# Ignatia Amara ## Remedy Classification - **Type:** Herbal Remedy - **Miasm:** Emotional Miasm - **Temperament:** Chilly - **Aggravation Time:** Night ## Keynote Indications Source: Derived from the seeds of Strychnos ignatii, a tree in the Loganiaceae family, native to the. Philippines and Southeast Asia, prepared for homeopathic use through maceration, serial dilution,. and succussion to eliminate toxicity and enhance therapeutic action. Traditional Context: Historically employed in homeopathy for psychological, neurological,. respiratory, digestive, and systemic disorders , particularly those involving emotional sensitivity,. grief, and spasmodic symptoms. It is noted for symptoms such as contradictory moods, sighing. respiration, throat lump sensation, and spasmodic pains, often aggravated by emotional stress, grief,. or cold, and ameliorated by distraction, warmth, or deep breathing. Modern Context: Indicated for psychological conditions (e.g., grief, depression, anxiety),. neurological conditions (e.g., tension headaches, neuralgia), respiratory conditions (e.g.,. spasmodic cough, asthma), digestive conditions (e.g., globus hystericus, irritable bowel syndrome),. and systemic conditions (e.g., fatigue, hypersensitivity). It suits patients with acute or chronic. symptoms characterized by emotional volatility, spasmodic symptoms, grief reactions, or. physical tension, typically exacerbated by emotional stress, grief, or cold, and often seen in. individuals with acute stress reactions, mood disorders, or psychosomatic complaints. The remedy. is particularly relevant for those with a sensitive, idealistic constitution, often presenting with. psychological symptoms like mood swings or suppressed grief alongside physical symptoms like. throat tightness or abdominal cramps, commonly observed in patients with prolonged grief disorder,. generalized anxiety disorder, or somatic symptom disorder triggered by loss, rejection, or emotional. upheaval. ## Modalities (Aggravations / Ameliorations) Worse from: Emotional stress, grief, cold (weather, air, drinks), suppression of emotions,. noise, odors, touch, night, fasting, solitude, heavy meals, coffee, menstruation. ## Symptoms by System ### Mind - Suppressed or deep grief with long- drawn sighs. - Sobs in long drawn-out sighs. - Anguish, shrieks for help. - Melancholic, sad, tearful. - Sadness and sighing with empty feeling in pit of stomach. - Ailments from grief, emotional shocks and disappointments. - Ailments from hearing bad news, from fright, vexation with reserved displeasure, shame or embarrassments. - Disorders of the mind, particularly if actuated by grief, sadness, hopelessness, hysterical variableness, fantastic illusions. - Much unhappiness, cannot sleep, entirely absorbed in grief. - Inward weeping. - Broods, sometimes over imaginary troubles. - Intro spective. - Narrating her sym ptoms aggravates. - Worse from consolation. - Desire to be alone, to smother grief. - Full of suppressed grief, seems weighed down by it. - Indifference. - Aversion to every amusement. - Oversensitive and nervous. - Intolerant of contradiction or reprimands. - Constantly frustrated. - Irritable. - Everything irks her. - Quarrelsome. - Angry at self. - Sense of neglected duty. - Internal conflicts. - Anger, followed by quiet grief or sorrow. - Capricious, changeable, rapid alternation of moods. - Highly emotional and moody. - Oversensitive to pain. - Joking and laughter changing to sadness and tears. - Uncontrollable emotions. - Hysteria. - Globus hystericus. - Every little emotion disturbs. - Spasms and insanity after grieforfright. - Epilepsy aftergrieforfright. - Delights to bring on her fits and produce a scare or a scene. - Rages and tears clothes, can scarcely be restrained. - Looks about the bed as if to find something. - Childish behavior. - Monomania. - Obsessive compulsive disorder. - Bulimia. - Anorexia. - Anxiety, as if something terrible had happened. - Fearfulness, terror, alternating with irresolution and inertness. - Fear of trifles, of things coming near, of robbers at night on waking. - Fear of being hurt and disappointed. - Fear he