-
- low back pain,
- conjunctivitis,
- reduced range of motion,
- swollen joints,
- nail pitting,
- joint pain and morning stiffness,
- foot pain,
- fatigue,
- swelling of the toes and fingers (dactylitis).
Psoriatic arthritis belongs to a group of arthritis conditions that can cause inflammation of the spine (spondyloarthropathies).
People with psoriatic arthritis can develop inflammation of tendons, cartilage, eyes, lung lining and rarely the aorta.
The arthritis of psoriatic arthritis is treated independently of the psoriasis.
Types of Psoriatic Arthritis
Psoriatic arthritis is an autoimmune disease that affects the joints and skin when healthy tissue is attacked by our immune system. There are five types of this condition.
1. Symmetric Psoriatic Arthritis
This form of psoriatic arthritis directly affects joints on both sides of the body, similar to rheumatoid arthritis. It is estimated 50% of patients are diagnosed with this type.
2. Asymmetric Psoriatic Arthritis
This version is not present in the same joints on opposite sides of the body at the same time. This affects 35% of psoriatic arthritis patients.
3. Distal Psoriatic Arthritis
This type directly targets the ends of your fingers and toes with inflammation and stiffness. Your nails can also have white spots, pitting, and separate from the nail bed.
4. Spondylitis
This form of psoriatic arthritis refers to pain and stiffness in the neck and spine regions.
5. Arthritis Mutilans
This condition affects five percent of patients with the classification of being the most severe form as it causes abnormalities with the toes and fingers smallest joints. It can result in destroying the end joints of the digits.
What Causes Psoriatic Arthritis?
There is no concrete single cause for this condition. It can be caused by the immune system failing, environmental factors, genetic traits, or a combination of these and from mineral imbalance in body said Dr Qaisar Ahmed.
Some studies show a family gene may be responsible for the reason 40% of patients have family members who are also diagnosed with psoriatic arthritis. There is research linking a trigger such as an infection as a possible connection for those relations at risk. This has lead researchers to suggest there may be various infections involved such as psoriasis bacteria (which I Dr Qaisar Ahmed think is “Staphylococcus”).
For others, the psoriatic arthritis presents itself after an infliction from an injury or accident directly to a joint. It is thought the stressed and overworked immune system begins attacking the joint tissues. Again, this seems to happen in those with a genetic risk.
The immune system of those with reduced helper T cells, such as in HIV and AIDS patients, seems to be involved with symptoms of psoriatic arthritis as well.
Symptoms
As a chronic disease, psoriatic arthritis can also present symptoms that appear to improve and sometimes disappear for periods at a time before returning. The symptoms may be mild or more severe each time they reappear.
1. Skin Rash
As it is directly linked to the skin condition psoriasis, in most cases, you may develop flaky, thick, red skin surrounding silver-white scaly skin patches.
2. Swollen Digits
Your fingers and toes can swell to resemble sausages with severe pain as the joints and tendons become inflamed. Some patients will present with hand and foot deformities long before the joints are directly affected.
3. Nail Changes
You may see changes in your toenails and fingernails such as discoloration, thickening, and pitting.
4. Foot Pain
Pain can appear on the heel and sole of feet where the tendons and ligaments meet the bone.
5. Stiffness
The range of motion is reduced and ability to move your joints easily may be tampered with stiffness and accompanying pain.
6. Back Pain
Pain in the lower back is a sign of spondylitis, caused by psoriatic arthritis. The joints of your vertebrae and in between the spine and pelvis become inflamed.
Fatigue
Psoriatic arthritis can cause fatigue from the physical and emotional exhaustion of dealing with the disease.
According to allopathic researches focusing on mainly the joints and skin tissue, psoriatic arthritis does not directly target any vital organs. However, it can cause inflammation of the eye. This painful condition, known as uveitis, affects the front of your eye and calls for immediate medical attention; But I (Dr Qaisar Ahmed) think that psoriatic arthritis attacks heart, kidneys, liver, large intestine and reproductive organs in female only.
Diagnosis
Expect your doctor to put you through a series of tests to rule out other types of arthritis such as rheumatoid arthritis and the condition of gout. This will include examining your nails for discoloration and pitting and your joints for any tenderness and swelling. The soles of your feet will also be checked for tenderness.
Other tests may look for joint, tendons, and ligaments issues by using X-rays and MRI (magnetic resonance imaging).
