• To give Sac Lac (In cases where the state of the patient is not disturbed and his vitality is intact)
• To repeat the constitutional remedy (In cases where state of the patient is disturbed but same and his vitality is lowered) and
• To give medicine depending upon present acute picture.

• Acetic Acid
• Benzoic Acid
• Butyric Acid
• Chromic Acid
• Carbolic Acid
• Fluoric Acid
• Hydrocyanic Acid
• Hippuric Acid
• Gallium Acid
• Lactic Acid
• Muriatic Acid
• Oxalic Acid
• Picric Acid
• Nitric Acid
• Sulphuric Acid
• Sulphurous Acid
• Phosphoric Acid
• Hydrochloric Acid
• Aconitum Acid
• Arsenicum Acidum
• Dehydrocholicum Acid
• Glutamic Acid
• Hippuric Acid
• Hydrofluoric Acid
• Mandelic Acid
• Malicum Acid
• Molybdenicum Acidum
• Osmic Acid
• Retinoic Acid
• Sarcolactic Acid
• Salicyclic Acid
• Tannic Acid
• Telluric Acid
• Uric acid

1. Phosphoric Acid

Thirst: Thirstless++ generally. Thirst for cold milk.
Craving: Craving for juicy things, Warm food which > pain in stomach.
Aversion: Coffee, wine, beer, or spirituous liquors.
Stools: White, watery, involuntary, painless, very offensive diarhhoea, Non debilitating diarrhoea. A/F: sour wine, acid, vinegar, lemons, catching cold in summer. Diarrhoea < after eating, especially after a fruit. Diarrhoea >.
Urine: White milky urine.
Sleep: Sleepy by day but wakeful at night.

Thermals: Chilly.

Senses: Exalted sensitiveness to light, bright lights, odours take away his breath. Very acute sense of smell. Intolerent of noise

Mind:
• Mild, yielding disposition. Apathetic, indifferent, Listless.
• Impaired memory where he cannot collect his thoughts, Difficult comprehension and slow grasp. Indisposed even to pleasant mental work.
• Very ill humoured and peevish so that everyone asks him what is the matter with him but he was not sick.
• On the other hand cheerful and lively, dances unconsciously and extravagantly for several days without lying down except at night. < Music.

Other characteristics:
• Hair grey too early in life, falls out, thins out. School girl’s crushing headache from overuse of eyes.
• Vertigo with sensation as if the feet were rising until he stood on his head.
• Can see better at distance. Aversion to sun light.
• Sensation of coldness of one side of face.

Tongue: Red streak in middle, widens in front. Involuntary biting of tongue in sleep.

R.S: Cough is usually loose and seems to come from stomach. Chest troubles develop after brain fag. Hoarseness, Dry cough from tickling in chest. Salty expectoration, Pressure behind sternum causing difficult respiration. Weak feeling in chest from talking, coughing or sitting too long. > Walking.

Fever: Profuse sweat with fever, Low type of fever with stupor and dull comprehension.

Modalities: < Exertion, loss of vital fluids, sexual excesses, snowy air, heat of bed, uncovering, cold, sour things.
> Warm, wrapping up.

Look of the patient: Pale, with eyes deep sunk, redness of cheeks, dark freckles on face.

Constitution:
a) Hydrgenoid constitution. b) Thin people with rigid fibre, dark complexioned, black hair and eyed- the brunette rather than blonde and past middle life. C) Persons, who has chronic diseases, takes cold easily and disposed to diarrhoea than constipation.

A/F: Mercury/Syphilis, Continued loss of sleep, Long lasting anxiety, Over exertion of mind and body from nursing the sick.

Generalities:
• Pains appear and disappear quickly.
• Nervous trembling.
• Affects mucous outlets of body where skin and mucous membrane joins.
• Tendency to blisters and ulcers which bleed easily. Ulcers zigzag, irregular edges, base looks like raw flesh.
• Extremely sensitive to medicines.
• Sticking pains.
• Sensation of band around different parts like head and bones. Sensation of a splinter in affected parts.
• All the discharges very offensive, thin and acrid like faeces, urine, perspiration.
• Colic > tightening the clothes.