will never sleep again. - Mild, gentle, yielding, whimsical and introverted. - Idealistic, sentimental and romantic. - Sensitive, impressionable. - Delicately conscientious. - Faints, falls easily in love, with married men (Nat -m.). - Love sick, homesick. - Aversion to being alone. - Jealousy from disappointed love. - Inclined to be very secretive and passive. - Fixed ideas. - Perfectionist. - Delusion she is breaking her vow. - Imagines her soul can't be saved and cries. - Imagines that she might go crazy, with suppressed menses. - Believes herself married and pregnant. - Hatred of men. - Suicidal thoughts and desire to escape. - Mistakes in writing and talking and awkward motions. - Incapacity for thought in evening. - Very great weakness of memory. - Forgets everything except dreams. - Hurried in mental work. - Sensitive to noise. - Suppressed or deep grief with long- drawn sighs. - Sobs in long drawn-out sighs. - Anguish, shrieks for help. - Melancholic, sad, tearful. - Sadness and sighing with empty feeling in pit of stomach. - Ailments from grief, emotional shocks and disappointments. - Ailments from hearing bad news, from fright, vexation with reserved displeasure, shame or embarrassments. - Disorders of the mind, particularly if actuated by grief, sadness, hopelessness, hysterical variableness, fantastic illusions. - Much unhappiness, cannot sleep, entirely absorbed in grief. - Inward weeping. - Broods, sometimes over imaginary troubles. - Intro spective. - Narrating her sym ptoms aggravates. - Worse from consolation. - Desire to be alone, to smother grief. - Full of suppressed grief, seems weighed down by it. - Indifference. - Aversion to every amusement. - Oversensitive and nervous. - Intolerant of contradiction or reprimands. - Constantly frustrated. - Irritable. - Everything irks her. - Quarrelsome. - Angry at self. - Sense of neglected duty. - Internal conflicts. - Anger, followed by quiet grief or sorrow. - Capricious, changeable, rapid alternation of moods. - Highly emotional and moody. - Oversensitive to pain. - Joking and laughter changing to sadness and tears. - Uncontrollable emotions. - Hysteria. - Globus hystericus. - Every little emotion disturbs. - Spasms and insanity after grieforfright. - Epilepsy aftergrieforfright. - Delights to bring on her fits and produce a scare or a scene. - Rages and tears clothes, can scarcely be restrained. - Looks about the bed as if to find something. - Childish behavior. - Monomania. - Obsessive compulsive disorder. - Bulimia. - Anorexia. - Anxiety, as if something terrible had happened. - Fearfulness, terror, alternating with irresolution and inertness. - Fear of trifles, of things coming near, of robbers at night on waking. - Fear of being hurt and disappointed. - Fear he will never sleep again. - Mild, gentle, yielding, whimsical and introverted. - Idealistic, sentimental and romantic. - Sensitive, impressionable. - Delicately conscientious. - Faints, falls easily in love, with married men (Nat -m.). - Love sick, homesick. - Aversion to being alone. - Jealousy from disappointed love. - Inclined to be very secretive and passive. - Fixed ideas. - Perfectionist. - Delusion she is breaking her vow. - Imagines her soul can't be saved and cries. - Imagines that she might go crazy, with suppressed menses. - Believes herself married and pregnant. - Hatred of men. - Suicidal thoughts and desire to escape. - Mistakes in writing and talking and awkward motions. - Incapacity for thought in evening. - Very great weakness of memory. - Forgets everything except dreams. - Hurried in mental work. - Sensitive to noise. ### Vertigo - Vertigo with sparks before the eyes, gastric symptoms and yawning. - Vertigo, worse slightest motion of head, stooping. - Vertigo as if swung to and fro in a swing or cradle. - Vision - Flashes of light from violent cough ing. - Sparks before the eyes. - Flickering zigzags and serpentine white flickering at one side of field of vision. - Dimness before one eye while reading, as if tears were in it, which is not the case. - Amblyopia and asthenopia in females, due to onanism or ciliary neuralgia. - COMMENTS - Sudden