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Tinnitus

Remedy

Characteristics Symptoms

Patient Worse by

Patient Better by

Baryta Carbonica Specially indicated in infancy and old age

Scrofulous children, especially if they are backward mentally and physically, are dwarfish, do not grow and develop, have scrofulous ophthalmia, swollen abdomen, take cold easily, and then always have swollen tonsils

Very sensitive to cold

Offensive foot-sweats

Very weak and weary, must sit or lie down or lean on something

Very averse to meeting strangers

Crackling noise in ears

Reverberation in ear on blowing nose

Hungry, but refuses food

Constipation, with hard, knotty stools

Diminished desire and premature impotence

Menses scanty

Talking in sleep; awakens frequently; feels too hot

Twitching during sleep

After warm food

While thinking of symptoms

From washing

Lying on painful side

Walking in open air
Baryta Muriaticum Aged and dwarfish, both mentally and physically.

Hypertension and vascular degeneration

Increased tension of pulse

General feeling of lassitude in the morning, especially weakness of the legs, with muscular stiffness

Children who go around with their mouth open and who talk through the nose

Stupid-appearing, hard of hearing

Whizzing and buzzing in ears

Noises in ears on chewing and swallowing, or sneezing

Great increase in uric acid, diminution of chlorides in urine

   
Causticum Broken down seniles

Seems to choose preferably dark-complexioned and rigid-fibered persons

Restlessness at night, with tearing pains in joints and bones, and faint-like sinking of strength

Children are slow to walk

Dirty white sallow, with warts, especially on the face

Emaciation due to disease, worry, etc, and of long standing

Burning, rawness, and soreness

Ringing, roaring, pulsating in ears with deafness; words and steps re-echo

Greasy taste

Aversion to sweets

Feels as if lime were burned in stomach

Worse after eating fresh meat; smoked meat agrees

Involuntary urination when coughing, sneezing; expelled very slowly, and sometimes retained; involuntary during first sleep at night; also from slightest excitement

Loss of sensibility on passing urine

Menses cease at night; flow only during day; delay, late

Leucorrhœa at night, with great weakness 

Very drowsy; can hardly keep awake

Nocturnal sleeplessness, with dry heat, inquietude

Dry, cold winds

In clear fine weather

Cold air

From motion of carriage

In damp, wet weather

Warmth

Heat of bed

Chenopodium Stertorous breathing

Sudden vertigo

Affections of auditory nerves

Torpor of auditory nerve

Hearing better for high-pitched sounds

Comparative deafness to sound of voice, but great sensitiveness to sound, as of passing vehicles and also a shrinking from low tones

Buzzing in ears

Copious, yellow, foaming urine, with acrid sensation in urethra; yellowish sediment

   
Chininum Sulphuricum Marked periodicity and spinal sensitiveness

Violent ringing, buzzing, and roaring in ears, with deafness

Urine bloody; turbid, slimy, clay-colored, greasy sediment; small amount of urea and phosphoric acid with excess of uric acid and abundance of chlorides, accompanied by subnormal temperature; excessive flow

   
Chininum Salicylicum Tinnitus with deafness and Meniere's disease    
Cinchona Periodicity is most marked

Sensitive to draughts

Seldom indicated in the earlier stages of acute disease

Ringing in ears

Hearing sensitive to noise

Bitter taste

Food tastes too salty

Slow digestion

Weight after eating

Hungry without appetite

Flat taste

Milk disagrees

Hungry longing for food, which lies undigested

Flatulence; belching of bitter fluid or regurgitation of food gives no relief; worse eating fruit

Stool undigested, frothy, yellow

Excited lascivious fancy; frequent emissions, followed by great weakness

Menses too early; dark clots and abdominal distention; profuse menses with pain

Desire too strong

Bloody leucorrhœa; seems to take the place of the usual menstrual discharge

Drowsiness

Unrefreshing or constant stupor; wakens early; protracted sleeplessness

Anxious, frightful dreams with confused consciousness on waking, so that the dream cannot be rid of and fear of dream remains

