A climbing plant with a glabrous stem; leaves alternate. Uniformly cordate, pedati-nerved, with reticulate little veins between the nerves; they are supported by long petioles, furnished with a large, entire, reni-form, amplexicaule stipule. Flowers solitary, upon a sulcate peduncle from four to five inches long.
Perianth single, large, of a yellowish brown, tuberculated, curved, divided into two lips; the upper lip sharp, lanceolate, and somewhat bent outwards; the lower lip, twice as long as the other, at first dilated at the base, and expanding into a large oval disk with undulate borders. The whole flower is covered with prominent nerves. Stamens six epigynous. Ovary glabrous, surmounted by a stygma with six short and rounded lobes. We employ the flower.
First day. -1. Restless sleep. He dreams that he is neither able to work, drink or walk. Gurgling at the right frontal eminence, for one minute. Doughy mouth the whole morning. 5. Thirst. Pain in the right groin. Numbness of the left leg. Numbness of the lower part of the calf. Borborygmi in the stomach and bowels. 10. Lancinations in the whole of the left lower limb. The left leg is red and swollen. The head feels heavy. Very thirsty, with bitter mouth. No appetite. 15. Stitch in the ball of the left thumb, at half past three in the afternoon. Torpid sensation at the vertex. Pricking in the right testicle. Pricking at the right thigh. Pricking at the lower part of the left leg. 20. Itching at the inside of the left thigh. Prickings here and there, over the body. Pain at the ball of the right thumb, at 7 in the evening. Torpid sensation in the cerebellum. Stitch under the heel. 25. Itching at the left outer ankle, at 8. Itching at the skin of the prepuce. Crampy pain at the right inner ankle. Contusive pain at the left pectoral muscle, which is sensitive to contact, at night.
Second day. Restless sleep. 30. He dreams about a sheep and dog covered with red scarfs; the first was lifted off the ground and seized by the latter in the middle of the back: the dog was suspended by the back, by some individual accompanied by a number of persons. Afterwards an intense sexual dream with emission. Painful stitch under the shoulder-blade, as after receiving a blow. Sense of embarrassment behind the left inner ankle. Uneasiness in the thighs, followed by pricking, at 2 in the afternoon. 35. Contusive pain at the left knee. Lancinations at the forepart of the left outer ankle, at 7 in the evening. Fullness of the stomach. Stitching pain at the right thigh. In the morning, the leg is swollen and violet-colored; it becomes inflamed by walking, and, towards evening, changes to a blackish red. 40. Loss of appetite. The whole leg is covered with irregular blackish spots formed by extra-vasated blood. Urinates more frequently than usual. Burning head. Continual thirst, with bitter mouth. 45. The lips and gums are excoriated. Complete loss of appetite. The left leg is painful as if excoriated; the pain shifts to the right inner ankle, where it becomes more acute.
Third day. Lancinating pains at the apex of the heart, which arrests the breathing all night. The temples are painful to contact, the whole day. 50. Stiffness of the leg, with inability to stand for a few minutes. Stitching pain between the shoulders. Dull pain at the lower part of the lumbar region and at the abdomen. Burning pains at the anus. The lips and gums are raw as before. 55. Itching above the bend of the right elbow. Crampy pain in the left tendo-Achillis. Partial numbness around the ankles. Contusive pain below the left knee-pan, at 3 in the afternoon. Lancinations in the lower part of the right leg and at the inner ankle, at half past 3. 60. The upper and lower part of the left arm is painful to the touch, at half past 4. Painful lancinations at the inner part of the left knee. Stitch in the articulation of the first phalanx of the little finger, at 8 in the evening.
Fourth day. Pain at the dorsal part of the left index. Colic, followed by stool the first part of which is soft, the latter diarrhoeic, twice in succession, in the morning. 65. Malaise as if something would accumulate at the inside of the right leg, above the knee, in the evening and during part of the night.
Fifth day. Difficulty of using the lumbar region. Sensation as if the skin of the right leg would fall upon the ankles, like a stocking; he frequently puts his hand there for the purpose of raising the skin again. Itching at the forepart of the right leg. Pricking at the inside of the right leg. 70. A difficulty at the lower part of the tendo-Achillis. Easy stool.
Sixth day. Itching at the internal ankle of the left foot. Itching at the left thigh. Pain above the right inner ankle. 75. Disgusting Dreams.
Seventh day. Malaise after waking in the morning; he is unable to fall asleep again; he feels as if something near the ankles inconvenienced him for several hours. This pain increases towards three, changing to a contusive pain. The ankles feel swollen. 80. Acute pain in the sacro-lumbar region. Pain in the right side.
Eighth day. Pain at the pit of the stomach. The pain in the legs continues. Permanent pain above the left inner ankle. 55. Smarting at the inner and upper right thigh, in the evening. Acute lancination in the head, evening.