Lab tests are used to detect psoriatic arthritis. Checking for the RA-Factor (rheumatoid factor) in the blood will distinguish between the similar symptoms of the two conditions of psoriatic arthritis and rheumatoid arthritis. By removing joint fluid with a needle, your doctor will test for any signs of uric acid crystals, which reflect the condition of gout rather than psoriatic arthritis.
Allopathic Medications for Psoriatic Arthritis
A variety of prescribed and OTC (over-the-counter) drugs can be used as treatment for psoriatic arthritis.
- Immunosuppressants help to control the immune system, which functions abnormally during psoriatic arthritis. Azathioprine and cyclosporine drugs can put you at higher risk for other infection too.
- Disease modifying antirheumatic drugs, or DMARDs, aid in reducing the progression of the condition by prevent further damage to the tissues and joints. These include methotrexate, leflunomide, and sulfasalazine. They may have the side effects of lung infections, liver damage, and bone marrow suppression.
- TNF alpha inhibitors stimulate our body’s production of the inflammatory matter of TNF alpha. Etanercept, infliximab, adalimumab, golimumab, and certolizumab all reduce pain, swelling, and stiffness. Side effects can include hair loss, nausea, diarrhea, and increase your risk for infections.
- Nonsteroidal anti-inflammatory drugs, known as NSAIDs, suppress inflammation and mild pain. You can purchase ibuprofen and naproxen sodium pills at your local pharmacy. Your doctor may need to prescribe NSAIDs for more severe pain. NSAIDs have side effects of heart issues, liver and kidney damage, kidney failure, and stomach irritation/acidity/gastritis etc.
There have been introductions of medication to the market recently such as apremilast, ustekinumab, and secukinumab but with the same and even more severe side effects.
Other options your allopathic doctor may offer include steroid injections to reduce inflammation and joint replacement surgery. This surgery replaces damaged joints with metal or plastic artificial prostheses.
Homeopathic Treatment of Psoriatic Arthritis
Rhus Toxicodendron
Hot, painful swelling of joints. Pains tearing in tendons, ligaments, and fasciae. Rheumatic pains spread over a large surface at nape of neck, loins, and extremities; better motion (Agaric). Soreness of condyles of bones. Limbs stiff paralyzed. The cold fresh air is not tolerated; it makes the skin painful. Pain along ulnar nerve. Tearing down thighs. Sciatica; worse, cold, damp weather, at night. Numbness and formication, after overwork and exposure. Paralysis; trembling after exertion. Tenderness about knee-joint. Loss of power in forearm and fingers; crawling sensation in the tips of fingers. Tingling in feet.
Fever: Adynamic; restless, trembling. Typhoid; tongue dry and brown; sordes; bowels loose; great restlessness. Intermittent; chill, with dry cough and restlessness. During heat, urticaria. Hydroa. Chilly, as if cold water were poured over him, followed by heat and inclination to stretch the limbs.
Skin: Red, swollen; itching intense. Vesicles, herpes; urticaria; pemphigus; erysipelas; vesicular suppurative forms. Glands swollen. Cellulitis. Burning eczematous eruptions with tendency to scale formation.
Dark, turbid, high-colored, scanty urine, with white sediment. Dysuria, with loss of blood.
Male: Swelling of glands and prepuce-dark-red erysipelatous; scrotum thick, swollen, oedematous. Itching intense.
Female: Swelling, with intense itching of vulva. Pelvic articulations stiff when beginning to move. Menses early, profuse, and prolonged, acrid. Lochia thin, protracted, offensive diminished (Puls; Secale), with shooting upwards in vagina.
Eyes swollen, red, oedematous; orbital cellulitis. Pustular inflammations. Photophobia; profuse flow of yellow pus. Å’dema of lids, suppurative iritis. Lids inflamed, agglutinated swollen.
Sneezing; coryza from getting wet. Tip of nose red, sore, ulcerated. Swelling of nose. Nosebleed on stooping.
Drosera
Clinical: Amblyopia. Asthma. Bronchitis, Whooping cough. Catarrh. Consumption. Cough. Coxalgia. Epilepsy. Haemorrhage. Headache. Laryngitis. Measles. Nausea. Phthisis. Sciatica. Vomiting. Whooping-cough. Tuberculosis of Larynx, Bones, Joints, Abdominal, Cervical etc.