Slightest touch

Draught of air

Every other day

Loss of vital fluids

At night

After eating

Bending over

Bending double

Hard pressure

Open air

Warmth

Graphites Especially active in patients who are rather stout, of fair complexion, with tendency to skin affections and constipation, fat, chilly, and costive, with delayed menstrual history, take cold easily

Children impudent, teasing, laugh at reprimands

Tendency to obesity

Cracking in ears when eating

Hears better in noise

Hardness of hearing

Hissing in the ears

Detonation in ear like report of a gun

Smell abnormally acute; cannot tolerate flowers

Rotten odor from mouth

Breath smells like urine

Sour eructations

Aversion to meat

Sweets nauseate

Hot drinks disagree

Urine turbid, with sediment; sour smelling

Menses too late, with constipation; pale and scanty, with tearing pain in epigastrium, and itching before

Leucorrhœa, pale, thin, profuse, white, excoriating, with great weakness in back

Sexual debility, with increased desire; aversion to coition; too early or no ejaculation

Warmth

At night

During and after menstruation

In the dark

From wrapping up

Kali Muriaticum White or gray coating of base of tongue

Snapping and noises in the ear

Fatty or rich food causes indigestion

Flatulence

Leucorrhœa; discharge of milky-white mucus, thick, non-irritating, bland

Rich food

Fats

Motion

 
Natrum Salicyclicum Lassitude, drowsiness, listlessness, tremor

Tinnitus of a low tone. Deafness

   
Pulsatilla Pre-eminently a female remedy, especially for mild, gentle, yielding disposition

Sad, crying readily; weeps when talking; changeable, contradictory

Seeks the open air; always feels better there, even though he is chilly

Symptoms ever changing

Thirstless, peevish, and chilly

When first serious impairment of health is referred to age of puberty

Great sensitiveness

Wants the head high; feels uncomfortable with only one pillow

Lies with hands above head

Hearing difficult, as if the ear were stuffed

Greasy taste

Dry mouth, without thirst; wants it washed frequently; frequently licks the dry lips.

Offensive odor from mouth

Food, especially bread, tastes bitter

Much sweet saliva

Alternations of taste, bitter, bilious, greasy, salty, foul

Loss of taste

Desire for tonics

Averse to fat food, warm food, and drink

Eructations; taste of food remains a long time; after ices, fruits, pasty

Bitter taste, diminished taste of all food

Flatulence

Dislikes butter

Heartburn.

Thirstlessness, with nearly all complaints

Two or three normal stools daily; no two stools alike

Increased desire to urinate; worse when lying down

Tardy menses; too late, scanty, thick, dark, clotted, changeable, intermittent

Leucorrhœa acrid, burning, creamy

Wide awake in the evening; first sleep restless

Wakes languid, unrefreshed

Irresistible sleepiness in afternoon

From heat

Rich fat food

After eating

Towards evening

Warm room

Lying on left or on painless side

When allowing feet to hang down

Open air

Motion

Cold applications

Cold food

Cold drinks, though not thirsty

Salicylicum Acidum Roaring and ringing in ears

Flatulence; hot, sour belching

   
Sanguinarinum Nitricum Voice altered, deep, hoarse    
Viola Odorata Has a specific action on the ear

Affects especially dark-haired patients

Shooting in ears

Aversion to music

Roaring and tickling in ears

Milky urine; smells strong

Cool air  
Adrenalinum Stimulation of the sympathetic endings

Constriction of the peripheral arterioles, with resulting rise in blood pressure

Slowing of pulse

Strengthening of heart beat

Sensation of thoracic constriction with anguish

   
Ammonium Carbonicum Stout women who are always tired and weary, take cold easily, suffer from cholera-like symptoms before menses, lead a sedentary life, have a slow reaction generally, and are disposed to frequent use of the smelling-bottle