App: Great hunger with sweet taste.
Thirst: Excessive thirst at night or can be Thirstless.
Craving: Indigestible things like Chalk, Earth, lime etc., fat and salt.
Stools: Constipated with fissure in ano. Violent cutting pains even after soft stools lasting for hours. Constant ineffectual desire not better by passing stools.
Urine: Offensive like Horse’s urine. Urine cold on passing. Looks like remains of “Cider Barrel”.
Perspiration: Cold sweating of palms. Foetid foot sweat causing soreness of toes.
Sleep: Restlessness after midnight.

Thermals: Chilly.

Senses: Sensitive to noise, pain, touch, jar. Hears better in noise.

Mind:
• Irritable, vindictive.
• Fear of death. Inclined to be violent and quarrel.
• Easily startled, excited and frightened.
• Great anxiety about disease with morbid fear of cholera. Anxiety with palpitation, nausea. As if she has commited the crime.
• Easily affected by anything which is unpleasant and inclined to weep.
• Headstrong and unmoved by apologies. Impatient.
• Home sickness.
• Headstrong and unmoved by apologies.
• Violent weeping, it makes him feel better.
• Great weakness of memory and no desire to work..

Other characteristics:
• Hardness of hearing > Riding in carriage or train.
• White spots on nails.
• Difficulty in digesting milk.
Menses like muddy water.

Tongue: Clean, Red and Wet with centre furrow. Profuse flow of bloody Saliva. Bitter taste in mouth after eating.

R.S.: Aphonia with dry hacking cough from tickling in larynx and pit of stomach. Short of breath on going upstairs. Cough during sleep. Rapid congestion and inflammation of lungs. Expectoration is greenish, dirty, acrid, bloody or clotted blood. Paroxysmal cough like whooping cough, with little expectoration. > expectoration.

Modalities: < Night, Both extremes of weather, change of temperature, during sweat, touch, pressure of hat, eating, milk or fat food, exertion of mind and body, lying, noise, jerking.
> Sympathy, Riding in carriage.

Look of the patient: Pale, flabby miserable, cachectic, looks old for his age.

Constitution: a) Persons who have been working day and night to establish a business and when there has been constant use of brain., broken down constitutions from fast life (wine, women, work and worry), a life of stress and strain, leading to rapid ageing. b) Young men engaged long in masturbation and now in a shattered condition. C) Complaints of old age, or of premature old age.

Generalities:
• Obstinate, long standing cases, in women who have borne many children.
• Increased ability to exercise without danger. Impulse to walk fast; necessity to be always on the move. Even while sitting body movements goes on.
• Old cicatrices become red around edges, and threaten to become open ulcers.
• Caries and necrosis, especially of long bones.
• Discharges are Foetid, acrid, excoriating and cause burning.
• Symptoms often ascend.
• Lassitude but no weakness which is an exception to acids.
• Nails and hair develop imperfectly.

Appetite: Increased
Thirst: Thirst++. Great desire for cold water.
Craving: Exciting things like tasty, spicy, piquant, highly seasoned, dainty, fancy dishes, alcohol, refreshing things, herbs, vegetables.
Aversion: Coffee, sour, sweets.
Stools: Diarrhoea of hard drunkards.
Perspiration: Offensive, acrid sweats.

Thermals: Always hot, wants to bathe in cold water.

Mind:
• Aversion to his own family, to those loved best; becomes interested and converses pleasantly with strangers.
• Inability to realize responsibility.
• Stands on the street ogling the women as they pass by, so great is his lust.
• Frivolous, Materialistic.
• Forgetfulness in his daily employment, with dates.
• Buoyancy, fears nothing.

Other characteristics:
• Warm drinks such as tea or coffee causes morning diarrhoea. Symptoms > tight clothing.
• Headache, vertigo and deafness > bending head back.
• Violent, congestive headache > free urination. Stomach symptoms better by tight clothing.
• Nails grow too fast and awkwardly, deformed, brittle, with longitudinal furrow.