Osteoporosis. Scoliosis. Arthritis 3rd stage. Stiffness at the nape of the neck, with pains. Twitchings in shoulder. Cramp and stiffening of the fingers. Paralytic pains in the coxofemoral joint, and in the thighs. Stiffness in the joints. Deformed joints.
Skin: Violent itching while undressing; when scratching, the skin readily peels off. Black pores on chest and shoulder.
Polyuria, Brownish urine of a strong smell. Frequent evacuations of sanguineous mucus, with cutting pains; after the stool, pain in abdomen and small of the back.
Female Sexual Organs: Catamenia suppressed. Catamenia retarded. Leucorrhoea, with pains like those of childbirth, spasmodic pains in the abdomen.
Dulcamara
Paralysis; paralyzed limbs, feet icy cold. Warts on hands. Perspiration on palms of hands. Pain in shin-bones. Rheumatism alternates with diarrhoea. Rheumatic symptoms after acute skin eruptions.
Skin: Adenitis. Pruritus, always worse in cold, wet weather. Herpes zoster, pemphigus. Swelling and indurated glands from cold. Vesicular eruptions. Sensitive bleeding ulcers. Little boils. Red spots, urticaria, brought on by exposure, or sour stomach. Humid eruptions on face, genitals, hands, etc. Warts, large, smooth, on face and palmar surface of hands. Anasarca. Thick, brown-yellow crusts, bleeding when scratched.
Green, watery, slimy, bloody, mucus, especially in summer, when the weather suddenly becomes cold; from damp, cold weather and repelled eruptions.
Urine: Must urinate when getting chilled. Strangury, painful micturition. Catarrh of bladder from taking cold. Urine has thick, mucous, purulent sediment. Ischuria from wading with bare feet in cold water.
Female: Suppression of menses from cold or dampness. Before appearance of menses, a rash appears on skin, or sexual excitement. Dysmenorrhoea, with blotches all over; mammae engorged and sore, delicate, sensitive to cold.
Dry coryza. Complete stoppage of nose. Stuffs up when there is a cold rain. Thick, yellow mucus, bloody crusts.
Urtica Urens
Urtica urens is one of the best medicine for psoriatic arthritis.
Pain in acute gout deltoid; pain in ankles, wrists.
Skin: Itching blotches. Urticaria, burning heat, with formication; violent itching. Consequences of suppressed nettle rash. Rheumatism alternates with nettle-rash. Burn confined to skin. Urticaria nodosa (Bov). Erythema, with burning and stinging. Burns and scalds. Chicken-pox (Dulc). Angioneurotic oedema. Herpes labialis with sensation of heat and itching. Itching and stinging of scrotum.
Itching of scrotum, keeps him awake; scrotum swollen.
Female: Diminished secretion of milk. Uterine haemorrhage. Acid and excoriating leucorrhoea. Pruritus vulvae, with stinging, itching, and oedema. Arrests flow of milk after weaning. Excessive swelling of breasts.
Natrum Sulphuricum
Swelling of axillary glands. Inflammation around root of nails. Burning in soles; oedema of feet; itching between toes. Gout. Pain in limbs, compels frequent change in position. Run-arounds. Pain in hip-joints, worse left, worse, stooping. Stiffness of knees, cracking of joints. Rheumatism, worse in damp cold weather.
Skin: Itching while undressing. Jaundiced, watery blisters. Sycotic excrescences; wart-like red lumps all over body.
Cough, with thick ropy, greenish expectoration; chest feels all gone. Constant desire to take deep, long breath.
Urine: Loaded with bile. Brisk-dust sediment. Excessive secretion. Diabetes.
Female: Nosebleed during menses, which are acrid and profuse. Burning in pharynx during menstruation. Herpetic vulvitis. Leucorrhoea yellowish-green, following gonorrhoea in female. Leucorrhoea with hoarseness.
Male: Condylomata; soft, fleshy excrescences; greenish discharges. Gonorrhoea; discharge thick, greenish; little pain.
Rhus Veneta
Paralytic drawing in right arm, especially wrist, and extending to fingers.
Skin: Itching; relieved by hot water. Vesicles. Erysipelas; skin dark red. Erythema nodosum, with nightly itching and pains in long bones.