Fat patients with weak heart, wheezing, feel suffocated

Very sensitive to cold air

Great aversion to water; cannot bear to touch it

Heaviness in all organs

Uncleanness in bodily habits

Swelling of parts, glands, etc

Acid secretions

Prostration from trifles

Taste sour; metallic

Great appetite, but easily satisfied

Stools difficult, hard, and knotty

Erection without desire

Leucorrhœa burning, acrid, watery

Aversion to the other sex

Menses too frequent, profuse, early, copious, clotted, black

Sleepiness during the day

Starts from sleep strangling

Evenings

From cold, wet weather

Wet applications

Washing

During 3 to 4 am

During menses

Lying on painful side and on stomach

In dry weather

Antipyrinum Pains and buzzing in ears

Urine diminished

Watery leucorrhœa

Rapid, weak, irregular pulse

Throbbing throughout the body

Contractures

Trembling and cramps

Crawling and numbness

General prostration

   
Arsenicum Album All-prevailing debility, exhaustion, and restlessness, with nightly aggravation

Great exhaustion after the slightest exertion

Irritable weakness

Burning pains; burning relieved by heat

Fear fright and worry

Septic infections and low vitality

Roaring in ears, during a paroxysm of pain

Metallic taste

Great thirst; drinks much, but little at a time

Craves milk, acids and coffee

Heartburn; gulping up of acid and bitter substances which seem to excoriate the throat

Long-lasting eructations

Stools small, offensive, dark, with much prostration

Urine scanty, burning, involuntary.; albuminous

Menses too profuse and too soon

Leucorrhœa, acrid, burning, offensive, thin

Disturbed, anxious, restless sleep; must have head raised by pillows

Suffocative fits during sleep

Sleeps with hands over head

Dreams are full of care and fear

Wet weather

After midnight

From cold, cold drinks, or food

Seashore

Right side

From heat

From head elevated

Warm drinks

Belladonna Always is associated with hot, red skin, flushed face, glaring eyes, throbbing carotids, excited mental state, hyperæsthesia of all senses

Dryness of mouth and throat with aversion to water

Heat, redness, throbbing and burning

Great children's remedy

No thirst, anxiety or fear

Stands for violence of attack and suddenness of onset

Humming noises in ears

Autophony-hearing one's voice in ear

Loss of appetite

Averse to meat and milk

Great thirst for cold water

Abhorrence of liquids; dread of drinking

Sexual desire diminished

Menses increased; bright red, too early, too profuse; very offensive and hot

Sleep restless, crying out, gritting of teeth; kept awake by pulsation of blood-vessels

Screams out in sleep

Starting when closing the eyes or during sleep

Sleeps with hands under head

Touch

Jar

Noise

Draught

After noon

Lying down

Semi-erect
Canchalagua Sore, as if bruised all over

Sensation of drops falling from and upon different spots

Buzzing in ears

   
Carboneum Sulphuratum Sensitive patients worse cold, wasted muscles

Lack of vital heat

Diminished sensibility of arms, hands and feet

Buzzing and singing noises like an æolian harp

Sexual desire lost, parts atrophied

Frequent profuse seminal emissions

Deep morning sleep with anxious, vexatious dreams

After breakfast

Bathing

Sensitive to warm, damp weather

In open air
Chenopodi  Glauci Aphis Noise in ears, as of cannon

No appetite for meat and bread

Urination frequent, copious and frothy

   
Cimicifuga Racemosa Tinnitus

Ears sensitive to least noise

Menses profuse, dark, coagulated, offensive with backache, nervousness; always irregular

Sleeplessness

Morning

Cold (except headache)

During menses; the more profuse the flow, the greater the suffering

Warmth

Eating

Cistus Canadensis Sensation of coldness in various parts

Hurts to protrude the tongue

Cool feeling in stomach before and after eating; cool feeling in whole abdomen

Desire for cheese

Cannot sleep from coldness in throat

Bad smelling leucorrhœa

Slightest exposure to cold air

Mental exertion

Excitement

After eating
Conium Old age, a time of weakness, languor, local congestions, and sluggishness

Debility

Weakened memory

Sexual debility found here

General feeling as if bruised by blows

Great debility in the morning in bed

Weakness of body and mind, trembling, and palpitation

Defective hearing; discharge from ear blood colored

Tremulous weakness after every stool

Much difficulty in voiding; it flows and stops again

Desire increased; power decreased

Menses delayed and scanty; parts sensitive

Leucorrhœa after micturition

Lying down

Turning or rising in bed

Celibacy

Before and during menses

From taking cold

Bodily or mental exertion

A few hours after meals

While fasting

In the dark

From letting limbs hang down

Motion

Pressure

From eating

Ferrum Phosphoricum Nervous, sensitive, anæmic with the false plethora and easy flushing

