THE MIND Child of the union of the syphilitic and psoric dyscrasias presents a picture of ‘the problem child”- slow in comprehension, dull, unable to keep a line of thought. Unsocial-keeps to himself and becomes sullen and morose. (R)
*See note under “Syphilis.”
Temporary amelioration by offensive foot or axillary sweat- which when suppressed often induces lung trouble or some other severe disease.
Patient is better of mental symptoms by an outbreak of an ulcer.
The epilepsy of PSORA or the true insanity of PSORA is usually of a TUBERCULAR nature, that is latent SYPHILIS and PSORA.
Malignant cases have all the miasms present.
The mental symptoms arising from moral insanity usually arise from a mixed miasm and sycosis combined with PSORA figures largely in the criminality of our country.
Vertigo in the base of the brain are apt to the be of a SYCOTIC or SYPHILITIC nature or many be of TUBERCULAR origin.
Headaches occurring every Sunday or on rest days, worse riding in carriage, or are due to the least unusual ordeal, as preparing for examinations; meeting with strangers and entertaining them. Headaches with deathly coldness of hands and feet, with prostration, sadness and general despondency.
Headaches with red face and rush of blood to head, or at certain hours of the day, usually in the forenoon; headaches better rest, quiet, sleep, eating.
Headache better nose-bleed -in fact, anything better nose bleed is tubercular.
Prosopalgia or persistent headache not easily ameliorated by treatment.
A TUBERCULAR or SYPHILITIC headache will often last for days and is very sever, often unendurable, sometimes with sensation of bands about the head. Many are due to effusion. Patient often has a weak feeling about the head- cannot hold it up, and sometimes they are so severe as to produce unconsciousness, rolling or boring of the head into the pillow, ocular paralysis, moaning with feverishness and restlessness or patient is stupid, dull or listless, even semi-conscious. Rush of blood to head, or face with roaring in ears, with determination of blood to chest, hot hands and feet, have to bathe them in cold water. See Phos and Opium. Sometimes headaches are worse heat. This shows the amelioration to be found in the SYPHILITIC miasm by cold.
In the SYPHILITIC or TUBERCULAR headaches of children, they strike, knock or pound their heads with their hands or against some object.
Hair dry like tow. Hair dry, dead, like hemp from old rope.
Hair moist, glues together.
Offensive odour, from head.
Hair very oily and greasy.
Hair falls out after abdominal and chest diseases or after parturition.
Moist eruption in hair.
Sever itching of scalp with moist, offensive, matted hair.
Musty odour from hair like old hay.
Fetid, sour, oily (child).
Hair mats together. Hair a mass of thick crusts of dried pus & excrement.
Crooked, bent, curved or broken eyelashes imperfect lashes.
Thick yellowish bland pus.
Offensive discharges from behind and about the ears. Cracks about the ears.
Moist eczematous eruptions about scalp.
Scalp is moist, perspiring copiously.
Head large, bulging, often open.
Scalp eruptions moist with copious.
A thick yellow heavy crust is apt to be TUBERCULAR or SYPHILITIC in origin.
Heat of head worse at night.
Aversion to having head uncovered.
EYES AND VISION
Astigmatism and other marked refractory changes due to malformation. Changes in the lens as in sclera, choroid, ciliary body & iris Process that change organs and give us perversions of form or shape and size.
Aversion to light. Photophobia but much more marked in TUBERCULOSIS and SYPHILIS.
Dreads artificial light more than sunlight.
Disturbances in the glandular structures or in the lachrymal apparatus.
Pustular diseases as found in many cases of granular lids.
Ulcerations and specific inflammation; ciliary blepharitis, acute or chronic; scaly red lids, angry looking.
Thick copious pus formation or discharges, especially if greenish or yellowish-green, are distinctly TUBERCULAR or SYCOTIC.
Arthritic or rheumatic eye troubles are worse light or after sunset and generally better hot applications.
Styes on eyes.
A chronic dilation of the pupil in children or women. When these patients are affected with exanthematous fevers of any form there is a strong tendency to inflammatory stasis of the eye, and serious eye troubles are apt to follow.
All organic ear troubles.
Suppurative processes and destruction of the ossicles of the ears.