shock and grief (Staph., Caust., more anger with the grief). - Hysteria from grief. - Shock from frights (Op.), bad news, andfrom disappointment. - Since shock, sleepless, irritable, angry. - Crying with the inability to control themselves, choking, spasmodic crying. - Alternate moods, contradictory behavior. - Conflicted emotions . - Iove/hate relationships (Staph., Nat -m.). - Acute, unrequited love (Nat -m.). - Generally idealistic and romantic, leading to disappointment and unfulfilled hopes. - Perfectionist, obsessive, chronic or acute frustration. - Dislikes consolation (Nat -m.). - Characteristic sighing respiration. - Sentimental. - Fear of being trapped, of being possessed, changed. - Fear of being embarrassed, of losing control. - Frigidity, due to desire for control, often cannot orgasm. - Can shut down sex drive. - Women may become masculin ized, stoic, after disappoint in love. - Confident, but also low self esteem. - Overly concerned with appearance. - Hard on themselves in terms of weight, have an ideal body image and a drive for perfection. - Anorexia, bulimia. - Hard, critical. - Tendency to argue when hurt. - Internal conflicts, particularly over sense of dependency. - Complains of a communication problem in relationships. - Reactive (Nat -m. - is more introverted) . - Sense of irresolution. - Physical paradoxes, strange behavior. - Ulcer and heartburn that is better hot, spicy foods. - Sore throat, better swallowing solid foods. - Painful, inflamed joints that are better pressure. - Neurological problems since grief or shock. - Lump in the throat, tight feeling, empty feeling in the chest or the stomach since a grief. - Neurological diseases after grief, especially choreas, spasms, or epilepsy. - Convulsions, spasms from fright. - Epilepsy from emotional conflict. - Hysterical paralysis. - Cramps and spasms (Nux-v.). - Spasms and convulsions, ending in long -drawn sighs. - Nervous twitchings and convulsions. - The child stiffens and bends backward. - Halfunconscious state, thumbs clenched, face Ignatia amara blue. - Distortion of the facial muscles whenever the patient attempts to speak. - Severe numbness down the legs. - Back spasms. - Excessive pains rapidly alternate in character. - Exaggerated and outlandish symptoms. - Pains change their locality, come gradually and abate suddenly or come and go suddenl y. - Pains in small, circumscribed spots. - Pressure as of a sharp instrument from within outward. - Sensations of formication and numbness. - Headache as if a nail were driven out through the side of the head, better by lying on it. - Headaches terminate with a profuse flow of urine. - Migraines. - Dentition. - Toothache, worse after a meal, not so bad while eating. - Hoarse hacking, irritable and irritating cough. - The longer the cough lasts, the more the irritation increases. - Kent described it as “hack, hack -et-hack, ending in sobbing.” Cough every time he stands still during a walk. - Hollow, spasmodic cough as from sulphur fumes. - Cough as from inspired feath ery dust. - Hysterical aphonia. - Laryngismus stridulus, patient sits up in bed. - Knots in the stomach, colitis. - Sour sali va and sour taste in mouth. - Craves cheese, sweets and chocolate. - Strong aggravation from tobacco, coffee. - Sensitive to stimulants. - Pronounced “goneness” or sinking at the stomach, often at night. - Sensation as if the stomach were relaxed. - Regurgitation of food. - Hiccough, worse by eating, smoking or emotional disturbances (especially in children). - Empty retching better by eating. - Vomiting at night. - Hysterical vomiting. - Painful conditions of the anus and rectum, including hemorrhoids and prolapse. - Especially when characterized by “sharp, stitching pains shooting up the rectum,” or “constricting pain at anus worse after stool, better while sitting.” Dysmenorrhea, labor-like bearing-down in hypogastrium, better by pressure, lying down, change of position. - Flow is black, putrid, clotted if profuse. - Sudden loss of function in any organ. - Insomnia, with conflict. - Tendency to chilliness. - During intermittent fever, thirst occurs only during the chill