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THE GUIDING SYMPTOMS OF OUR MATERIA MEDICA

THE GUIDING SYMPTOMS OF OUR MATERIA MEDICA

Mancinella

Hippomane Mancinella. Euphorbiaceµ.

A poisonous tree, a native of West Indies, bearing a poisonous fruit, somewhat resembling apples.

The tincture is prepared from fresh leaves, bark and fruit.

Introduced and proved by Bute. See Hering’s compilation, Allg. Hom. Zeit., 1850. Also proved by Mure and Ackermann. Toxicological reports are numerous.

CLINICAL AUTHORITIES.

– Affection of throat, Bute, MSS.á; Post-diphtheritic affection, Bute, Raue’s Rec., 1870, p. 152á; Affection of stomach, Bute, MSS.á; Pain in left hypochondrium, Bute, MSS.á; Rumbling in abdomen, Bute, MSS.á; Colic, Bute, MSS.á; Cholera infantum, Howard, MSS.á; Asthma, Howard, MSS.á; Nervous affection, Bute, Hom. Clin., vol. 1, p. 283á; vol. 4, p. 19á; Typhoid fever, Bute, MSS.

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MIND. [1] [Manc.]

Sudden vanishing of thought, forgets from one moment to next what she wishes to do.

Everything becomes irksome.

Fear of getting crazyá; of evil spiritsá; of being taken by the devil.

Averse to work and answering questions.

Melancholy, homesicknessá; about midnight attacks of fear and tremblingá; afraid of evil spirits, of being taken hold of by the devilá; sleeplessnessá; pressing in cardiac region, hard beats of heart, followed by faintishness, with darkening before eyesá; tetters. ?áMental derangement.

Bashful and taciturná; has a timid look.

Aggravation from anger and after eating.

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SENSORIUM. [2] [Manc.]

Vertigoá: stupefyingá; with loss of consciousnessá; in morning on rising from bed.

Sensation of lightness in head while walking about room.

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INNER HEAD. [3] [Manc.]

Stitchesá: in templesá; in head, with sleeplessnessá; over left eye.

Headacheá: with impatienceá; caused by candlelight.

Pulsating pains in head and neck, preventing one from writing.

Whole head feels sore, as if bruised or as if it had been exposed to sun.

Heaviness in head.

Headache, < from warmth of stove.

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OUTER HEAD. [4] [Manc.]

Itching of scalpá; hair falls out after severe acute diseases.

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SIGHT AND EYES. [5] [Manc.]

Blue circles around eyes.

Sensation of heaviness and dryness of eyes and lids.

Burningá: in eyes, headache from candlelightá; of eyelids, only when closing them.

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HEARING AND EARS. [6] [Manc.]

Ears feel as if closed.

Redness and heat of ears.

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SMELL AND NOSE. [7] [Manc.]

Pressure at root of nose.

Dryness of nose.

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UPPER FACE. [8] [Manc.]

Faceá: swollená; paleá; pale, yellow, bloated.

Heat rising to face, and soon thereafter painful itching, stitching and burning, continuing all day, next morning face swollená; towards noon vesicles, size of small pinhead and filled with a yellow fluid, next day desquamation.

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LOWER FACE. [9] [Manc.]

Lips paleá; pricking pains in lips.

Lower lip hangs down.

Large number of small vesicles on chin, which desquamate.

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TASTE, SPEECH, TONGUE. [11] [Manc.]

Very bitter taste in mouth.

Tongue coated white, except on several sharply defined clean spots.

Burning on tongueá; dry.

Tongue coated white as in aphthµ.

Tasteá: bloodyá; < after sleeping.

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INNER MOUTH. [12] [Manc.]

Unendurable burning and prickling in mouth, not > by cold water.

Whole mouth and tongue covered with small vesicles.

Increased flow of salivaá; yellow salivaá; fetid.

Burning at soft palate and roof of mouth.

Dryness of mouth.

Offensive breath, perceptible to herself.

Blister, size of hazelnut, on palate.

Inflammation in mouthá; bleeds.

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PALATE AND THROAT. [13] [Manc.]

Great elongation of uvula.

Heat in pharynx and down £sophagus, without thirst.

Great dryness of throatá; on waking.

Choking sensation rises in throat when speaking.

Stitches in throat.