Prostration marked

Pulse soft and flowing

Noises in ear

Aversion to meat and milk

Desire for stimulants

Sour eructations

Urine spurts with every cough

Menses every three weeks, with bearing-down sensation and pain on top of head

Restless and sleepless

Anxious dreams

At night

4 to 6 pm

Touch

Jar

Motion

Right side

Cold applications
Ferrum Picricum Acts best in dark-haired patients, plethoric, with sensitive livers

Crackling in ears and low-pitched voice.

Humming in ears as from telegraph wires

   
Hepar Sulph Blondes with sluggish character and weak muscles

Great sensitiveness to all impressions

Sweating patient pulling blanket around him

Chilliness, hypersensitiveness, splinter-like pains, craving for sour and strong things

Feeling as if wind were blowing on some part

The side of the body on which he lies at night becomes gradually insufferably painful; he must turn

Whizzing and throbbing in the ears, with hardness of hearing

Longing for acids, wine, and strong-tasting food

Aversion to fat food

Frequent eructations, without taste or smell

Stool clay-colored and soft; sour, white, undigested, fetid; loss of power to expel even a soft stool

Urine voided slowly, without force-drops vertically, bladder weak; seems as if some always remained; greasy pellicle on urine

Menses late and scanty

Extremely offensive leucorrhœa; smells like old cheese

From dry cold winds

Cool air

Slightest draught

From Mercury

Touch

Lying on painful side

In damp weather

From wrapping head up

From warmth

After eating

Hydrastis Especially active in old, easily-tired people, cachectic individuals, with great debility

Cerebral effects prominent, feels his wits sharpened, head cleared, facile expression

Weak muscular power, poor digestion and obstinate constipation

Emaciation and prostration

Roaring in ears

Peppery taste

Bitter taste

Urine smells decomposed

Leucorrhœa, worse after menses; acrid and corroding, shreddy, tenacious

Sexual excitement.

   
Jaborandi Hot flushes, nausea, salivation and profuse perspiration

tremors and nervousness

Tinnitus

Saliva viscid, like white of egg

Free salivation, with profuse sweating

Scanty urination; pain over pubes with much urging

   
Kali Carbonicum Soft pulse, coldness, general depression, and very characteristic stitches

Sensitive to every atmospheric change, and intolerance of cold weather.

Fleshy aged people, with dropsical and paretic tendencies

Sweat, backache, and weakness.

"Giving-out" sensation.

Twitching of muscles

Itching, cracking, ringing and roaring in ears

Much saliva constantly in mouth

Bad, slimy taste

Flatulence

Desire for sweets

Sour eructations

Constant feeling as if stomach were full of water

Disgust for food

Easy choking when eating

Obliged to rise several times at night to urinate

Deficient sexual instinct; excessive emissions, followed by weakness

Drowsy after eating

Wakes about two o'clock and cannot sleep again

After coition

In cold weather

From soup and coffee

In morning about three o'clock

Lying on left and painful side

In warm weather, though moist

During day

While moving about

Kali Iodatum Diffused sensitiveness

Noises in ear

Saliva increased

Much thirst

Flatulence

Menses late, profuse

Corrosive leucorrhœa, with sub acute inflammatory conditions of the womb in young married women

Warm clothing

Warm room

At night

Damp weather

Cold food and drink, especially milk

Motion

Open air

Kali Phosphoricum Prostration

Weak and tired

Especially adapted to the young

Conditions arising from want of nerve power, neurasthenia, mental and physical depression; the causes are usually excitement, overwork and worry

Humming and buzzing in the ears

Breath offensive, fetid

Nocturnal emissions; sexual power diminished utter prostration after coitus

Very yellow urine

Excitement

Worry

Mental and physical exertion

Eating

Cold

Early morning

Warmth

Rest

Nourishment

Lachesis Very important during the climacteric and for patients of a melancholic disposition