Ninth day. Acute lancination in the left side of the head, evening.
Tenth day. Violent lancination behind the head. The forepart of the left leg is painful to contact. 90. Shootings in the cerebellum.
ARRANGEMENT ACCORDING TO HAHNEMANN.
HEAD: Head heavy. The head is burning hot. Throbbing in the right frontal eminence for a minute. Sensation of torpor at the vertex. 5. His temples are very sensitive to touch during the whole day. Acute lancination in the head. Acute lancination in the left side of the head. Severe lancination behind the head. Shooting in the cerebellum. 10. Sensation of torpor in the cerebellum.
MOUTH: Mouth pasty through the whole morning. Excoriations of the lips and gums. Excoriations of the lips and gums as on the second day.
APPETITE: Anorexia. 15. Want of appetite. Complete anorexia. Thirst. Great thirst with bitterness of the mouth. Continual thirst and bitter mouth.
STOMACH: 20. Borborygmus in the stomach and intestines. Fullness of the stomach. Pain at the scorbiculus.
STOOL AND ANUS: Colic, followed by a stool, at first soft, then diarrhoeic, twice in succession. Easy stool. 25. Burning pains at the anus.
URINARY AND GENITAL: He makes water more frequently than usual. Itching on the skin of the prepuce. Pricking in the right testicle.
CHEST: Lancinating pain at the apex of the heart which takes away his breath at night. 30. Bruised pain over the left pectoral muscle, which is sensitive to the touch at night.
BACK: Painful spot under the scapula, as if from having received a blow. Sharp pain between the shoulders. Pain in the right side. Uneasiness in the lumbar region. 35. Dull pain at the lower part of the lumbar region and in the hypogastrium. Acute pain in the sacro lumbar region.
SUPERIOR EXTREMITIES: The upper and lower parts of the left arm are painful to the touch. Itching above the bend of the right arm. Stinging in the hypothenar eminence of the left hand. 40. Pain in the hypothenar eminence of the right hand. Pain in the dorsal portion of the left index. Pricking in the joint of the first phalanx of the little finger.
INFERIOR EXTREMITIES: Pain in the right groin. Lancinations through the whole extent of the left inferior extremity. 45. The left leg is red and inflamed. Swelling of the left leg. The leg is swollen and violet-colored in the morning; it becomes inflamed by fatigue and turns blackish red towards evening. The whole leg is covered by large irregular patches formed by extravasated blood. Malaise as if something were collected in the internal part of the right leg above the knee. 50. The pains in the legs continue. Uneasiness, then pricking in the thighs. Stiffness of the leg, with impossibility of standing up for a few minutes. Pricking on the internal surface of the right leg. Smarting on the internal superior part of the right thigh. 55. Pricking in the right thigh. Acute pain in the right thigh. Itching on the right thigh. Itching on the internal surface of the left thigh. The upper part of the left leg is painful to the touch. 60. Itching on the anterior part of the right leg. Bruised pain in the left knee. Bruised pain under the left patella. Painful lancinations in the internal part of the left knee. Prick as from a pin in the lower part of the left leg. 65. Swelling of the lower part of the calf. Cramplike pains in the left tendo-Achillis. Uneasiness in the lower part of the tendo-Achillis. Prick under the heel. Malaise after waking in the morning ; he cannot go to sleep again; he feels as if something incommoded him about the malleoli for several hours. This pain increases, becoming a bruised pain. 70. Partial swellings around the malleoli. The malleoli appear swollen. Feeling as if the lower part of the right leg had a tendency to fall down upon the malleoli, as a stocking might do; he often carries his hand there as if to raise it up. Cramplike pain in the right internal malleolus. Pain above the right internal malleolus. 75. Lancinations in the lower part of the right leg and internal malleolus. The left leg is painful as if excoriated; the pain passes to the right internal malleolus and becomes more acute. Lancinations in the anterior part of the left external malleolus. Itching on the left external malleolus. Itching on the left internal malleolus. 80. Persistent pain above the left internal malleolus. Disagreeable sensation behind the left internal malleolus.
SLEEP: Disturbed rest. Unquiet sleep. Dreams. Disgusting dreams. 85. He dreams that he can neither act nor drink nor walk. He dreams of a sheep and a dog, covered with red scarves ; the former, elevated above the ground, shook his head and was seized by the dog in the middle of his back ; the dog himself was suspended by the back by a man accompanied by many other individuals. Afterwards, a very amorous dream with pollution.
GENERAL: Prickings in different parts of the body.
Written by James Tyler Kent (1849–1916) and published first in his book "Materia Medica" (1905) James Tyler Kent was an American physician best remembered as a forefather of modern homeopathy.