Sensation of constriction in throat, ascending from stomach, caused by accumulation of air, with palpitation of heart and great sensation of weakness, impeding speech.

Thirst for cold water, with inability to swallow on account of a choking which rises up from stomach.

Angina following scarlet fever, or during epidemic of latter.

Periodical thrusts (as if electric) in upper part of throat, waking from sleep.

Yellowish white ulcers, with violent burning pain.

Great swelling and suppuration of tonsils, with danger of suffocationá; whistling breathing.

Sore throat during scarlet fever.

White yellowish burning ulcers on tonsils and in throat.

Diphtheria on left sideá; ever since, pains all over her body, mostly in chest, with a dry cough.

Menses irregular, profuseá; heat in head, with vertigoá; > when at restá; edges of eyelids burn when closing eyes. ?áPost-diphtheritic affection.

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APPETITE, THIRST. DESIRES, AVERSIONS. [14] [Manc.]

Thirst for cold water, but is prevented from drinking by choking sensation rising from stomachá; with burning heat.

Aversion to meat and bread.

Longing for water and aversion to wine and alcoholic drinks.

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EATING AND DRINKING. [15] [Manc.]

Can take none but liquid food on account of soreness of mouth.

Drinking water, bloatedness and painfulness of region of stomach <.

After drinking waterá: colicá; pain in abdomen.

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HICCOUGH, BELCHING, NAUSEA AND VOMITING. [16] [Manc.]

Ineffectual desire to eructate or gag with excessive nausea.

Continual choking sensation, rising from stomach like from pressure of wind, with weakness and palpitation of heart.

Repeated green vomit.

Sour, greasy vomit, with aversion to waterá; on vomit floats a white mass like coagulated fat.

Vomiting of food, followed by severe colic and profuse diarrh£a.

Vomiting relieves headache.

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SCROBICULUM AND STOMACH. [17] [Manc.]

Burningá: in stomach and throat, with nauseaá; in pit of stomach.

Pit of stomach swollen and sensitive to pressure.

Distension and pain in region of stomach.

Bloatedness and painfulness of region of stomach. ?áNervous fever.

Sensation as of flames rising from stomach.

Sensation as if stomach drew together in a lump and then suddenly opened.

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HYPOCHONDRIA. [18] [Manc.]

Rumbling in left side when bending to right.

Sudden sticking in left hypochondrium.

Pain in left hypochondrium in a spot as large as a half dollar, compelling her to press there with handá; rumbling in left side when lying on right side, also with every respirationá; no rumbling when lying on left side.

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ABDOMEN AND LOINS. [19] [Manc.]

Wandering pains in abdomen.

Pains in abdomen through bowels, after drinking water.

Loud rumbling in abdomen.

Rumbling in abdomen renewed by every motion and when taking a deep inspiration, with headache which is much < near warm stove.

Colicá: after drinking waterá; with diarrh£a (at midnight)á; with fainting, constipation, alternating with diarrh£a.

Distended abdomen.

Sensation of soreness, as if bruised, of abdominal walls.

Eruptions of rash on abdomen.

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STOOLS AND RECTUM. [20] [Manc.]

Fulness in rectum, with a hollow feeling in stomach.

Profuse diarrh£a, with colic and vertigo.

Many bloody stools, with colic, inclination to sleep and vertigo.

Greenish stools, without blood.

Diarrh£aá: with burning in abdomen and anusá; in alternation with constipationá; with cutting in abdomená; with much discharge of flatus.

Sudden desire to go to stool (in morning), after stool tenesmus.

Bloody evacuations, with colic, sleepiness and giddiness.

Stoolsá: painful, black, fetid, bloody, with tenesmus.

During afternoon, more than twenty evacuations, with pain in intestines as if fire was there.

Sensation of fulness in rectum.

After stoolá: pulsation in anusá; discharge of fetid blood from hemorrhoidal tumors.

Frequent thin, watery dischargesá; vomitingá; emaciationá; great prostrationá; loss of appetiteá; aversion to food. ?áCholera infantum.

Constipation.

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URINARY ORGANS. [21] [Manc.]

Tired feeling in region of kidneys, with inclination to rub parts, and with frequent stretching back of body.

Sensation of weakness, as if bruised, in region of kidneys.

Stitches in bladder before and at beginning of micturition.

