– GEORGE VITHOULKAS
Extremities
Rheumatic pains in all the limbs from cold and wet weather, particularly after getting wet in rain or when the snow melts; usually worse from motion. They tend to fly about all parts of the rump and limbs. The joints are most affected; pain in all the joints, most on the left side. Gouty fingers and toes become painful in cold weather.
Aching and extreme fatigue of all the limbs. Stiffness after resting, also in the morning.
Aching in the bones, like growing pains.
Soreness about the sheaths of tendons, on extending as well as on flexing.
The rheumatic pains and paralytic symptoms tend to affect the extensors more than the flexors. Feeling of lameness of the flexors; sudden aching of the extensors of all the limbs.
Rheumatic pain in the upper arm near the shoulder joint; cannot lift the arm. Rheumatic pains in the shoulder and arm, also with swelling of the diseased part and febrile heat. All bones of the arms ache, especially the thumbs.
Paralysis of the whole left arm was observed in Bute’s proving.
Hard bluish lumps under the arm, oozing and scabbing, after a suppressed itch.
Dull pains in the arms, first the left, then the right; from the shoulder to the fingers, from the clavicle to the wrist; worse from a change of weather.
The condyles of the elbows tend to be swollen.
Shooting sensation through elbows, usually first left, then right.
Pain that feels like the bones of the forearms are breaking.
Calcarea phosphorica is one of the main remedies for carpal tunnel syndrome. It may affect both hands, which is rare for that syndrome. The hands become weak and drop things. Pain in the wrist, with lameness as if bruised; cramp-like pains when moving or using it; numbness spreading upward; burning pain. In thumbs, all joints as if luxated or sprained.
Pain in the fingers of the right hand when writing, in the evening; writers’ cramp.
Spasmodic motion of the thumbs.
Ulcerative pains in the roots of the finger nails, especially the middle finger.
Finger tips sore.
The lower limbs are the most to suffer, with tearing, shooting, rheumatic pains etc. Kent states that the reason is probably that the lower limbs are always cold to the knees and that in this remedy the cold parts are always the parts that suffer. Heaviness, fatigue and stiffness also refer to the lower limbs to a greater extent than the upper, especially during the menses or during pregnancy.
Numbness, ‘going to sleep’, and tingling of several parts, especially the buttocks. This feeling extends upward to the sacrum or down to the soles of the feet. It can come on from sitting, after rising from a seat, or from riding in a car. It can be accompanied by a peculiar restlessness of the legs. Schréter’s proving provoked the following symptom:
‘Muscles of the nates [buttocks] fall asleep, with restlessness in lower legs, has to move them all the time, change position, with an anxious feeling, he wants to jump out of the carriage; if he turns to the right side, the nervus ischiadicus aches as if pressed upon, and he has to sit straight (on riding in a car for some time, at night).’
In the buttocks a lameness as if beaten; after a storm all kinds of pain with soreness, most from right to left, but alternating, mostly on the right side.
There are also stinging, burning, itching sensations on small spots in the skin of the buttocks. Oozing pimples develop that form scurfs and continue to itch after scratching.
Calcarea phosphorica may be useful in hip-joint disease, coxarthrosis.
Aching and soreness of the thighs as if beaten, with aching in the sacral bones.
Sharp pain in the tendons on the inside of the thighs, more when walking. Tensive drawing in the hollow of the knee when standing up and stretching the leg, as if the tendons were too short; better from continued walking.
Pain in the knees: as if sprained, sore, boring; worse when walking or stretching. Chronic swelling of the knees; hygroma patellae.
The pain in bones is most felt in the tibiae. Bone pains in the left lower leg, as if it were breaking or beaten.
Cramp in the calves, drawing, rending, shooting pain; cramp on a small spot inside the calves when walking.
Contraction around the left calf as if it is tied over there.
Ankle joints as if dislocated; they tend to be weak and easily injured.
Ulcers at the ankle; fistular openings.
Hering’s proving gives ‘old gouty pain in big toe, with inclination to crack the joints, which, however, he did not do.’
Pains in the big toe, like a cramp, or aching in the region of the root of the nail, first the right toe, then the left.
Sleep
Very tired all day; irresistible drowsiness, especially in the morning, constant gaping and stretching, also with sweat in the face; gaping with tears in the eyes and confusion of the head. Sleepiness before the menses.
Cannot get awake in the early morning. One symptom from the proving: ‘Awakes early in the morning, with erections without voluptuous feeling, then falls in slumber, in which he hears everything, but cannot get fully awake and dreams of journeys with many obstacles.’
At night, the sleep is often disturbed. Cannot fall asleep, has to turn from one side to the other, his body itches, does not sleep before 2 a.m.
Very vivid dreams: of journeys, of meeting old friends, of events of the day, of robbers or an army of cats, of dangers (though without fear), of fire (though without many flames). Frightful dreams cause him to wake with a start. Children cry out in sleep.
Fever
Calcarea phosphorica patients are generally chilly; easily chilled and often have ailments from becoming cold or wet.
Frequent creeping shivering; coldness, tingling, and numbness with pains. Chills run up or down the back; but there might also be heat in the head that runs down to the toes. The lower part of the body is nearly always cold, but the face may be hot.
Chill in the morning after dressing; shaking chills on going outside.
Copious night sweats; partial sweats (head and neck) waken him. Profuse sweat during phthisis. Cold sweats, with cold body.
Bad news and emotions such as sadness, may provoke outbreaks of sweat.
Skin
The colour of the skin tends to be dirty-white or darker (brown), sometimes also yellowish.
Dry skin, with dry, crusty affections; eczema with anaemia.
In ulceration Calcarea phosphorica may be helpful: exulceration of old scars, e.g. after an amputation; ulcers that develop from furuncles; ulceration from long-continued external applications (e.g. from a mustard poultice); fistular ulcers at the ankle joints.
Skin eruptions often appear on injured parts.
Acne is common in adolescents, especially young girls.
Itching and burning over the whole skin. From Schréter’s proving: ‘After a cold river-bath, red as a lobster over whole body, with biting and prickling as from nettles.’
Clinical
Anaemia. Ankles, weak. Back, weakness of. Bones, disorders of. Brain-fag. Bright’s disease. Cholera infantum. Chorea. Consumption. Cretinism. Debility. Dentition. Diabetes. Dyspepsia. Emissions. Enuresis. Epilepsy. Erotomania. Face, boils on. Fistula.
Fracture. Non-specific urethritis. Gonorrhoea. Headaches. Hernia. Hydrocele. Hygroma. Joints, disorders of. Leucorrhoea. Lumbago. Nymphomania. Phosphaturia. Rheumatism. Rickets. Masturbation. Spermatorrhoea. Spina bifida. Stiff-neck. Strabismus. Testicles, swollen. Throat, sore. Tobacco habit. Tonsils, enlarged. Uterus, prolapsus of; polypus of. Yawning.
Relations
Compare: Calcar. hypophosporosa
Complementary: Ruta; Hepar.

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