Painful throat infections, especially tonsillitis, where the pain radiates to the ears and is often accompanied by a dry, scratchy throat. it is also commonly used for breast issues, including mastitis (inflammation of the breast) and painful, swollen breasts due to lactation. in addition, this remedy is helpful for glandular swelling, especially in the lymph nodes and thyroid gland, and can assist in reducing rheumatic pain in muscles and joints. phytolacca americana is particularly indicated when symptoms are worsened by cold or touch.