Ear often a safety valve in tubercular children. Abscesses relieve quite severe meningeal difficulties. They show up so frequently in measles, scarlet fever, etc. Here the tubercular element comes readily to the surface in the form of suppuration of the middle ear. More frequently aroused by fever.
All blood vessels are abnormal from capillaries to arteries, their walls are all defective and usually unduly dilated.
Peculiar carrion-like odour from these aural abscesses very characteristic.
Often discharges cheesy or curdled. If free from ear troubles these children invariably suffer from throat affections, especially tonsils, They appear well in the daytime and free from pain but at night their sufferings begin, and they often scream with ear-ache. They may begin as early as the first year and go on until puberty. The least exposure to cold or slightest draught brings on an attack. Occasionally we have prolonged febrile attacks with great suffering, suddenly better for the breaking of an abscess. Quite often their general health is better even when the ear is discharging copiously of this tubercular foul smelling pus.
Ears look pale, white, often cold, and in the blood vessels enlarged bluish in colour traceable in the tissues.
Eczematous eruptions about the ears and especially the humid eruptions, pustules, fissures and incrustations behind the ear.
NOSE AND SMELL.
Nose haemorrhages are profuse, bright red, difficult to arrest and are better cold applications. Over heating, over exercise will often bring them on.
The tubercular child will have a haemorrhage from the nose on the slightest provocation-blowing the nose, a slight blow, or washing the face even will produce it in some people.
Headaches, vertigo and congestions to the brain and head are often ameliorated by nose-bleeds.
In worst form of hay fever where there is much sneezing and with much local trouble it often depends on the tubercular taint with an acquired latent SYCOSIS ingrafted. Discharge soon becomes thick, purulent and sometimes bloody.
Hay fever is an expression of SYPHILIS and LATENT SYCOSIS very often with a PSORIC taint (R)
Rush of blood to surface inducing great heat.
Catarrhal discharge is thick, usually yellow and of the odour of old cheese or sulphate of hydrogen, and is constantly dropping down the throat.
In lupus of the nose the three miasms are usually present.
Eyes sunken with blue rings.
Circumscribed red spots on cheeks, usually appearing afternoon or evening.
Flashes of heat to face, head and chest.
Red lips where blood is almost ready to ooze out.
Reddish millet-sized papules on nose, cheeks, chin and ulcers in corners of mouth.
Deep fissures in lips.
In tubercular fever face is pale or with circumscribed red spots on cheeks.
Paleness of face on rising and even after eating. One cheek red, the other pale; one cheek hot, the other cold.
Tubercular face is round, skin fair, smooth and clear, with that waxy smoothness and complexion; eyes bright and sparkling, eyebrows and eye-lashes soft, glossy, long and silken, thin lips.
We have the high cheek-bones, thick lips, almost like a African, in some cases the skin of the face is rough, voice coarse, deep, often hollow, eyelids red, in flamed, scaly crusty lashes, broken, in stubby, irregularly curved & imperfect In these cases the SYPHILITIC or Tubercular element predominates in latent from.
The face and head is often seen to be in the shape of a pyramid, with apex at the chin. The nose may be well shaped, the features sharp, eyes unusually bright and sparkling, nostrils small, opening narrow and the least obstruction in the nose induces them to breathe through the mouth, which causes an imperfect expansion and filling of the lungs.
We may not see the flashes of heat or circulatory expressions we see in the other expressions of the tubercular face; indeed the face looks fairly well, even in the last stages of disease, when other parts of the body become emaciated and show marked signs of the disease.
CAVITY OF THE MOUTH, TEETH AND GUMS.
Swelling and induration of glands and such pathological changes as we see taking place in the teeth or dental arches are if a SYPHILITIC or TUBERCULAR diathesis.
Haemorrhage of mouth, excessive bleeding of gums (unless Syphilis is actually present) — often they will bleed at slightest touch.
Gums recede from teeth or they are soft and spongy. The dental arch is imperfect, irregular, or teeth are imperfect in form, club shaped, or they come in an imperfect or irregular order, often decaying or becoming carious before they are entirely through the gums. They appear often with much pain and suffering, accompanied with constitutional disturbances, often, a marked degree, such as diarrhoea, dysentery, spasms, convulsions, febrile states, abscesses of the middle ear, disturbance of digestion, meningeal congestion, and meningeal inflammation. These children cannot endure EXTREMES or heat or cold.