stage. - Teste placed Ign. - in his Ip. - group as nausea and vomiting, r eversed peristalsis, conges tive headaches and engorgements resulting from vomiting, tenesmus, and intermittent fevers are the leading characteristics of the group. - Clarke once gave instant relief with Ign. - 30c in the case of a woman who had just heard of her brother's death (not unexpected) and who complained of an intense pain in the head just over the root of the nose. - Dr. - Nash related a case of puerperal convulsions in which this feature led to a cure. - Clarke astonished himself once by curing rapidly wi th Ign. - a severe case of rheumatic fever, which had been making no progress under Bry. - B. - Simmons explained the sciatica pains as “lancinating, cutting pains, beating, burst ing pains, chilliness with thirst, flushes of heat, chiefly face without thirst.” The limb is swollen and thigh knotty and she cannot get up or lie down without pain, generally left side. ### Head - Periodic, weekly, fortnightly or monthly headaches. - Nervous headaches in hysterical women, suddenly appearing and disappearing. - Congestive headaches follo wing angeror grief. - Headache, worse smoking or smelling tobacco. - Inclines head forward. - Throws the head backwards from weight at occiput or during spasms. - Headache alternating with backache. - Headache as if a nail were driven out through the side. - As if a n eedle were pushed through over right eye into brain. - Headache, worse or better by stooping. - Head feels hollow, heavy, worse stooping. - Throbbing pains, with every beat of arteries, worse stooping. - Severe throbbing in forehead and over eyes, worse light. - Headache from abuse of snuff, tobacco, smoking, alcohol, coffee. - Headache from close attention. - Headache, as if bruised or beaten in morning on waking. - Headache as if temples would be pressed out. - Lancinating, boring pains deep in brain with nausea. - Cramp - like pain over root of nose. - Trembling and shaking of head. - Hydrocephalus. - Meningitis, cerebrospi - nalis with rapid alternation of symptoms. - Loss of hair. - Periodic, weekly, fortnightly or monthly headaches. - Nervous headaches in hysterical women, suddenly appearing and disappearing. - Congestive headaches follo wing angeror grief. - Headache, worse smoking or smelling tobacco. - Inclines head forward. - Throws the head backwards from weight at occiput or during spasms. - Headache alternating with backache. - Headache as if a nail were driven out through the side. - As if a n eedle were pushed through over right eye into brain. - Headache, worse or better by stooping. - Head feels hollow, heavy, worse stooping. - Throbbing pains, with every beat of arteries, worse stooping. - Severe throbbing in forehead and over eyes, worse light. - Headache from abuse of snuff, tobacco, smoking, alcohol, coffee. - Headache from close attention. - Headache, as if bruised or beaten in morning on waking. - Headache as if temples would be pressed out. - Lancinating, boring pains deep in brain with nausea. - Cramp - like pain over root of nose. - Trembling and shaking of head. - Hydrocephalus. - Meningitis, cerebrospi - nalis with rapid alternation of symptoms. - Loss of hair. ### Eyes - Inflammation, redness of the eyes. - Acrid tears in eyes, during day. - Lachrymation with much mucus and burning in eyes during headache, especially in the brightness of the sun. - Fixed look with dilated pupils. - Photophobia, can't bea r the glare of light. - Sunlight causes headache (Nat -m.). - Photophobia during menses. - Ophthalmia of newborn infants. - Herpes in cornea. - Asthenopia with spasms of lids and neuralgic pain about eyes (Nat-m.). - Ciliary neuralgia. - Stabbing pain deep in eyes. - Convu lsive movements of the eyes, and of the eyelids. - Twitching of eyelids. - Swelling of upper lid. - Eyelid turned upward. - Eyelids seem dry. - Sensation as if sand were under upper lids. - Sensation of pressure and heaviness. - Sensation Ignatia amara as if eye would fall out, worse reading, sewing, etc. ### Ears - One ear red and hot. - Tugging pain in ears. - Obstinate itching in auditory canal. - Intolerance