Numbness and lameness of joints. Bruised feeling in the limbs. Pains as if sprained or dislocated. Presents with trembling of limbs with twitching of muscles. Rashes under the skin with severe nightly itching. Fine psoriatic eruptions on forearm, wrist, back of hands between and on fingers. Severe desquamation with severe itching. Complaints are usually aggravated by warmth.
Ledum Palustre
Gouty pains shoot all through the foot and limb, and in joints, but especially small joints. Swollen, hot, pale. Throbbing in right shoulder. Pressure in shoulder, worse motion. Cracking in joints; worse, warmth of bed. Gouty nodosities. Ball of great to swollen. Rheumatism begins in lower limbs and ascends. Ankles swollen. Soles painful, can hardly step on them. Easy spraining of ankle.
Acne on forehead, sticking pain therein. Eczema (facial). Itching of feet and ankles; worse, scratching and warmth of bed. Ecchymosis. Long discoloration after injuries. Carbuncles.
Aching in eyes. Extravasation of blood in lids, conjunctiva, aqueous or vitreous. Contused wounds. Cataract with gout.
Red pimples on forehead and cheeks; stinging when touched. Crusty eruption around nose and mouth.
Belladonna
Shooting pains along limbs. Joints swollen, red, shining, with red streaks radiating. Tottering gait. Shifting rheumatic pains. Phlegmasia alba dolens. Jerking limbs. Spasms. Involuntary limping. Cold extremities.
Skin dry and hot; swollen, sensitive; burns scarlet, smooth. Eruption like scarlatina, suddenly spreading. Erythema; pustules on face. Glands swollen, tender, red. Boils. Acne rosacea. Suppurative wounds. Alternate redness and paleness of the skin. Indurations after inflammations. Erysipelas.
Testicles hard, drawn up, inflamed. Nocturnal sweat of genitals. Flow of prostatic fluid. Desire diminished.
Female: Sensitive forcing downwards, as if all the viscera would protrude at genitals. Dryness and heat of vagina. Dragging around loins. Pain in sacrum. Menses increased; bright red, too early, too profuse. Haemorrhage hot. Cutting pain from hip to hip. Menses and lochia very offensive and hot. Labor-pains come and go suddenly. Mastitis pain, throbbing, redness, streaks radiate from nipple. Breasts feel heavy; are hard and red. Tumors of breast, pain worse lying down. Badly smelling haemorrhages, hot gushes of blood. Diminished lochia.
Stools: Thin, green, dysenteric; in lumps like chalk. Shuddering during stool. Stinging pain in rectum; spasmodic stricture. Piles more sensitive with backache. Prolapsus ani (Ignatia; Podoph).
Urine: Retention. Acute urinary infections. Sensation of motion in bladder as of a worm. Urine scanty, with tenesmus; dark and turbid, loaded with phosphates. Vesical region sensitive. Incontinence, continuous dropping. Frequent and profuse. Haematuria where no pathological condition can be found. Prostatic hypertrophy.
Nose: Imaginary odors. Tingling in tip of nose. Red and swollen. Bleeding of nose, with red face. Coryza; mucus mixed with blood.
Face: Red, bluish-red, hot, swollen, shining; convulsive motion of muscles of face. Swelling of upper lip. Facial neuralgia with twitching muscles and flushed face.
Eyes: Throbbing deep in eyes on lying down. Pupils dilated (Agnus). Eyes feel swollen and protruding, staring, brilliant; conjunctiva red; dry, burn; photophobia; shooting in eyes. Exophthalmos. Ocular illusions; fiery appearance. Diplopia, squinting, spasms of lids. Sensation as if eyes were half closed. Eyelids swollen. Fundus congested.
Silicea Terra
Sciatica, pains through hips, legs and feet. Cramp in calves and soles. Loss of power in legs. Tremulous hands when using them. Paralytic weakness of forearm. Affections of finger nails, especially if white spots on nails. Ingrowing toe-nails. Icy cold and sweaty feet. The parts lain on go to sleep. Offensive sweat on feet, hands, and axillae. Sensation in tips of fingers, as if suppurating. Panaritium. Pain in knee, as if tightly bound. Calves tense and contracted. Pain beneath toes. Soles sore. Soreness in feet from instep through to the sole. Suppurates.