Putrid or taste of blood or pus. Expectoration of pus that tastes sweet. Salty taste or a rotten-egg taste.
Taste of blood; it may or may not come during menstrual period but is present frequently in morning.
All metallic tastes make us think of SYPHILIS or that the TUBERCULAR element is present.
Any miasm may have a partial or complete loss of taste.
VERY IMPORTANT. Taste should be neutral and any perversion of falsification has a miasmatic basis
Foul taste of Nux-vom worse morning.
Bitter taste of Bryonia worse morning.
Nat mur and Phos have a bloody taste.
Aloes has a bitter taste yet cures inky taste.
Elaps cor has bloody taste before coughing.
Mercury has a metallic taste.
Hepar and Tuberculinum and Pyrogen have taste of pus before coughing.
DESIRES AND AVERSIONS
Extremists; like hot or really cold things.
Long for indigestible things, chalk, lime, slate, pencils, etc.
If the system is not assimilating a certain thing they will crave it; this is seen more in young girls, in children and in pregnant women. They are great cravers for peculiar things-salt- and will eat it alone from the dish. They eat more salt than all the family put together. Long for stimulants, beer, wines or hot aromatic things.
Desires and cravings for the unnatural things to eat, with desires and cravings for narcotics such as tea, coffee, tobacco and any other stimulants, have often their origin in PSORA or PSEUDO-PSORA.
Craves potatoes and meat.
All toxic drugs become sooner or later prime disturbers of psora or the chronic miasm in general but particularly PSORA.
Desires and aversions stand high in therapeutic value as they are basic miasmatic symptoms next in importance to perverted mental phenomena in disease.
Faint if hunger is not satisfied or extreme hunger with all gone, weak, empty felling in the stomach (but with psoric origin.)
They sometimes have constant hunger and eat beyond their capacity to digest, or they have no appetite in the morning but hunger for other meals. Great desire for certain, things but when he receives them; in fact they are repugnant to him. (We see this perhaps more in children than in adults.)
Weak, “all-gone” sensation.
Hunger soon after food. Hunger with “all gone” sensation in pit of stomach 10 a.m. or between 10 and 11 a.m.
Crave meat, many reject the fat.
Thrive better on fats and fat foods; also require much salt. Starches are not easily digested by them.
Desires salty fish.
Desire cold things to eat and drink.
“The cravings and longings of the patient are basic miasmatic phenomena of great therapeutic value.
CHEST, HEART AND LUNGS.
The curves and lines of chest are imperfect, the chest is often narrow, lacking not only width laterally, but depth anterio- posteriorly, the subclavicular spaces are hollow, or certain areas sunken or depressed; quite often one lung is larger than the other, or the action of one is accelerated and the other lessened; one side is fuller than the other, showing a better development and a greater respiratory area, often the expansive power of the lungs is greatly limited and the amount of residual air lessened.
Breathing is not so full and resonant, although there may be no impediment or obstruction in the air cells or passages. Shoulders are rounded, inclined forward infringing on the chest area, and the free lung action. Poor breathers, they have no desire to take a full respiration, seldom do we find them breathing diaphragmatically. thus the lung never comes to its fullest expansion and the air cells are not brought into use and simply become diseased from lack of that life-giving principle they should receive from oxygen. From lack of work they atrophy and become useless, the least obstruction glues them together and destroys their office.
Afraid of cold air.
Worse on least exposure to cold.
Voice coarse, deep with base-like chest tones, throat slightly sore at times, a rawness and a croak-like sounds develops in voice; constant desire to hawk or clear throat; of a viscid, scanty mucus.
(Sore throats of Hepar and Phosphorus)
Cough-deep prolonged, worse morning and when patient first lies down in evening. Expectoration purulent, or muco purulent and in advanced, cases greenish yellow, often offensive and usually sweetish to taste, or salty. (Dependable indication of the combined psoric and syphilitic taints. (R))
Sometimes it smells musty or offensive; or it may be bloody or followed with haemorrhage. Cough deep ringing, hollow, no expectoration or none to speak of.
Cough can be dry and tight and induce headache, or whole body shaken by paroxysms. These people are always full of hope-the last thing that they think of is that they are incurable- or death. Always planning for the future, building castles.