Sensation of tension in various parts

Cannot bear anything tight anywhere

Nauseous taste

Craving for alcohol, oysters

Hungry, cannot wait for food

Menses too short, too feeble; pains all relieved by the flow

Intense excitement of sexual organs

Breathing almost stops on falling asleep

Sleeps into an aggravation

Sudden starting when falling asleep

Sleepiness, yet cannot sleep

Wide-awake in evening

After sleep

Sleeps into aggravation

Left side

In the spring

Warm bath

Pressure or constriction

Hot drinks

Closing eyes

Appearance of discharges

Warm applications

Lecithinum Mental exhaustion and impotency

Tired, weak, short breath, loss of flesh; symptoms of general break-down

Sexually weak

Loss of appetite

Thirsty

Craves wine and coffee

Urine scanty, with phosphates, sugar or albumen

   
Lithium Carbonicum Whole body is sore

Dizzy states with ringing in ears

Cannot endure slightest pressure of clothes

Turbid urine, with mucus and red deposit

In morning

Right side

Rising

Moving about

Mercurius Tremors everywhere

Weakness with ebullitions and tremblings from least exertion

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

Sweetish metallic taste

Salivary secretions greatly increased; bloody and viscid

Saliva fetid, coppery

Great thirst, with moist mouth

Putrid eructations

Intense thirst for cold drinks

Weak digestion, with continuous hunger

Urine dark, scanty, bloody, albuminous

Menses profuse, with abdominal pains

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

At night

Wet, damp weather

Lying on right side

Perspiring

Warm room

Warm bed

 
Mercurius Dulcis Pallor, flabby bloatedness, and turgid flaccidity

Offensive breath

Salivation

Constant flow of dark, putrid saliva; very offensive

   
Natrum Mur Great debility; most weakness felt in the morning in bed

Coldness.

Emaciation most notable in neck

Great liability to take cold

Dry mucous membranes

Constrictive sensation throughout the body

Great weakness and weariness

Oversensitive to all sorts of influences

Noises in ears; roaring and ringing

Loss of smell and taste

Immoderate thirst; unquenchable

Hungry, yet loose flesh

Heartburn, with palpitation

Sweats while eating

Craving for salt

Aversion to bread, to anything slimy, like oysters, fats

Has to wait a long time for it to pass if others are present

Menses irregular; usually profuse

Leucorrhœa acrid, watery

Sleepy in forenoon

Nervous jerking during sleep

Dreams of robbers

noise, music, warm room, lying down about 10 a m;, at seashore, mental exertion, consolation, heat, talking Open air

Cold bathing

Going without regular meals

Lying on right side

Pressure against back

Tight clothing

Parthenium General debility

Disordered vision

Tinnitus and pain in ears

After sleep

Sudden motion

After rising

Walking about

Petroleum Ailments from riding in cars, carriages, or ships;

Long-lasting complaints follow mental states-fright, vexation, etc

Noise unbearable, especially from several people talking together

Ringing and cracking in ears

Heartburn; hot, sharp, sour eructation.

Strong aversion to fat food, meat; worse, eating cabbage

Hunger, immediately after stool

Ravenous hunger; must rise at night and eat

Odor of garlic

Leucorrhœa, profuse, albuminous

Dampness

Before and during a thunder-storm

From riding in cars

Passive motion

In winter

Eating

From mental states

Warm air

Lying with head high

Dry weather

Phosphorus Tall, slender persons, narrow chested, with thin, transparent skin, weakened by loss of animal fluids, with great nervous debility, emaciation, amative tendencies

Great susceptibility to external impressions, to light, sound, odors, touch, electrical changes, thunder-storms

Suddenness of symptoms, sudden prostration, faints, sweats, shooting pains, etc.

Hearing difficult, especially to human voice

Re-echoing of sounds

Thirst for very cold water

Hunger soon after eating

Sour taste and sour eructations after every meal

Belching large quantities of wind, after eating

Very fetid stools and flatus; long, narrow, hard, like a dog's; difficult to expel

Urine turbid, brown, with red sediment

Lack of power; irresistible desire; involuntary emissions, with lascivious dreams

Menses too early and scanty-not profuse, but last too long

Leucorrhœa profuse, smarting, corrosive, instead of menses

Great drowsiness, especially after meals.

