Painful throat infections, such as tonsillitis, where the pain radiates to the ears and worsens with swallowing. it is also effective for breast conditions, particularly mastitis and engorged, painful breasts during lactation. the remedy is known to help reduce glandular swellings, especially in the lymph nodes and thyroid, and is useful in cases of rheumatic pains or muscle soreness that are associated with inflammation. phytolacca decandra is particularly indicated when symptoms worsen with touch or cold.