Glandular changes in cervical region (this often precedes the lung changes). Weakness, anxiety difficult respiration, laboured respiration.
Sense of great exhaustion, easily made tired, never seems to get rested; tired at night; tired even after sleep; as the day advances they become better or as the sun ascends their strength revives a little, as it descends they lose it again.
These patients are often worse in the night-which they dread- and they long for morning (this comes from the SYPHILIS part).
Look out for patients with the nightly aggravation, no matter what the pathology may be.
The non-resistance of the tissues, the slightest bruise suppurates- the strong tendency is to pustules. The same may be said of the pus-like nature and copiousness.
A rush of blood to the chest especially in the young.
Violent palpitations with beating of the whole body.
Heart troubles are accompanied with fainting, temporary loss of vision, ringing in the ears, pallor and great weakness worse sitting up and better lying down, usually. Cannot climb mountains as disturbed circulation affects brain and they become dizzy and faint, often fainting away when they get to a rarified atmosphere. Brain becomes anemic at a high altitude.
Small thread-like pulse and quick.
In these cases, there is a gradually falling away of the flesh, rush of blood to the chest and face.
The dyspnoea is often painful in PSORA or PSEUDO-PSORA. The dropsies or the anasarcas of the PSORIC or PSEUDO-PSORIC are always greater than SYCOTIC- they smother or drown the patient before death takes places.
The SYPHILITIC and SYCOTIC heart conditions are much more dangerous than the psoric, but the PSORIC patient worries about his condition, takes his pulse frequently, fears death and remains quiet. In the combination of SYCOSIS and PSORA we get the right soil for valvular and cardiac disturbances with changes in organ structure; these are the condition that cause the fatalities. With these sycotic heart conditions there is none of the and apprehension that we find in PSORIC patients. (R)
Patients easily chilled about the abdomen causing colic or diarrhoea, dysentery and many severe bowel troubles to follow.
We often find the worst forms of constipation or inactivity of the bowels in PSORIC AND PSEUDO-PSORIC patients.
You can often feel the beating of the carotids through abdominal wall.
In children we find ulceration of umbilicus with a yellowish discharge which smells offensive, carrion-like.
In menstrual difficulties we may find reflex pains, spasmodic symptoms and bearing down sensations, especially in tubercular patients. Skin is pale with an underlying bluish tint showing the venous stagnation.
Hernia-seldom found outside the tubercular organism.
Usually found in flabby, soft-muscled people. Hernia is due to this lack of tone in the muscular system throughout the whole abdominal region. The shape of the tubercular abdomen is saucer- shaped or as a large plate turned bottom side up.
BOWELS AND INTESTINAL TRACT.
Morning aggravation in bowel troubles, Still more sensitive to cold.
In bowel difficulties, gone empty feelings in the abdominal region; sometimes it is a great weakness after stool, felt only in the region of the abdomen.
General exhaustion or loss of strength a feeling as if all vitality is leaving patient at each evacuation of the bowels.
True SYPHILITIC or TUBERCULAR, patients are worse at night; they are driven out of bed by their diarrhoea sometimes this is accompanied with profuse warm or cold perspiration, which is very exhausting and debilitating
It is characteristic of these tubercular children suffering from bowel troubles to develop a sudden brain stasis, or brain metastasis. Sometimes the tubercular manifestations in the brain alternate with a bowel difficulty.
Verbascum Alb., Arsen., Camphor and Cuprum Met. diarrhoeas and dysenteries are so characteristic in tubercular patients. They look well to-day have a sudden attack of dysentery and are dead within 48 hours.
Podophyllum has painless, copious, yellowish and very offensive stool worse at night and morning and worse for milk. A tubercular child cannot use cow’s milk in any shape. Least exposure to cold brings on diarrhoea in tubercular children.
On beginning of eruption of the first teeth diarrhoea starts in tubercular babies; puls at this stage loss of power to assimilate bone-making material in food.
Croton Tig.: stool of tubercular children is strongly tainted with SYCOSIS. Sanguinaria. Phosphorous, Kali-carb., Tuberculinum and Stannum are quite typical of the tubercular discharges.
Sometimes in tubercular children stools are ashy or grey in colour showing lack of bile matter.