Skin: Felons, abscesses, boils, old fistulous ulcers. Delicate, pale, waxy. Cracks at end of fingers. Painless swelling of glands. Rose-colored blotches. Scars suddenly become painful. Pus offensive. Promotes expulsion of foreign bodies from tissues. Every little injury suppurates. Long lasting suppuration and fistulous tracts. Dry finger tips. Eruptions itch only in daytime and evening. Crippled nails. Indurated tumors. Abscesses of joints. After impure vaccination. Bursa. Lepra, nodes, and coppery spots. Keloid growths.
Swelling of lachrymal duct. Aversion to light, especially daylight; it produces dazzling, sharp pain through eyes; eyes tender to touch; worse when closed.
Dry, hard crusts from nose, bleeding when loosened. Nasal bones sensitive. Sneezing in morning. Obstructed and loss of smell. Perforation of septum.
Ears: Fetid discharge. Caries of mastoid. Loud pistol-like report. Sensitive to noise. Roaring in ears.
Bloody, involuntary, with red or yellow sediment. Prostatic fluid discharged when straining at stool. Nocturnal enuresis in children with worms.
Male: Burning and soreness of genitals, with eruption on inner surface of thighs. Chronic gonorrhoea, with thick, fetid discharge. Elephantiasis of scrotum. Sexual erethism; nocturnal emissions. Hydrocele.
Female: Milky acrid leucorrhoea, during urination. Itching of vulva and vagina; very sensitive. Discharge of blood between menstrual periods. Increased menses, with paroxysms of icy coldness over whole body. Nipples very sore; ulcerated easily; drawn in. Fistulous ulcers of breast. Abscess of labia. Discharge of blood from vagina every time child is nursed. Vaginal cysts hard lumps in breast.
Causticum
Dull, tearing pain in hands and arms. Heaviness and weakness. Tearing joints. Unsteadiness of muscles of forearm and hand. Burning in joints. Cracking and tension in knees; stiffness in hollow of knee. Itching on dorsum of feet. Deformities in the joints, tendinous contractures. Broken down seniles. Stiffness between shoulders. Dull pain in nape of neck.
Skin: Soreness in folds of skin, back of ears, between thighs. Warts large, jagged, bleeding easily, on tips of fingers and nose. Old burns that do not get well, and ill effects from burns. Pains of burns. Cicatrices freshen up; old injuries reopen. Skin prone to intertrigo during dentition.
Female: Uterine inertia during labor. Menses cease at night; flow only during day. Leucorrhoea at night, with great weakness. Menses delay, late.
Stool: Soft and small, size of goose-quill. Hard, tough, covered with mucus; shines like grease; small-shaped; expelled with much straining, or only on standing up. Pruritus. Partial paralysis of rectum. Rectum sore and burns. Fistula and large piles.
Medorrhinum
Pain in back, with burning heat. Legs heavy; ache all night; cannot keep them still (Zinc). Ankles easily turn when walking. Burning of hands feet. Finger-joints enlarged, puffy. Gouty concretions. Heels and balls of feet tender (Thuja). Soreness of soles. Restless; better, clutching hands.
Skin: Yellow. Intense and incessant itching; worse night and when thinking of it. Fiery red rash about anus in babies. Copper-colored spots. Favus. Tumors and abnormal growth.
Eyes: Feels as if she stared at everything. Eyeballs ache. Feels as if sticks in eyes. Lids irritated.
Ears: Partial deafness, pulsation in ears. Quick, darting pains in right ear.
Nose: Intense itching. Coldness of tip. Posterior nares obstructed. Chronic nasal and pharyngeal catarrhs.
Face: Pallor, acne, blotches of reddish color. Small boils break out during menses.
Painful tenesmus when urinating. Nocturnal enuresis. Renal colic. Urine flows very slowly.
Female: Intense pruritus. Menses offensive, profuse, dark, clotted; stains difficult to wash out, urinates frequently at that time. Sensitive spot near os uteri. Leucorrhoea thin, acrid, excoriating, fishy odor. Sycotic warts on genitals. Ovarian pain, worse left side, or from ovary to ovary. Sterility. Metrorrhagia. Intense menstrual colic. Breasts cold, sore, and sensitive.
Male: Nocturnal emissions, followed by great weakness. Impotence. Gleet; whole urethra feels sore. Urethritis. Enlarged and painful prostate with frequent urging and painful urination.