Tongue: Deeply and widely cracked in all directions.

R.S.: Oppression of chest > bending backwards.

Modalities: < Warmth, Red Wine, if discharges are less like stools, menses.
> Cold applications3, Open air, after eating.

Constitution: Adapted to persons with black hair, dark eyes, dark complexion.

A/F: Sun

Generalities: Muscular weakness takes precedence of the mental.
Pains are relieved by movement.
Ulcers- deep, perforating; having a black or dark base.

Thirst: Thirstless++
Aversion: Cannot bear the thought or sight of meat.
Stools: Escape of stools on straining to pass water. Burning after stools > Warm applications.
Urine: Cannot urinate without moving bowels at the same time.

Senses: Over sensitiveness of all senses.

Mind:
• Easily excited. Joyous, trustful mood.
• Irritable, peevish, disposed to anger and chagrin. Restless, frequently changing position.
• Anxious thoughtfulness; he cannot free himself from the slightest trouble. Anxiety with drenching perspiration and prostration.
• Contented with nothing; everything vexes her. Moaning. Sitting quiet, sad and silent,

Other Characteristics:
• Great debility: as soon as he sits down his eyes close; lower jaw hangs down; slides down in bed.
• Offensive, foul breath.
• Hemorrhoids- swollen, blue, sensitive and painful to touch; appear suddenly in children; too sore to bear least touch, even the sheet is uncomfortable. Must lie with limbs wide apart with piles.
• Heat in face, sudden red cheeks when walking in open air.
• Vertigo < lying on right side.
• Distant talking causes headache. > Moderate exercise, walking in open air.

R.S.: Oppression of chest, shortness of breath and rattling breathing after drinking.

Modalities: < Damp weather, before midnight
>Lying on left side.

Constitution: Hydrogenoid constitution. Chronic alcoholics, brandy drinkers who suffer from acidity.

A/F: Wine, Brandy, Oysters.

Generalities:
• Bad effects of mechanical injuries with blunt instruments.
• Weakness and exhaustion, weakness out of proportion to the disease.
Profuse, sour, acrid or stringy discharge, offensive.
• Child has a sour odor despite careful washing. Sourness setting the teeth on edge.
• Pain felt during sleep and disappears on waking. Great painfulness, with sensation as if blunt plug being driven in. Pain increases gradually and ceases suddenly, when at its height often repeated.
• Internal trembling, especially of drunkards.
• Hemorrhages of black blood. Tendency to form ulcers, aphthae.
Hot flushes, then trembling or cold sweat.
• Marked periodicity.
• Strong desire for coition from irritation of external genitals in females.

Appetite: Hunger but no appetite.
Thirst: Excessive thirst.
Craving: Stimulants, alcohol, fresh plums.
Stools: Sheep dung like, Saffron yellow, pasty.
Urine: Brown as if contained earth.
Perspiration: Easy sweat especially in upper parts of the body. skin is cold, body bathed in cold sweat.

Senses: Odour of coffee <.

Mind: Hurried, hasty, quick, everything must be done quickly. Sullen, impatient, angry because things move so slowly. Seriousness, alternating with buffoonery. Unwilling to answer the question not out of obstinacy, but inaptness. Irascible, vacillating and morose. Hurry, hasty, quick, sullen, impatient, angry because things move slowly. Seriousness alternating with buffoonery.

Other Characteristics:
• Headache > holding the hands near head.
• Deathly pale or wrinkled face; white of an egg seems to be dried on it.
• Water causes coldness of stomach, must be mixed with alcohol. Feeling as if Hernia would protrude.
• Diarrhoea very foul, choppy, stringy, green, black or hacked, sour smelling after Oysters. Piles in Hard drinkers. Oozing piles >by applied heat.
• Pain in joints felt during sleep, disappear during waking.

Tongue: Thick, White, swollen. Tip and edges red.