Child smells musty-mouldy.
In severe cases of bowel trouble child is fretful, peevish and whiney, does not want to be touched or looked at; prostration after stools marked.
They are worse milk potatoes, meat, and worse motion.
Before stool there is often vomiting and retching.
Stool with much slimy mucus or where much blood passes after stool.
Pin worms or intestinal worms but are found more plentiful in children with TUBERCULAR taint.
Rectal diseases alternating with heart, chest or lung troubles- especially of asthma and respiratory difficulties; e.g., haemorrhoids if operated on or suppressed are followed by lung difficulties or asthma and not infrequently by heart troubles.
Haemorrhage from rectum.
Prolapsus of rectum in young children. The bowel difficulties are so frequently accompanied with febrile states, delirium, gastric disturbances vomiting, purging with exhaustive purging stools.
Cancerous affection, malignant growths and such diseases have as a rule ALL the miasm present, especially the sycotic and TUBERCULAR combined PSORA can never be left out of malignancies, no matter what other element may combine with it; it fathers them all.
Anxiety and much loss of strength after urination.
In tubercular diathesis, especially in nervous or neurotic patients, urine is pale, colourless and copious with very little solids present.
Diabetic patients are usually strongly tubercular with diathesis strongly marked.
Urine offensive and easily decomposed, odour musty, like old hay or foul smelling- even carrion-like.
In tubercular children urine may be involuntary at night as soon as the fall asleep. Also copious This is why Calcareacarb cures so many as the pseudo-psora must be tackled.
Prostatic troubles in cases where we have constant loss of the prostatic or seminal fluid, consumption sometimes develops.
These patients live in gloom with depressed spirits, gloomy forebodings, poor digestion, loss of energy, want of memory. Livid or ashy complexion, appetite often voracious as system calls for more food than it can properly take care of, when finally gastric derangements follow, until the organism fails to perform any function in a proper manner.
In rectum we find many conditions of tubercular origin, as strictures, fistulae, sinuses and pockets. (R)
THE SEXUAL SPHERE
Many psychopathic sexual perversion-these may be even worse in the TUBERCULAR PATIENT.
Menstruation. An exhaustive and often prolonged and copious flow. Haemorrhage bright red, sometimes accompanied with vertigo, faintness, and with pallor, worse by rising from recumbent position. Frequently they are too soon appearing even 2 to 3 weeks; they may or may not be painful, but are always exhausting. Feels badly a week before.
Suffering in many ways with headaches, backaches, gastric disturbances, neuralgias, etc. Occasionally menses appear with diarrhoea. with epistaxis, with febrile states, optical illusions, roaring in the ears, sensitiveness to noise, loss of appetite, abnormal pains, nausea and bitter vomiting. After the flow patient looks pale with dark rings or circles about eyes; or hollows eyed with a worn exhausted look. Hysterical symptoms often arise, of any form or degree in severity and often they are most difficult to treat.
Flow is often pale, watery and long lasting, as seen in Calcarea Carb. and Ferrum, etc.
Extremities are usually cold and often menstrual flow will induce general anaemia in young women from 17 to 21. They become chlorotic.
Often complexions become pale, assuming yellowish or ashen hue, accompanied by starchy or watery leucorrhoeas, palpitation of the heart, faintness and loss of vitality generally; later general weakness, flushing in the face, vertigo, ringing in the ears, hoarseness, dry tickling spasmodic cough and finally a true tubercular condition develops. Often they are very sad, gloomy anxious full of fanciful notions, forebodings with much fear; extreme sensitiveness, nervous irritability and inclination to weep.
Menses flow bright red, or light coloured and watery. We sometimes see nausea and vomiting, extreme purging of the bowels with diarrhoea or dysentery, fainting, cold sweat on forehead, but flow is seldom if ever clotted; being usually fluid-like, profuse, light red, watery and seldom offensive, and not infrequently it has the odour of fresh blood.
Leucorrhoea usually purulent but may be watery mucus.
Patient often debilitated and worse before flow or immediately after it begins.
Deep, thick yellow, or yellowish green. Sometimes lumpy, thick, albuminous or purulent.
Retroversions and retroflexions and malpositions of uterus.
In marked cases of this diathesis uterus is retroverted or retroflexed and many sufferings date from puberty.