Burning in urethra.

Urineá: browná; whitish, clouded on standing.

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MALE SEXUAL ORGANS. [22] [Manc.]

Increased sexual desire.

Itching on scrotum.

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FEMALE SEXUAL ORGANS. [23] [Manc.]

Pale menstrual flowá; colic.

Before menstruationá: congestion of head.

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VOICE AND LARYNX. TRACHEA AND BRONCHIA. [25] [Manc.]

Nasal tone of voice.

Choking sensation rising up into throat, hindering speech.

In larynxá: scrapingá; cutting as with a knifeá; tension.

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RESPIRATION. [26] [Manc.]

Whistling breathing.

During breathingá: rattling in left chestá; loud rumbling in abdomená; severe pain in middle of sternum, < from pressure.

Asthma, chronic.

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COUGH. [27] [Manc.]

Frequent hawking, with nausea.

Violent cough and painful stitches in trachea from slightest exertion.

Coughá: < at nightá; after drinking.

Expectoration relieves oppression of chest.

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INNER CHEST AND LUNGS. [28] [Manc.]

Constriction of chest.

Oppression of chestá; > after expectoration.

Rattling in left chest.

Suffocative attacks, with pulsation in chest, while coughing, or as soon as he begins to talk.

Stitches in middle of sternum.

Pain in centre of sternum, < from pressure and from breathing.

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HEART, PULSE AND CIRCULATION. [29] [Manc.]

Stitches in heart as from needles.

Palpitation of heartá: in evening, as from eatingá; weakness.

Pulseá: weak and somewhat acceleratedá; 80.

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OUTER CHEST. [30] [Manc.]

Stitches in middle of sternumá; < from breathing.

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NECK AND BACK. [31] [Manc.]

Painful stiffness of neck, especially after sleep, could scarcely move neck.

Stitches in left shoulder blade and left breast at intervals.

Backache with nausea and tenesmus.

Soreness in region of kidneys.

Painful stiffness of small of back.

Tired sensation in region of kidneys, desire to rub partá; much stretching.

Painful stiffness of small of back and of finger joints which she could scarcely bend.

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UPPER LIMBS. [32] [Manc.]

Trembling and heaviness of arms.

When waking, hands feel as if asleep and numb.

Trembling of hands.

Painful stiffness of finger joints.

Hands as if too thick, “asleep”, heavy and clumsy.

Hands icy cold.

Pain and stiffness of finger joints.

Blue finger nails.

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LOWER LIMBS. [33] [Manc.]

Quivering and jerking in legs in attacks.

Trembling of legs.

Sudden, needle-like stitches in lower extremities.

Cramps in legs and feet.

Tingling in feet when sitting.

Stitches under heel, from without inward.

Burning in soles and dry feeling.

Desquamation of soles at end of fever.

Large vesicles, especially on soles.

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LIMBS IN GENERAL. [34] [Manc.]

Icy coldness of hands and feet.

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REST. POSITION. MOTION. [35] [Manc.]

Restá: heat in head >.

Lyingá: head feels as if lying on something hard.

Must lie downá: pulse irregular, limbs cold, great anxietyá; severe headache.

Sittingá: tingling in feet.

Frequent stretching backá: of body, tired feeling of region of kidneys.

Every motioná: renews rumbling in abdomen.

Slightest exertioná: violent cough and painful stitches in trachea.

Could scarcely move necká: stiffness.

Walkingá: about roomá; lightness in head.

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NERVES. [36] [Manc.]

Lassitude and indescribable uncomfortable feeling in limbs.

Much stretching, with tired feeling over region of kidneys.

Must lie down, pulse irregular, limbs cold, great anxiety.

Prostration and trembling in limbs.

Fainting with intestinal colic.

Convulsions.

About midnight, attacks of fear and trembling, followed by feverish heatá; afraid of evil spiritsá; of being taken hold of by the devilá; sleeplessnessá; only somewhat relieved towards morningá; fears she is getting crazyá; anxious expression in faceá; dark brownish circles around eyesá; throbbing in pit of stomachá; pressure in region of heart, hard beats of heart followed by fainty feelings, with darkening before eyesá; pulse slow and softá; frequent headacheá; desire for saltish foodá; smell of onions before noseá; menses one week too early, with pains in chestá; feet puffed up every morningá; on chin, old, dark tetter with red pimples.

