A) Leading symptoms of the heart in tubercular miasma:
1. Clinical:
• Palpitation and rush of blood to the head and chest with redness of the face.
• Painful dyspnea.
• Persistent emaciation with cardiac complaints.
2. Sensation:
• Violent palpitation with beating and shaking of the whole body.
3. Pulse:
• Feeble but rapid pulse.
4. Modalities:
• Aggravated by higher altitude, climbing, or sitting.
• Ameliorated by lying down and in the open air.
B) Leading symptoms of the lung of tubercular miasma:
1. Clinical:
• Pleurisy.
• Pulmonary tuberculosis.
• Recurrent tonsillitis.
2. Constitution:
• Narrow chest and lacking in width laterally, and in-depth anteroposteriorly.
• Sub-clavicular spaces are hollow.
• Thin, flat sternum on the top but protrudes at the lower end of the xiphoid process giving it a barrel-shaped appearance- pigeon chest.
• Rounded forwards infringing shoulder on the chest area.
• One lung is larger and better developed than others, resulting in hyper-functioning of the lung.
• Curves and lines in the chest wall are perfect and certain areas may be sunken and depressed.
• Catches cold easily and therefore always covers up their throat and chest.
3. Voice:
• Coarse and dip with base-like chest tone.
4. Sensation:
• Sensation of mucus constantly stuck in the throat, accompanied by tickling.
5. Cough:
• Teasing cough.
• Deep, ringing, and hollow cough with no expectoration.
• So dry and tight cough that they induce a headache.
6. Expectoration:
• Viscid mucus, pus-like, musty or offensive, and sweetish or salty taste, and May sometimes be mixed with blood.
• Sink down and cannot float, it is purulent, greenish-yellow, and very offensive.
• Constant desire to hawk or clear the throat from viscid, scanty mucus.
7. Respiration:
• Dyspnea on ascending stairs.
• Weakness and debility and breathlessness are often painful.
• Poor breathing with labored respiration.
• The alveoli of the lungs are never fully expended and do not receive adequate oxygen.
• Unable to expand the chest fully as the expensive power of the lungs is greatly limited.
8. Concomitants:
• Along with tubercular cough and cold, there is always swelling of the tonsils and cervical lymphadenopathy.
9. Modalities:
• Aggravation from cold air and from cold milk or at night.
• Amelioration is from open air and epistaxis.