Relaxed muscular system throughout, easily exhausted easily tired, menses copious, too early and long lasting, accompanied with backache, reflexes of all kinds, etc.
Labours at childbrith are often difficult, severe and prolonged and exhausting and many are unable to feed their children.
UPPER AND LOWER EXTREMITIES
Neuralgia pains either PSORIC or PSEUDO-PSORIC usually better by quiet rest and warmth. often worse motion and better rest and warmth.
Tubercular joint troubles have increased in osseous tissue, nodular growth similar to syphilis. Bones are soft, rickety and curved. SYPHILITIC element – feet become deformed because legs cannot take weight of body.
The periosteal difficulties are due to periosteal inflammations or tertiary or tubercular changes in the bones themselves.
The TUBERCULAR and SYPHILITIC bone pains are very similar both as to their character and times of aggravation.
In nails we have many inflammatory changes due to SYPHILIS & TUBERCULOSIS. We have in both, true onychia though not of such specific character in the TUBERCULAR process as in the tertiary SYPHILIS. Paronychia is tubercular as met with in pale-skinned, anaemic tubercular subjects. Pustules form often on lower extremities or about fingers or hands.
The nails of these patients are brittle, break or split easily, often hang-nails. Nails thin as paper, bend easily and are convexity is reversed.
Spotted nails, show white specks sometimes anterior edges are serrated or slightly scalloped. Often pustular inflammation about the nail. Often nails drop off and grow again.
Perosteal inflammation commonly known as felon or periphalangeal cellulitis.
Fingers are long and do not taper gradually are blunt or club- shaped at “extremities.” This long-fingered individual with the lengths so irregularly arranged is characteristic. Often hand is thin, soft and flabby and easily compressed, usually very moist or often cold, damp perspiring profusely.
The same re feet : Coldness of hands and feet is very marked but the patient is not always conscious of it.
We see types in remedies such as Calc, Carb., Baryta. Carb., Baryta. Iodium, Iodine and silica.
Warm air very annoying, cannot endure much cold neither can they endure much heat.
Chilblains are based on all the miasms- we have the PSEUDO- PSORIC taint, with SYCOTIC element as a basis- that is why they prove such a dreadful disease producing agent when suppressed by local measure.
Boils-they may depend on both PSORIC and PSEUDO-PSORIC influences.
Boils with much suppuration.
Paralytic disease, edematous swellings anasarca & such as SYCOTIC, SYPHILITIC and PSEUDO-PSORIC.
General muscular weakness and loss of power in ankles.
Clumsy-awkward, lack co-ordination- they are always falling. They drop things. They tire easily when walking and especially when climbing a height.
This patient is short-winded, climbing stairs tires out the patient.
White swelling of joints or idiopathic synovitis even rheumatic forms have this tubercular element very marked.
Drop wrist-weakness or loss of power in tendons about joints. In children and young people ligaments about joints easily sprained. ankles turn easily from the slightest mis-step, wrists show the same weakness; playing the piano or operating a typewriter causes swelling, soreness or pain in wrist joints. Lack energy as well as strength.
Weakness of the ankle joints is a sure indication of the presence of a SYPHILITIC taint in combination with the PSORIC stigma. (R)
Skin affections with glandular envolvement will necessarily have the SYPHILITIC or TUBERCULAR element to conform with the glandular envolvement.
In varicose veins the TUBERCULAR taint predominates, and it is in these patients that we see the varicose ulcers, the last skin lesion to make its appearance in a case of ancient or hereditary syphilis that has already become, and now is, largely PSEUDO- PSORA.
In ecchymosis or any form of purpora there is a PSEUDO-PSORIC basis.
Hyperidrosis and Bromidrosis.
Abscess and ulcers.
Fine, smooth clear skin.
(Nat., Murex, Hepar and Silicea good examples).
Abscess and ulcerations after injuries. Bee or bug affect these patients badly, Impetigo.
The patients often have benign or malignant tumours.
In TUBERCULAR and SYPHILITIC patient we see much scarring and increase in cicatricial tissue.
In the lymphatic temperament we see the malignancies-we find here rich soil for Gonorrhoea and Syphilis. In tubercular patients we have so much difficulty in eradicating acquired syphilis or gonorrhoea.