After typhoid feverá: frequent shooting pain like a streak down right armá; constant soreness, extending from region of right kidney into back and around to liverá; sometimes extending down to legs like rheumatismá; head feels heavy, often as if it had been squeezed flat, sometimes as if hollowá; when lying, her head feels as if lying on something hardá; pain over right eyeá; feeling of weakness extending from forehead down into noseá; appetite changeable, sometimes hungry without appetiteá; after eating, feeling as if hard pieces were lying in stomach, with some nauseaá; eating very little makes her immediately very fullá; constant desire for sour dishes, particularly for indigestible things (puddings, half baked bread, and the like)á; continual feeling of fulness in stomach, as if food would come up againá; feeling in pit of stomach as of something aliveá; raw sensation extending down throatá; speech often weaká; palpitation on turning in bedá; contracting sensation in different parts, mostly of abdomená; pain in region of bladder while urinatingá; menses a few days too late, sometimes very dark, sometimes bright, again greenish and offensive, with tearing pain in lower part of abdomená; much restlessnessá; crawling and digging on different parts of bodyá; sometimes feels as light as though she could float or hover in the airá; mind much depressed, weeps a great deal, particularly when aloneá; full of fear of getting crazyá; > during evening. ?áNervous affection.

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SLEEP. [37] [Manc.]

Great sleepinessá; ineffectual desire to yawn.

Wakes as from electric shocks on neck (above larynx).

When awaking hands “asleep” and heavy, and feel as if too thick.

After sleepá: bitter mouthá; dryness in throatá; could scarcely move neck.

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TIME. [38] [Manc.]

Morningá: on rising, vertigoá; sudden desire to go to stoolá; attacks of fear >.

Towards nooná: vesicles, size of small pinhead, on face, next day desquamation.

All dayá: painful itching, stitching, burning in face.

Afternooná: more than twenty evacuations.

Eveningá: palpitation of heartá; nervous affection >.

Nightá: cough <.

Midnightá: attacks of fear, trembling, diarrh£a and colic.

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TEMPERATURE AND WEATHER. [39] [Manc.]

Warmth of stoveá: headache <.

Inclination to uncover himselfá: burning heat.

Cold waterá: does not > prickling and burning in mouth.

Amelioration from heat and when lying down.

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FEVER. [40] [Manc.]

Chillá; icy cold hands and feet.

Flushes of heat, with sensation as if flames rose out of region of stomach, on account of which threw off covering.

Burning heat, with inclination to cover himself in bedá; with thirst.

Moderate fever, severe headache, must lie down.

Cold sweat.

Coldness of hands and feet.

Fever heat with tingling in skin and desire to uncover one’s self, with loss of consciousness, painful deglutition, restlessness, profuse micturition.

Typhoid fever with tympanitis and sensitiveness of abdomen, < by drinking water.

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ATTACKS, PERIODICITY. [41] [Manc.]

Periodicalá: thrusts, as if electric, in upper part of throat.

Alternateá: diarrh£a and constipation.

Every morningá: feet puffed up.

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LOCALITY AND DIRECTION. [42] [Manc.]

Rightá: frequent shooting pain down armá; soreness extending from kidney into backá; pain over eye.

Leftá: stitches over eyeá; diphtheria on sideá; rumbling in side when bending to rightá; sudden sticking in hypochondriumá; pain in hypochondriumá; lying on right side, rumbling in otherá; lying on left side no rumblingá; rattling in chestá; stitches in shoulder blade and breast.

From without inwardá: stitches under heel.

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SENSATIONS. [43] [Manc.]

As if head was bruised, or as if it had been exposed to suná; ears feel as if closedá; thrusts, as if electric, in upper part of throatá; as of flames rising from stomachá; as if stomach drew together in a lump and then suddenly openedá; abdominal walls as if bruisedá; as if fire was in intestinesá; region of kidneys as if bruisedá; stitches in heart as from needlesá; hands feel as if asleep and numbá; hands as if too thická; head as if it had been squeezed flatá; head as if hollowá; head as if lying on something hardá; after eating as if hard pieces were lying in stomachá; as if food would come up againá; in pit of stomach as of something alive.