Vivid dreams of fire; of hæmorrhage

Lascivious dreams

Goes to sleep late and awakens weak

Short naps and frequent wakings

Touch

Physical or mental exertion

Twilight

Warm food or drink

Change of weather

From getting wet in hot weather

Evening

Lying on left or painful side

During a thunder-storm

Ascending stairs

In dark

Lying on right side

Cold food

Cold

Open air

Washing with cold water

Sleep

Platinum Metallicum Pre-eminently a woman's remedy

Tremulousness

Roaring and rumbling in ears

Fermentation, much flatulence

Ravenous hunger

Stool retarded; feces scanty; evacuated with difficulty; adheres to rectum, like soft clay; sticky stool

Stool as if burnt

Menses too early, too profuse, dark-clotted, with spasms and painful bearing-down, chilliness, and sensitiveness of parts

Excessive sexual development

Abnormal sexual appetite and melancholia

Sleeps with legs far apart

Sitting

Standing

Evening

Walking
Plumbum Metallicum Constrictive sensation in internal organs

Excessive and rapid emaciation

Tinnitus

Solids cannot be swallowed

Obstructed flatus, with intense colic

Urine scanty; albuminous; low specific gravity; emission drop by drop

Loss of sexual power

Disposition to yawn and stretch

At night

Motion.

Rubbing

Hard pressure

Physical exertion

Sanguinaria Right-sided remedy pre-eminently

Marked vaso-motor disturbances, as seen in the circumscribed redness of the cheeks, flashes of heat, determination of blood to head and chest, distention of temporal veins, burning in palms and soles

Burning sensations, like from hot water

Burning in various parts

Humming and roaring in ears

Aversion to butter

Craving for piquant things

Unquenchable thirst

Leucorrhœa fetid, corrosive

Menses offensive, profuse

Sweets

Right side

Motion

Touch

Acids

Sleep

Darkness

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

Lack of vital heat

Prostration of mind and body

Great sensitiveness to taking cold

Intolerance of alcoholic stimulants

Want of grit, moral or physical

Loud pistol-like report in ears

Sensitive to noise

Roaring in ears

Disgust for meat and warm food

Want of appetite; thirst excessive

Sour eructations after eating

A milky, acrid leucorrhœa, during urination

Discharge of blood between menstrual periods

Increased menses, with paroxysms of icy coldness over whole body

Sleeplessness, with great orgasm of blood and heat in head

Frequent starts in sleep

Anxious dreams

New moon

In morning

From washing

During menses

Uncovering

Lying down

Damp

Lying on left side

Cold

In winter

Warmth

Wrapping up head

Summer

In wet or humid weather

Sulphur 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, and cat-nap sleep

Aversion to being washed

When carefully-selected remedies fail to act, especially in acute diseases

Complaints that relapse

General offensive character of discharge and exhalations

Very red lips and face, flushing easily

Whizzing in ears

Complete loss of, or excessive appetite

Putrid eructation

Food tastes too salty

Drinks much, eats little

Milk disagrees

Great desire for sweets

Great acidity, sour eructation

Water fills the patient up

Must hurry, sudden call to urinate

Great quantities of colorless urine

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

Leucorrhœa, 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

Sulphonalum Profound weakness, gone, faint feeling, and despondency

Loss of control of sphincter

Muscular in co-ordination

Albuminuria, with casts

Scanty urine; pink color

Constant desire to urinate; scanty, brownish red

Fidgety, wakeful, drowsy

   
Digitalis Pulse is weak, irregular, intermittent, abnormally slow

Slow pulse in recumbent posture, but irregular and dicrotic on sitting up

Faint, as if dying

Bluish appearance of face

Prostration from slight exertion

Cracking sounds during a nap

Sweet taste with constant ptyalism

Copious salivation

White, chalk-like, ashy, pasty stools

Starts from sleep in alarm that he is falling from a height

Continuous sleepiness

When sitting erect

After meals

Music

When stomach is empty

In open air.

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