• Primarily indicated for urticaria and skin affections with intense itching and burning.

• Constitutionally suited to individuals with a tendency to glandular swellings, particularly in the cervical region.

• Often associated with liver disturbances and jaundice.

• Marked sensitivity to touch, with a tendency to be easily aggravated.

• The patient feels intensely hot and restless.

• Symptoms are often worse at night.

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• Astacus Fluviatilis primarily affects the skin and digestive system.

• Indicated for urticaria-like eruptions and hepatic disturbances.

• Suited to individuals susceptible to allergic reactions.

• Constitution is often scrofulous or gouty.

• General sensation: Burning, itching, and stinging.

• Marked periodicity in symptom expression.

• Often worse from suppressed eruptions.

• Complaints often originate or are aggravated by shellfish consumption.

• Great sensitiveness to air.

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• Marked irritability and restlessness.

• Anxious and apprehensive, especially about health concerns.

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• , with a fear of being touched or approached during acute episodes.

• The patient can be despondent due to the intense itching and discomfort.

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• due to the overwhelming physical sensations.

• Impatience and a desire for quick relief.

• Easily angered by minor annoyances.

• Aversion to being questioned.

• Mental exhaustion from the constant itching.

• , often accompanied by nausea.

• Heaviness and fullness in the head.

• Vertigo, especially upon rising.

• Scalp feels tight and sensitive to touch.

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• Eyes may be sensitive to light.

• Yellowish discoloration of the sclera.

• Ears feel stopped up.

• No specific indications for nose symptoms.

• Throat feels dry and scratchy.

• Shortness of breath, especially with exertion.

• No specific indications for cough.

• Palpitations, especially when lying down.

• Feeling of constriction in the chest.

• Loss of appetite.

• Nausea and vomiting, especially when liver function is compromised.

• Tenderness and enlargement of the liver.

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• may be present, depending on the individual case.

• Abdomen feels distended and painful.

• Flatulence.

• Stools may be clay-colored.

• , indicating liver involvement.

• Scanty urine.

• Burning sensation during urination.

• No specific sexual symptoms.

• Stiffness and aching in the joints.

• Pain in the back, especially in the lumbar region.

• Weakness in the limbs.

• Swelling of the joints.

• Heaviness and fatigue in the legs.

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• , especially when associated with liver affections and urticaria.

• , indicating jaundice.

• Skin is sensitive to touch, and scratching may lead to further irritation and inflammation.

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• Dry, scaly skin.

• Sleeplessness due to intense itching.

• Restless sleep.

• Anxious dreams.

• Touch.

• Scratching.

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• Motion.

• Night.

• Lying down.

• Warmth.

• Shellfish.

• Suppressed eruptions.

• Eating.

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• (may aggravate itching).

• Pressure.

• Certain foods may trigger urticaria.

• Night.

• Motion.

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• Open air.

• Cold applications.

• Rest.

• (may temporarily relieve itching).

• Rest.

• Open air.

• Apis Mellifica, Urtica Urens, Hepar Sulphuris Calcareum.

• Camphor.

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• Camphor, Hepar Sulphuris Calcareum.

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• Apis Mellifica: Urticaria with stinging pains, but less liver involvement.

• Urtica Urens: Urticaria with burning and itching, but less glandular swelling.

• Hepar Sulphuris Calcareum: Skin eruptions with offensive discharges and extreme sensitivity to touch.

• Rhus Toxicodendron: Skin eruptions with intense itching, better by warm applications and movement (opposite Astacus).

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• Apis, Urtica urens, Hepar, Sulphur, Rhus tox. Useful in urticaria and conditions aggravated by shellfish consumption. Useful in hepatic complaints.

• Often indicated after abuse of shellfish.

• and easily angered by trivial matters.

• Mental confusion with difficulty concentrating.

• Sadness and a tendency to weep.

• Fear of disease.

• Easily startled.

• Impatient and hurried.

• Despondency, with a feeling of hopelessness.

• Headache, particularly in the forehead, with a feeling of fullness and pressure.

• Vertigo, aggravated by motion, especially rising or turning.

• Scalp feels tight and sensitive to touch.

• Headache as if the head would burst.

• Throbbing headache.

• Photophobia, sensitive to light.

• Redness of the conjunctiva.

• Lachrymation, with acrid tears.

• Dim vision.

• Itching within the ears.

• Tinnitus, buzzing or ringing sounds.

• Sensation of fullness in the ears.

• Diminished hearing.

• Nasal congestion, with a feeling of stuffiness.

• Sneezing, with watery discharge.

• Itching at the tip of the nose.

• Epistaxis (nosebleeds).

• Sore throat with a burning sensation.

• Difficulty swallowing, especially solids.

• Sensation of a lump in the throat.

• Throat feels dry and scratchy.

• Hoarseness.

• , especially when lying down.

• Wheezing.

• Cough, dry and hacking, particularly at night.

• Oppression of the chest.

• Shortness of breath on exertion.

• , with anxiety.

• Angina-like pain, with a feeling of constriction.

• Oppression of the chest, a feeling of weight on the chest.

• and vomiting, often bilious.

• Gastric acidity, heartburn.

• Craving for specific foods, or aversion to foods.

• Eructations, sour or bitter.

• Hiccoughs.

• Colicky abdominal pains, often relieved by passing flatus.

• Distention of the abdomen with gas.

• Liver region sensitive to touch.

• Jaundice.

• Pain in the region of the gallbladder.

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• Constipation, with hard, difficult stools.

• Diarrhea, with burning stools.

• Pruritus ani, intense itching around the anus.

• Hemorrhoids, with burning and stinging pain.

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• Frequent urination.

• Burning sensation during urination.

• Urine scanty and dark.

• Sediment in the urine.

• Involuntary urination.

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• In females, itching and burning in the vulva.

• Menses too early and profuse.

• Leucorrhea, acrid and burning.

• In males, itching and burning in the scrotum.

• Sexual desire increased or decreased.

• Prostatic affections.

• Pain in the back, especially in the lumbar region.

• Stiffness of the neck.

• Pain between the shoulders.

• Rheumatic pains in the joints, worse with motion.

• Swelling of the joints, red and inflamed.

• Itching and burning in the palms and soles.

• Urticaria-like eruptions on the skin of the extremities.

• Eczema on the hands and feet.

• Numbness and tingling in the fingers and toes.

• , with intense itching and burning.

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• , papular or vesicular.

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• , with thick crusts and oozing.

• Jaundice.

• Skin sensitive to touch.

• Burning and stinging sensations.

• Skin dry and scaly.

• Restless sleep, with frequent waking.

• Sleeplessness.

• Dreams vivid and anxious.

• Nightmares.

• Position: lies on the back.

• Apis Mellifica, Urtica Urens, Hepar Sulphuris Calcareum.