R.S.: Cough only when walking in open air. Cough with expectoration tasting sour. Larynx moves up and down violently. Larynx feels inelastic causing difficulty in talking. Soreness between shoulder blades when coughing. Dyspnoea > hanging down legs.

Fever: Frequently chilly during day > Exercising, Outdoors. Periodicity. Disproportionate weakness during fever. Hot flushes.

Modalities: < Open air, cold, Alcohol, Surgical operations, Touch , Excessive heat or cold, Pressure, open air, Morning.
> Hot drinks, Warmth, Lying on affected side.

Look of the patient: Circumscribed redness of the face.

Constitution: A remedy for uric acid diathesis. Gouty, Rheumatic diathesis engrafted on a gonorrheal or syphilitic patient.

Generalities:
• Pains suddenly change their location but are mostly felt in the region of heart or they alternate with urinary symptoms.
• Neuralgias worse from suppression of urinary deposits.
• Symptoms appear left side first and then on the right side.

Urine: highly colored (deep red), very offensive like horse’s urine, which is concomitant to any diseased condition.
Perspiration: Aromatic odor of sweat.
Sleep: Sleeplessness alternate with nights of heavy sleep.

Senses: Dimunition of sense of smell. It seemed to him that he smelled dust, cabbage or something stinking.

Mind:
• Prone to dwell on unpleasant things in past. Omits words in writing.
• Child cross, wants to be held in the arms, will not be laid down.
• Shudders if he sees anyone deformed, fear following hurry. Anxiety while sitting.
• Delusion, hears confused voices < swallowing or walking in open air.

Other characteristics:
• Burning heat only on one half of face.
• Headache after mental emotions. Periodical, accompanied with cold hands < during rest.
• Diarrhoea of children- white, frothy, offensive, like soapsuds, very offensive, exhausting, liquid stools, running right through the diaper.
• Salty taste of food and Bitter taste on drinking Coffee or Milk.
• Changing alternating and metastating symptoms of gout.
• Heart condition alternates or results from suppressed rheumatism.
• Heart > Profuse urination, rheumatic pains in extremities.

Tongue: Spongy on surface with deep cracks and spreading ulcers. Velvety coating on tongue, of a slightly blue in color.

R.S.: Cough with expectoration of green mucus. Inflammation of lungs with tenderness of chest. In Throat symptoms > eating
Sensation of lump in the throat. Violent cough from inhaling fumes. Can scarcely bear the pressure of clothing on chest. Asthmatic cough < night, lying on right side. Asthma in rheumatic person.

Modalities: < Open air, cold, Changing weather, Motion, Uncovering.
> Profuse urination, warm, discharging sediments in urine

Look of the patient: Dark complexioned, Worn out, cachectic, Anaemic.

A/F: Slightest excitement
- Mental exertion or overwork or study.

Generalities:
• Extreme mental and bodily prostration.
• Uremia with complete anuria. Acute ascending paralysis.
• Tired heavy feeling all over the body, especially the limbs, worse exertion.
• Coldness in single parts. Easy prostration. Least study causes burning along spine.

Appetite: Aversion to food.
Stools: Thin, yellow.
Thirst: Unquenchable for cold water.
Urine: Blood-red colored
Sleep: Restless.

Mind:
• Brainfag. Dull and unable to concentrate or read more than a few minutes at a time. Mental weakness and confusion, unable to take on projects.
• Sexual desire and lascivious thoughts in presence of any woman.
• Mental exertion. Desire to be alone. Draid of failure in examination.

Other characteristics:
• Occipital headache relieved by bandaging tightly, < slightest mental exertion.
• Feet cold, cannot get warm.
• Disposition to boils in ears.
• White, frothy, stringy saliva, hangs in long strings to the floor. Bitter taste in mouth.
• Occipital headache of students, teachers and overworked business men. A/F grief or depressing emotions. Pain in occipito-cervical region.
< Slightest motion > Nose bleed
< Mental exertion > Tight bandage
• Diarrhoea from mental exertion.
• Keep legs wide apart when standing. Tired legs, heavy like lead.

