The awakening of the internal Psora which has hitherto slumbered and been latent, and, as it were, kept bound by a good bodily constitution and favorable external circumstances, as well as its breaking out into more serious ailments and maladies, is announced by the increase of the symptoms given above as indicating the slumbering Psora, and also by a numberless multitude of various other signs and complaints. These are varied according to the difference in the bodily constitution of a man, his hereditary disposition, the various errors in his education and habits, his manner of living and diet, his employments, his turn of mind, his morality, etc.

Then when the itch-malady develops into a manifest secondary disease there appear the following symptoms, which I have derived and observed altogether from accounts of diseases which I myself have treated successfully and which confessedly originated from the contagion of itch, and were mixed neither with syphilis nor sycosis.

I am quite willing to believe that many more symptoms may have occurred in the experience of others.

I would only add further, that among the symptoms adduced there are also such as are entirely opposed to each other, the reason of which may be found in the varying bodily constitutions existing at the time- when the outbreak of the internal Psora occurred. Yet the one variety of symptoms is found more rarely than the other and it offers no particular obstruction to a cure:

Vertigo; reeling while walking.

Vertigo; when closing the eyes, everything seems to turn around with him; he is at the same time seized with nausea.

Vertigo; on turning around briskly, he almost falls over.

Vertigo, as if there was a jerk in the head, which causes a momentary loss of consciousness.

Vertigo with frequent eructations.

Vertigo even when only looking down on the level ground, or when looking upward.

Vertigo while walking on a road not enclosed on either side, in an open plain.

Vertigo; she seems to herself now too large, now too small, or other objects have this appearance to her.

Vertigo, resembling a swoon.

Vertigo, passing over into unconsciousness.

Dizziness; inability to think or to perform mental labor.

Her thoughts are not under her control.

She is at times quite without thought (sits lost in thought).

The open air causes dizziness and drowsiness in the head.

Everything at times seems dark and black before his eyes, while walking or stooping, or when raising himself from a stooping posture.

Rush of blood to the head.1

Heat in the head (and in the face).2

A cold pressure on the top of the head.3

Headache, a dull pain in the morning immediately on waking up, or in the afternoon when walking rapidly or speaking loudly.

Headache on one side, with a certain periodicity (after 28, 14 or a less number of days), more frequently during full moon, or during the new moon, or after mental excitement, after a cold, etc.; a pressure or other pain on top of the head or inside of it, or a boring pain over one of the eyes.4

1 While the mind is uneasy, with anxiety and disinclination to work.

2 Not unfrequently accompanied with coldness of the hands and feet.

3 Usually accompanied with anxiety.

4 At the same time a great internal disquiet and anxiety, especially in the abdomen; a lack of stools, or frequent, scanty evacuations attended with anxiety; heaviness in the limbs, quivering in the whole body, tension of all the nerves with great irritability and sensitiveness; the eye can not bear any light, lachrymation.

Headache daily at certain hours; e.g., a stitching in the temples.1

Attacks of throbbing headache (e. g., in the forehead) with violent nausea as if about to sink down, or, also, vomiting; starting early in the evenings, repeated every fortnight, or sooner or later.

Headache as if the skull were about to burst open.2

Headache, drawing pains.3

Headache, stitches in the head (passing out at the ears).4

Roaring noise in the brain, singing, buzzing, humming, thundering, etc.

The scalp full of dandruff, with or without itching.

Eruption on the head, tinea capitis, malignant tinea with crusts of greater or less thickness, with sensitive sometimes with swelling of the eyes; the feet are cold; at times attended with dry coryza; often chills, then again a flying heat; conjoined with this, continuous nausea, also at times, retching and vomiting; she lies either as if stunned, or throws herself anxiously from side to side, the attacks lasting from twelve to twenty-four and more hours. After these attacks either great weariness with sadness, or a feeling of tension all over the body. Before these attacks there are frequent jerks of the limbs during sleep and starting up from sleep, anxious dreams, gnashing of the teeth in sleep and tendency to start at any sudden noise.

1 Which also swell at times, with lachrymation of the one eye.

2In some cases a drawing pain from the nape of the neck toward the occiput, at times also all over the whole head and face, which is often bloated from it, while the head aches when touched, not infrequently attended with nausea.

3Usually while walking, especially while walking and moving after meals.

4At the same time everything frequently appears dark before her face.

Stitches when one of the places becomes moist; when it becomes moist a violent itching; the whole crown of the head painfully sensitive to the open air; with it hard swellings of the glands in the neck.

The hair of the head as if parched.

The hair of the head frequently falls out, most in front, on the crown and top of the head; bald spots or beginning baldness of certain spots.

Under the skin are formed painful lumps, which come and pass away, like bumps and round tumors.1

Feeling of contraction in the skin of the scalp and the face.

Paleness of the face during the first sleep, with blue rings around the eyes.

Frequent redness of the face, and heat.2

Yellowish; yellow color of the face.

Sallow yellowish complexion.