It is both antipsoric and antisycotic and antisyphilitic. Suited to dark-haired persons with rigid fibre; delicate skins; lymphatic, torpid temperament. In children there are many symptoms of scrofula. There is a weakened and emaciated appearance, especially about the face, the abdomen being large.The paralytic element comes out in slow learning to talk and walk, and stumbling on attempting to walk.

Inclination to close the eyes, lids seem heavy, even paralysis of upper eyelids. Headache; cannot keep upper eyelids up. Paralysis of one side of the face.
Legs very sore, or rather the lower extremities ache and feel tired.
Involuntary urination, at night when asleep, when coughing, when sneezing, or blowing the nose.  Hoarseness, worse mornings and evenings, with scraping in the throat.  Cough in paroxysms, causing painful. sore sensation in a streak down along the trachea.  Cough with pains In hip, and involuntary discharge of urine.  The laryngeal muscles refuse their service; cannot speak a loud word. Rheumatic and gouty tearing in the limbs, relieved by warmth, especially by the heat of the bed. Tension in the limbs with paralysis, especially of the extensor muscles. Paralytic trembling, debility of the limbs when out of bed. Numbness of the single parts or of the right side of the body. In children, soreness, swelling abdomen, easy falling, and late learning to walk. In the evening and while sitting, insupportable restlessness through the whole body and anxiety about the heart. Morning hoarseness. Cough, being obliged to swallow what has been raised. Burning in exterior parts (ulcers). Warts of eye-brows and nose , on hands, on face, and especially on margins of eyelids. When on hands they are usually found on finger-tips or close to nails. Nails are crippled. Old, large, inflamed and indurated warts.
Fistula in ano, and fistula dentalis. Aggravation in the evening, and in the open air, after drinking coffee and while perspiring. Amelioration from warmth .
Causticum acts through the medulla oblongata and recurrent laryngeal nerve, causing chiefly paralysis and catarrh of the larynx and trachea. It also causes paralysis in various parts of the body.
Patients are timid ; nervous and anxious ; full of fancies, apprehensive, feel as if something were about to happen. Afraid to go to bed in the dark.
Cough relieved by a drink of water and accompanied by a spurt of urine. Dry, hollow cough with mucus on chest; patient cannot expectorate, must swallow phlegm raised. Cannot cough deep enough for relief.
Enuresis during first sleep.
Menses flow only by day time.
Paralytic aphonia.
After-effects of burns and scalds (I have never been well since that burn).
Stool passes better when patient is standing. Piles, unbearable by walking, by thinking of them, by touch. Painful pustules near anus discharging pus, blood, serum.
Sensation as if lime were being slaked in the stomach.Soreness or rawness are also very characteristic, appearing in piles and anal affections (< walking or sitting), in which Caust. is in the very first rank among remedies.
Itching at orifice of

Morning hoarseness.
Paralysis of single parts.
There is paralysis of the eyelids ; there is heat, burning and feeling of sand in the eyes, muscular weakness and double vision ; it is one of the most valuable remedies in cataract (sight as if through a fog) ; words, sounds and the patient's own voice re-echo in the ears (tinnitus and reverberation).
There is paralysis of the face, due to exposure to dry, cold winds ; there is also a paralysis of the tongue, lips and throat. Difficult swallowing of liquids.
Aconite like Causticum  has paralysis due to dry, cold winds, but it is more suitable to the beginning, Causticum coming in after Aconite fails.
There is also a paralytic condition of rectum ; the patient cannot evacuate the stool sitting down ; is obliged to stand.
Memory fails (mental paralysis), any attempt at mental exertion causes symptoms, such as stitches in temples, tension in head and scalp, especially forehead to temples.  There is a sensation as if there was an empty space between the bone of the skull and the brain, > by warmth. 
During the night the legs are constantly "on the go." This kind of restlessness is characteristic of Caus.
Symptoms are < at night (great restlessness of body, especially legs). 

Paralysis of the bladder ; involuntary urination while coughing ; nocturnal enuresis of children during the first sleep.
Squilla and Natrum mur have involuntary spurting of urine during coughing.
In Causticum menstruation flows only during the day time, while in Magnesia carb. flows only during the night. Menstrual colic (Caus. will cure after failure of Coloc.).
Epilepsy when fit occurs in sleep and urine escapes. Coughing expels urine. Incontinence following over-distension of the bladder owing to want of opportunity to attend to the call to urinate at the time, such as occurs in shop-girls and school-girls, who cannot leave their tasks. Prostatitis and urethritis. Itching scrotum; cannot retain urine. Blood with semen. Sexual appetite in women is abolished. 
Constant indifference, the only time there is any inclination is after the period. Sadness during period. Period too early, too abundant; after it, a little blood passes occasionally, smelling badly. Nursing women lose their milk after exertion or long sleep. 
Complete loss of voice ; the patient cannot speak loud ;. dryness of the larynx and sensitiveness extending to chest ; there is a hoarseness, rawness, and a scraping sensation in the chest, especially under the middle of the sternum, giving rise to a dry and hollow cough.
Phosphorus has evening hoarseness, and the soreness of Phosphorus is in the larynx, while Causticum has morning hoarseness, soreness under the sternum, and a cough relieved by a cold drink.These two drugs especially be carefully differentiated because they are inimical.
Causticum, Graphites, Selenium and Sulphur are some remedies for the hoarseness of singers.
Carbo vegetabilis is aggravated in the evening, being useful after exposure to damp evening air, while Causticum is useful for hoarseness in dry, cold, severe winter weather.
Causticum is one of Grauvogl's hydrogenoid remedies, hence is a chilly medicine; < washing, bathing, open air, draught, becoming cold, after wetting; < every change of weather. Heat, especially getting warm in bed > (rheumatism ceasing on getting warm in bed, but beginning again as soon as he gets up.). On the other hand cold water > face and eruptions, and a swallow of cold water > cough; headache is < entering a warm room; damp weather > pains in scalp, ulcers; rhinitis. Heat < eruptions. < In dark; fear of darkness. < From coffee. < After stool. <From walking. < From taking hold of anything. < In clear, fine weather.
Eupatorium perfoliatum and Causticum both have hoarseness in the morning, both have influenza and aching in body, but Eupatorium has rather a chest soreness than a burning or rawness.
Rheumatic stiffness of the joints, with contractions of the tendons ; there is restlessness at night and drawing pains in the muscles ; the parts upon which he lies become sore.
Causticum, Sulphuric acid, Sulphur and Silicea have a weakness or giving away of the ankles.
Intermittent fevers , sweat coming after the chill without intervening heat.
Teste found Caust. of great efficacy in small-pox in alternation with Merc. cor. 


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