of noise. - Noise causes headache. - Loud talking aggravates headaches. - Roaring noises, better by music. - Sound before ear, as from a strong wind. - Hard ness of hearing. - Deafness, except for the human voice. - Worry takes away hearing and intensifies the noises. ### Face - Face changes color when at rest. - Flushing of face on emotions. - Redness and heat of one cheek, red and pale alternately. - Face clay -colored and sunken, with blue rings around eyes. - Eruption on the face. - Lips dry, cracked, and bleeding. - Scabs on the commissure of the lips, and on the lips. - Ulceration of the corners of the mouth. - Perspiration on the face alone. - Sweats on face while eating. - Pains in the submaxillary glands. - Swelling of the parotids, with shooting pain . - Twitching of muscles offace and lips. - Twitching of corners of mouth. - Masseters stiff and hard. - Facial muscles distort on attempting to speak. - Spasmodic clenching of the jaws. - Emotional trismus. - Lockjaw. - Pain in the lower jaw, as if dislocated. - Prosopalgia due to presence of ascarides. - Prosopalgia during pregnancy. - Prosopalgia due to prolonged nursing. ### Mouth - Foam at the mouth. - Putrid odor from mouth. - Sour taste. - Accumulation of acid saliva in the mouth. - Constant flow of saliva prevents sleep. - Mouth constantly full of white, frothy mucus. - Constant spitting. - Spasmodic closing of the jaws. - Bites inside of cheeks when talking or chewing. - Redness and inflammation of the mouth and of the palate. - Sharp pains in palate, extending to the ear. - Swelling of orifices of salivary glands. - Inner surface of lower lip seems raw. - Lips dry, cracked, bleeding. - Nose - Fluent coryza. - Stoppage of one nostril, dry coryza, with dull headache, and excessive nervous excitement. - Dry catarrh, with crawling and itching in nos trils, which are sore, sensitive or swollen. - Nostrils excoriated and ulcerated, with swelling of the nose. - Pain over the root of the nose. - Dryness of the nose. - Cold, with hot knees. - Sensitive to inspired air. - Sneezing attacks. - Nosebleed. - Perspiration - Sweat at times cold, but generally warm and somewhat sour-smelling. - Sweat, worse on eating, often on a small spot on the face. - Feeling as if sweat would break out, but does not. - Warm sweat, on palms of hands. - Slight sweat only on face. - Sweats with fainting. - Sweats in children duri ng dentition. ### Throat - Hysterical spasm of throat, result of suppressed grief, can't swallow either liquids or solids. - Spasm of glottis (Calc.). - Tendency to choke. - Choking sensation from s tomach up to throat. - Cramps in gullet. - Globus hystericus. - Sensation as if a lump in throat, that cannot be swallowed. - Sore throat, as if there were a plug in it, when not swallowing. - Sore throat, sharp pain when not swallowing, better eating something sol id. - Sharp pain extending to ear, between acts of swallowing. - Constrictive sensation in larynx and trachea. - As if a foreign body were lying over larynx. - Sore larynx. - Laryngismus that can be heard all over the house. - Crawling sensation in throat. - Tonsillitis. - Inflamed, hard swollen tonsils. - Small ulcers on tonsils. - Follicular tonsillitis. - Whitish tough mucus in spots on tonsils, simulating diphtheria. - Putrid throat, seldom painful. - Hoarseness from cold. - Whispering voice, can't speak loudly. - Voice trembling. - Submaxillary glands painful when moving the neck. - Goiter. - Tongue - Tendency to bite the tongue, on one side, when chewing or speaking. - Moist, white, flabby tongue, loaded with a white coating, shows marks of teeth. - Anterior half of tongue as if numb. - Tongu e trembles when protruded. ### Chest - Spasmodic cough or sighing respiration, with a sensation of throat constriction,. - resembling psychogenic cough or hyperventilation syndrome, worse with grief, cold. - air, or lying down. - Chest tightness or wheezing, with a tendency to aggravation in emotional states,. - resembling asthma, aggravated by cold, stress, or night. - Throat lump sensation (globus hystericus), with a feeling of choking or tightness,. - resembling somatic