Painá: in headá; all over her body, < in chestá; in abdomená; in region of stomachá; in left hypochondrium in a spot as large as a half dollará; in intestinesá; in centre of sternumá; in chestá; over right eyeá; in region of bladder.

Severe painá: in middle of sternum.

Tearing painá: in lower part of abdomen.

Shooting painá: down right arm.

Violent burning painá: in throat.

Cuttingá: in abdomená; in larynx.

Stitchesá: in templesá; in headá; over left eyeá; in throatá; in bladderá; painful in tracheaá; in left shoulder blade and left breastá; under heel.

Needle-like stitchesá: in lower extremities.

Stickingá: in various parts of body.

Sudden stickingá: in left hypochondrium.

Pulsating painá: in head and neck.

Pricking painsá: in lips.

Contractionsá: in opposite directions.

Short, sharp stitchesá: here and there.

Wandering painsá: in abdomen.

Severe colicá: in abdomen.

Crampsá: in legs and feet.

Achingá: in back.

Unendurable burning and pricklingá: in mouth.

Painful itching, stitching and burningá: in face.

Burningá: in eyesá; of eyelidsá; on tongueá; at soft palate and roof of mouthá; in ulcers on tonsils and in throatá; in stomach and throatá; in pit of stomachá; in abdomen and anusá; in urethraá; in soles.

Sorenessá: of throatá; of mouthá; of abdominal wallsá; in region of kidneysá; from region of kidney into back and around to liver, sometimes down to legs.

Heatá: of earsá; rising to faceá; in pharynx and down £sophagusá; in head.

Sore feelingá: in whole head.

Painfulnessá: of region of stomach.

Raw sensationá: extending down throat.

Crawling and diggingá: on different parts of body.

Painful stiffnessá: of necká; of small of backá; of finger joints.

Pressureá: at root of noseá; in region of heart.

Pressingá: in cardiac region.

Heavinessá: in headá; of eyes and lidsá; of arms.

Fulnessá: in rectumá; in stomach.

Oppressioná: of chest.

Tensioná: in larynx.

Contracting sensationá: in different parts, mostly abdomen.

Constrictioná: in throat, ascending from stomachá; of chest.

Choking sensationá: rises in throat.

Indescribable, uncomfortable feelingá: in limbs.

Light feeling as though she could float or hover in air.

Lightnessá: in head.

Hollow feelingá: in stomach.

Tired feelingá: in region of kidneys.

Weaknessá: of heartá; in region of kidneysá; from forehead into nose.

Drynessá: of eyes and lidsá; of noseá; of tongueá; of mouthá; of throatá; of soles.

Tinglingá: in feet.

Tremblingá: of handsá; of legsá; of limbs.

Pulsationá: in anusá; in chest.

Throbbingá: in pit of stomach.

Quivering and jerkingá: in legs.

Itchingá: of scalpá; on scrotum.

Icy coldnessá: of handsá; of feet.

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TISSUES. [44] [Manc.]

Sequela of scarlatina, diphtheria, typhus, etc.

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TOUCH. PASSIVE MOTION. INJURIES. [45] [Manc.]

Pressureá: pit of stomach sensitiveá; with hand compelled by pain in left hypochondriumá; pain in middle of sternum <.

Inclination to rub region of kidneysá: tired feeling.

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SKIN. [46] [Manc.]

Redness of skin (hands).

Sequela of scarlet fever.

Small vesicles containing yellow serum desquamate following day.

Favors rapid healing of wounds.

Fungoid growths, particularly if syphilitic.

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STAGE OF LIFE, CONSTITUTION. [47] [Manc.]

Boy, µt. 12, two years previously had measles and scarlet fever in rapid succession, since then has been sick, and confined much to bedá; affection of stomach.

Girl, µt. 13á; rumbling in abdomen.

Young woman, had diphtheria on left sideá; post-diphtheritic affections.

Woman, µt. 24, unmarried, after typhoid feverá; nervous affection.

Mrs. R., µt. 31, dark hair, liver spots in face, mild, somewhat melancholic temperament, disposed to homesickness, mother of six childrená; nervous affection.

Woman, µt. 40á; pain in left hypochondrium.

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RELATIONS. [48] [Manc.]

Compareá: Canthar. in erythema and vesiculation of skin, and scarlet feverá; Crot. tig., Yucca filam. and Euphorb. off. have similar skin symptoms.