Antimonium Crudum
Twitching of muscles. Jerks in arms. Arthritic pain in fingers. Nails brittle; grow out of shape. Horny warts on hands and soles. Weakness and shaking of hands in writing followed by offensive flatulence. Feet very tender; covered with large horny places. Inflamed corns. Pain in heels.
Skin: Eczema with gastric derangements. Pimples, vesicles, and pustules. Sensitive to cold bathing. Thick, hard, honey-colored scabs. Urticaria; measle-like eruption. Itching when warm in bed. Dry skin. Warts. Dry gangrene. Scaly, pustular eruption with burning and itching, worse at night.
Anal itching. diarrhoea alternates with constipation, especially in old people. Diarrhoea after acids, sour wine, baths, overeating; slimy, flatulent stools. Mucous piles, continued oozing of mucus. Hard lumps mixed with watery discharge. Catarrhal proctitis. Stools composed entirely of mucus.
Urine: Frequent, with burning, and backache; turbid and foul odor.
Male: Eruption on scrotum and about genitals. Impotence. Atrophy of penis and testicles.
Female: Excited; parts itch. Before menses, toothache; menses too early and profuse. Menses suppressed from cold bathing, with feeling of pressure in pelvis and tenderness in ovarian region. Leucorrhoea watery; acrid, lumpy.
Caulophyllum
Severe drawing, erratic pain and stiffness in small joints, fingers, toes, ankles, etc. Aching in wrists. Cutting pains on closing hands. Erratic pains, changing place every few minutes.
Skin: Discoloration of skin in women with menstrual and uterine disorder.
Female: Extraordinary rigidity of os; Spasmodic and severe pains, which fly in all directions; shivering, without progress; false pains.
Syphilinum
Rheumatism of shoulder-joint, at insertion of deltoid. Run-around. Severe pain in long bones. Redness and rawness between toes. Rheumatism, muscles are caked in hard knot or lumps. Always washing the hands. Indolent ulcers. Muscles contracted in hard knots. Caries of nasal bones, hard palate and septum, with perforation; ozaena. Chronic, recurrent, phlyctenular inflammation of cornea; successive crops of phlyctenular and abrasions of epithelial layer of cornea; photophobia intense, lachrymation profuse. Lids swollen; pain intense at night; ptosis. Tuberculous iritis. Diplopia. Ulceration of mouth, nose, genitals, skin. Succession of abscesses.
Female: Ulcers on labia. Leucorrhoea profuse, thin, watery, acrid, with sharp, knife-pain in ovaries.
Rectum: Feels tied up with strictures. Enemas very painful. Fissures, prolapse.
Pulsatilla Pratensis
Drawing, tensive pain in thighs and legs, with restlessness, sleeplessness and chilliness. Pain in limbs, shifting rapidly; tensive pain, letting up with a snap. Numbness around elbow. Hip-joint painful. Knees swollen, with tearing, drawing pains. Boring pain in heels toward evening; suffering worse from letting the affected limb hang down. Veins in forearms and hands swollen. Feet red, inflamed, swollen. Legs feel heavy and weary.
Skin: Urticaria, after rich food, with diarrhoea, from delayed menses, worse undressing. Measles. Acne at puberty. Varicose veins.
Rumbling, watery; worse, night No two stools alike. After fruit. Blind haemorrhoids, with itching and sticking pains. Dysentery; mucus and blood, with chilliness. Two or three normal stools daily.
Burning in orifice of urethra during and after micturition. Involuntary micturition at night, while coughing or passing flatus. After urinating, spasmodic pain in bladder.
Female: Amenorrhoea. Suppressed menses from wet feet, nervous debility, or chlorosis. Tardy menses. Too late, scanty, thick, dark, clotted, changeable, intermittent. Chilliness, nausea, downward pressure, painful, flow intermits. Leucorrhoea acrid, burning, creamy. Pain in back; tired feeling. Diarrhoea during or after menses.
Male: Orchitis; pain from abdomen to testicles. Thick, yellow discharge from urethra; late stage of gonorrhoea. Stricture; urine passed only in drops, and stream interrupted. Acute prostatitis. Pain and tenesmus in urinating, worse lying on back.
Thuja Occidentalis
Tips of fingers swollen, red, feel read. Muscular twitchings, weakness and trembling. Cracking in joints. Pain in heels and tendo-Achilles. Nails brittle. Ingrowing toe nail.