symptom disorder, worse with emotional stress or swallowing. - Tendency to respiratory hypersensitivity, with aggravation in emotional or spasmodic. - states. - Digestive:. - Globus hystericus or throat tightness, with a sensation of a lump or obstruction,. - resembling functional dyspepsia, worse with emotional stress, grief, or fasting. - Ignatia amara (St. - Ignatius Bean) 1049. - Abdominal cramps or bloating, with a sensation of fullness or spasms, resembling. - irritable bowel syndrome, aggravated by cold, emotional upset, or heavy meals. - Nausea or loss of appetite, with a sensation of emptiness or burning, resembling. - stress-induced gastritis, worse with grief or night. - Tendency to digestive hypersensitivity, with aggravation in emotional or. - psychosomatic states. - Systemic:. - Fatigue or weakness, with a sensation of heaviness or prostration, resembling chronic. - fatigue syndrome or post-stress exhaustion, worse with cold, exertion, or emotional. - stress. - Chilliness or cold intolerance, with aggravation in cold, damp conditions and a desire. - for warmth or distraction. - Hypersensitivity to external stimuli (e.g., noise, cold, odors), resembling sensory. - processing disorder, worse with emotional stress or fatigue. - Tendency to systemic irritability, with aggravation in emotional or fatigued states. ### Stomach & Abdomen - Periodical attacks of cramps in the stomach, worse slightest contact. - Sinking feeling in stomach, relieved by taking a deep breath. - Gnawing, cutting pains in stomach. - All -gone sensation in stomach. - Feeling in stomach as from fasting, with physical exhaustion. - Trem bling in stomach. - Catarrh of stomac h from grief or worries. - Much flatulence. - Dyspepsia with great nervous prostration, caused by mental depression. - Hiccough after emotions, from smoking. - Hiccough with belchings empty or bitter after eat ing, drinking. - Sour eructation. - Hunger with nausea. - Nausea with agitation and anguish. - Nauseous feeling in pit during cough. - Nausea while standing, better sitting down. - Nausea or vomiting, better indigestible things. - Vomiting of bile and mucus. - Regurgitation of food, or of bitter serous matter. - Abdominal spasms and cramps. - Periodic cramp-like pains in the abdomen. - Weak feeling in upper abdomen. - Throb bing in abdomen (Aloe, Sang.). - Twisting pain around navel. - Colicky, griping pains in sides of abdomen. - Abdominal colic pains worse brandy, coffee and sweet things. - Flatulent colic, especially at night. - Flatulence presses on the bladder. - Extreme flatulence with hysteria. - Rumbling in bowels. - Fullness and distension, causes inability to breathe. - Sensation as if the intestines were going to burst. - Sensation of hardness and swelling in regio n of spleen. - Sensation of protrusion in umbili cal region. - Anxious feeling rising from abdomen, after breakfast. - Distension of abdomen after eating, during pregnancy. - Loss of appetite before and during menses. - Loss of appetite from deep grief. - Food has a bitter, repulsive taste, or no taste. - Refuses to eat. - Averse to ordinary diet, longs fo r great variety of indigestible articles. - Appetite for various things, but when offered appetite fails. - Hunger and nausea at same time. - Hunger after fever. - Aversion to fruit,, warm food, meat, milk, alcohol, brandy, tobacco. - Nausea from smoking, repugnance to smelling tobacco smoke. - Craving for acid things, acid fruit, sour things, raw or indigestible things, cheese, bread, sweets, chocolate. - Desires cold food, which is digested, warm food causes indigestion. - Milk taken in the morning leaves an after-taste for a long time. - Worse tea, coffee, brandy. - Beer tastes bitter or putrid. - Diarrhea from fruit. ### Urinary & Genital - Sweat on scrotum. - Itching about genitals, in bed. - Much itching in the penis, removed by scratching. - Soreness and ulcerative pain, with itching at margin of prepuce. - Pain in penis, during cough. - Penis, contracted, becomes small. - Lasciviousness and weakness of genital power, without erections. - Absence of sexual de sire. - Sexual desire with