugs the fire, wants plenty warm clothing, hates drafts, hands and feet cold, worse in winter

 

Lack of vital heat

 

Prostration of mind and body

 

Great sensitiveness to taking cold

 

Intolerance of alcoholic stimulants

 

Ailments attended with pus formation

 

Want of grit, moral or physical

 

Disgust for meat and warm food

 

Want of appetite; thirst excessive

 

Sour eructations after eating

 

Milky, acrid leucorrhea, during urination

 

Discharge of blood between menstrual periods; increased menses, with paroxysms of icy coldness over whole body

 

Frequent starts in sleep; anxious dreams; excessive gaping

New moon

 

In morning

 

From washing

 

During menses

 

Uncovering

 

Lying down

 

Damp

 

Lying on left side

 

Cold

Warmth

 

Wrapping up head

 

Summer

 

In wet or humid weather

Staphysagria

Sexual sins and excesses

 

Very sensitive

 

Desire for stimulants

 

Craving for tobacco

 

Canine hunger, even when stomach is full

 

Sensation as if a drop of urine were rolling continuously along the channel

Anger

 

Indignation

 

Grief

 

Mortification

 

Loss of fluids

 

Onanism

 

Sexual excesses

 

Tobacco

 

Least touch on affected parts

After breakfast

 

Warmth

 

Rest at night

Stillingia

Chronic periosteal rheumatism, syphilitic and scrofulous affections

 

Respiratory symptoms well marked

 

Aching pains in bones of extremities and back

 

Ulcers; chronic eruptions on hands and fingers

 

Syphilis, secondary eruption and later symptoms

In afternoon

 

Damp air

 

Motion

In morning

 

Dry air.

Sulphur

Heat and burning of skin, with itching; made worse by heat of bed

 

Inertia and relaxation of fiber; hence feebleness of tone

 

Ebullitions of heat

 

Dislike of water

 

Dry and hard hair and skin

 

Red orifices

 

Sinking feeling at stomach about 11 am

 

Cat-nap sleep

 

Dirty, filthy people, prone to skin affections

 

Aversion to being washed

 

Complaints that relapse

 

General offensive character of discharge and exhalations

 

Very red lips and face, flushing easily

 

Often great use in beginning the treatment of chronic cases and in finishing acute ones

 

Food tastes too salty

 

Drinks much, eats little

 

Milk disagrees

 

Great desire for sweets

 

Very weak and faint about 11 am; must have something to eat

 

Must hurry, sudden call to urinate

 

Great quantities of colorless urine

 

Menses too late, short, scanty, and difficult; thick, black, acrid, making parts sore

 

Leucorrhea, burning, excoriating

 

Talks, jerks, and twitches during sleep

 

Vivid dreams

 

Wakes up singing

 

Wakes frequently, and becomes wide awake suddenly

 

Catnaps; slightest noise awakens

 

Cannot sleep between 2 an 5 am

At rest

 

When standing

 

Warmth in bed

 

Washing

 

Bathing

 

In morning

 

11 am

 

Night

 

From alcoholic stimulants

 

Periodically

Dry, warm weather

 

Lying on right side

 

From drawing up affected limbs

Thuja

Pathological vegetations condylomate, warty excrescences, spongy tumors

 

Moist mucous tubercles

 

Bleeding fungus growths

 

Excess of venosity

 

Formation of wart-like excrescences upon mucous and cutaneous surfaces-fig-warts and condylomata

 

Rapid exhaustion and emaciation

 

Left-sided and chilly medicine

 

Complete loss of appetite

 

Dislike for fresh meat and potatoes

 

Rancid eructations after fat food

 

Cannot eat onions

 

Profuse leucorrhea; thick, greenish

 

Menses scanty, retarded

At night

 

From heat of bed

 

At 3 am and 3 pm

 

From cold, damp air

 

After breakfast

 

Fat

 

Coffee

 

Vaccination

Left side

 

While drawing up a limb

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