Skin: Polypi, tubercles, warts epithelioma, naevi, carbuncles; ulcers, especially in anogenital region. Freckles and blotches. Perspiration sweetish, and strong. Dry skin, with brown spots. Zona; herpetic eruptions. Tearing pains in glands. Glandular enlargement. Nails crippled; brittle and soft. Eruptions only on covered parts; worse after scratching. Very sensitive to touch. Coldness of one side. Sarcoma; polypi. Brown spots on hands and arm.
Urethra swollen inflamed. Urinary stream split and small. Sensation of trickling after urinating. Severe cutting after. Frequent micturition accompanying pains. Desire sudden and urgent, but cannot be controlled. Paralysis sphincter vesicae.
Male: Inflammation of prepuce and glans; pain in penis. Balanitis. Gonorrhoeal rheumatism. Gonorrhoea. Chronic induration of testicles. Pain and burning felt near neck of bladder, with frequent and urgent desire to urinate. Prostatic enlargement.
Female: Vagina very sensitive. Warty excrescences on vulva and perineum. Profuse leucorrhoea; thick, greenish. Severe pain in left ovary and left inguinal region. Menses scanty, retarded. Polypi; fleshy excrescences. Ovaritis; worse left side, at every menstrual period. Profuse perspiration before menses.
Eyes: Ciliary neuralgia; iritis. Eyelids agglutinated at night; dry, scaly. Styes and tarsal tumors. Acute and subacute inflammation of sclera. Sclera raised in patches, and looks bluish-red. Large, flat phlyctenules; indolent. Recurring episcleritis. Chronic scleritis.
Nose: Chronic catarrh; thick, green mucus; blood and pus. On blowing nose, pain in teeth. Ulceration within the nostrils. Dryness of nasal cavities. Painful pressure at root.
Colchicum Autumnale
Clinical.-Appendicitis. Asthma. Cataract. Cholera. Colic. Cough. Cramp. Debility. Diabetes. Diarrhoea. Dropsy. Dysentery. Eye, affections of. Feels, painful. Gout. Heart affections of. Ileus. Intermittent fever. Intestinal catarrh. Lumbago. Myalgia. Nephritis (rheumatic and gouty). Pericarditis. Proctalgia. Prostatitis. Rectum, prolapse of. Rheumatism. Stiff-neck. Tongue, sensibility lost. Typhlitis. Typhoid fever.
Shooting tension between the shoulder-blades.-Tearings in the back; Drawing in the small of the back sometimes with soreness. Stitches in the shoulder. Painful lameness in the arms. Cramp-like contraction of the fingers. Tingling pain in the fingers.
Tearings in the legs, the feet, and the toes. Paralytic pains. Hot (oedematous) swelling of the legs.
Skin: Itching, as from nettles. Tingling in different parts, as after being frozen. Edematous swelling and anasarca. Suppressed perspiration.
Iodium
Joints inflamed and painful. Pain in bones at night. White swelling. Gonorrhoeal rheumatism. Rheumatism of nape and upper extremities. Cold hands and feet. Acrid sweat of feet. Pulsation in large arterial trunks. Rheumatic pains, nightly pains in joints; constrictive sensations.
Skin: Hot, dry, yellow and withered. Glands enlarged. Nodosities. Anasarca of cardiac disease.
Liver and spleen sore and enlarged. Jaundice. Mesenteric glands enlarged. Pancreatic disease. Cutting pain in abdomen. Haemorrhage at every stool. Diarrhoea, whitish, frothy, fatty. Constipation, with ineffectual urging; better by drinking cold milk. Constipation alternating with diarrhoea.
Urine: Frequent and copious, dark yellow-green (Bovista), thick, acrid with cuticle on surface.
Male: Testicles swollen and indurated. Hydrocele. Loss of sexual power, with atrophied testes.
Female: Great weakness during menses. Menstruation irregular. Uterine haemorrhage. Ovaritis. Wedge-like pain from ovary to uterus. Dwindling of mammary glands. Nodosities in skin of mammae. Acrid leucorrhoea, thick, slimy, corroding the linen. Wedge-like pain in the right ovarian region.
Sneezing. Sudden violent influenza. Dry coryza becomes fluent in open air, also a fluent hot coryza with general heat of skin. Pain at root of nose and frontal sinus. Nose stopped up. Tendency to ulceration. Loss of smell. Acute nasal engorgement associated with high blood pressure.
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