R.S.: Chest feels tight as if encircled by a band. Dry cough as from dust in throat, then nausea. Throat feels rough and scraped > eating, < empty swallowing, after sleep.

Modalities: < Least mental exertion, motion, wet weather, mental shock., study.
> Bandaging, Cold air, Rest, In sun, open air.

Look of the patient: Anaemic, waxy, pale, emaciated, marasmus, Red spot on left cheek. Eyes sunken and surrounded by dark circles.

Constitution: Suited to pale, lean persons with lax flabby muscles, face pale, waxy. Who have inherited phthisis and suffer from chronic weakness, anaemia, emaciation. Hemorrhagic diathesis.

A/F: Anesthetic vapours, fumes of charcoal and gas. Stings and bites (Led).
Surgical injuries, surgical shock. Sausage poisoning, shock 2, excitement.

Generalities:
• Marasmus and other wasting diseases of children. Emaciation of face, hands thighs.
• Great prostration after injuries, after surgical shock, after anesthetics.
• Violent burning pain followed by coldness of skin, cold sweat on forehead.

Appetite: Diminished.
Thirst: Burning thirst, insatiable, even for large quantities but no thirst in fever.
Sleep: Cannot sleep lying on the back.
Perspiration: Cold, profuse night sweats.

Mind:
• Hydrophobia. Anxiety and fear, driving him from place to place.
• Irritability with headache and abdomen and liver complaints.
• Hysteria; crawling and rolling on the floor. Lamenting, wailing with delirium.
• Grieves about sickness and children. Worried about business. Borrows trouble.
• Forgetful about what recently happened, does not know her own children.

Other characteristics:
• Vomiting after anesthetics.
• Cannot tolerate cold drinks, vegetables except potato, bread and butter. Feels as if she has taken lot of Vinegar.
• Headache fro abuse of Tobacco, Opium, Coffee or Alcohol.
• Backache > Lying on abdomen.

Tongue: Pale and flabby.

R.S.: Chronic inflammation of lungs. All the lobes of the lungs filled with tubercles like bunch of grapes. Cough with inhalation. Sensation of sinking in abdomen causing dyspnoea, > lying on belly.

Fever: Hectic fever, drenching night sweats, sweat profuse and cold, otherwise skin dry and hot. Thirstless with red flushed face.

Modalities: < Cold air, wet, checked secretions, fog, night.
> Motion, loose stools.

Look of the patient: Pale about nose and mouth.

A/F: Bee sting, Physical exertion.

Generalities:
• Discharges offensive, burning, putrid.
• Pains come suddenly, last for a short time and disappear suddenly.
• Physical exertion brings on abscess somewhere in the body especially right ear.
• Malignant and septic conditions. Profound prostration, collapse, surface pale and bathed in cold sweat.
• Leucorrhoea in children.
• Thready pulse.
• Lacerated wounds from blunt instruments. Pains come suddenly, last a short time, and disappear suddenly. Painlessness.
• A remedy to be thought of in malignant conditions with tendency to destruction of tissues and putrid discharges, collapse and cold sweat.

Craving: Stimulants, Tobacco, Whiskey.
Stools: Bloody stools like scrapings of intestines.
Urine: Black or olive green.

Senses: Smell very acute.

Mind:
• Loss of memory for what he was about to do.
• Dreams usually amorous, of fire, of journey, of body part embalmed.
• Delusion as if he had taken opium in the morning.
• Prostration of mind but desire for mental work.

Other characteristics:
• Very offensive breath
• Dull heavy headache as if rubber band were stretched tightly around the forehead. < Bending head forward > green tea > while smoking > tight band > cold hand. Migraine just before or after menses.
• Vertigo shutting the eyes. < Sitting down > walking fast in open air.
• Vomiting; of drunkards, of dark, olive green fluid.

Modalities: < Jar, pregnancy, walking, combing hair, mental exertion, cold and heat.
> Smoking, strong tea, rubbing, binding.