impotence. - Erections with painful uneasiness, and aching at the pubis. - Erection before and during stool with emission of prostatic fluid. - Suppressed menses from grief. - Amenorrhea. - Premenstrual syndrome. - Sighing before menses. - Constant burning heat in vagina, worse before menses. - Menses, irregular, too early, too profuse, or scanty. - Menstrual blood black, of putrid odor, in clots. - Menses with great fatigue, spasmodic pains in stomach and abdomen. - Menstrual cramps. - Dysmenorrhea, with great pressure. - Metrorrhagia from chamomile tea. - Uterine hemorrhages from grief or emotional excitement. - Cramp-like and compressive pains in the region of the uterus. - Violent labor -like pains followed by purulent acrid leucorrhea. - Bearing down pains with leucorrh ea. - Corrosive and purulent leucorrhea, preceded by contractive pressure in the uterus. - Pruritus of young girls, with leucorrhea and ascarides. - Chronic leucorrhea with sexual desire. - Sexual frigidity. - Intensely sore pain at entrance of vagina during sex, almost driving her frantic. - Nausea, weakness, sinking in stomach, better eating, during pregnancy. - Threaten miscarriage after emotional upset, fright or grief. - Labor pains, spasms amounting almost to convulsions. - Labor doesn't progress. - After pains with much sighing, sadness and despondency. - Puerperal convulsions with vomiting. ### Extremities - Cramps, twitching and spasms in the limbs. - Jerking in limbs. - Painfulness of limbs on going to sleep. - Tingling and sensation as if limbs had gone to sleep. - Sciatica, worse in winter, better in sum mer. - As if flesh was loose on bones from a blow. - Joints as if dislocated. - Lancinating, cutting pain in the shoulder joint, when bending the arm forward. - Trembling of ha nds when writing. - Warm sweat on the palms. - Knees are involuntarily drawn upwards, when walking. - Knees hot with cold nose. - Cramps in calves. - Pain in Achilles tendon and calf. - Burning in heels on placing them near one another, when they come in contact they are cold to touch, worse at night. - Heavy sensation in feet. - Ulcerative pain in soles. - Corns painful as if sore. ### Neck & Back - Convulsive bending backwards of the spine. - Back is bent forward. - Back spasms and cramps. - Cutting, sharp pains from small of back. - Backache during chill. - Weak back with sciatica. - Twitching of muscles. - Aching pain in the glands of the neck. - Stiffness of the nape of the neck. - Pain in the os sacrum in the morning, when lying on the back. - Violent sacral pains. - Spinal disease with gressus gallinaceus. - Breasts - Sharp pains in nipples on deep inspiration. - Mi lk diminished. - Infantile colic after taking breast of mother or nurse, who suffers from grief. - Causations - Ill effects of disappointed love, grief, fright, worry, jealousy, old spinal injuries. ### Skin - Fatigue or weakness, with a sensation of heaviness or prostration, resembling chronic. - fatigue syndrome or post-stress exhaustion, worse with cold, exertion, or emotional. - stress. - Chilliness or cold intolerance, with aggravation in cold, damp conditions and a desire. - for warmth or distraction. - Hypersensitivity to external stimuli (e.g., noise, cold, odors), resembling sensory. - processing disorder, worse with emotional stress or fatigue. - Tendency to systemic irritability, with aggravation in emotional or fatigued states. ### Sleep - Violent spasmodic yawning with running from eyes. - Sleepy after coughing. - Insomnia from grief, worries. - Sleeplessness from anxious thoughts, depressing emotions, overstraining mind, relationships or business cares. - Jerking of limbs on going to sle ep. - Very light sleep, hears everything that happens around him. - Frequent changing position at night in bed. - Whimpering while sleeping. - Children with hiccough, chewing motions of mouth during sleep. - Sleepwalking from wounded pride, honor. - Profound and comat ose sleep with a stertorous breathing. - Nightmares, over and over again. - Dreams about grief, death of loved ones, broken relationships. - Child awakes from sleep with piercing cries and trembles all over.