Alumen

Alum : the crystallized double sulphate of Aluminum and Potassium. (KA12SO^,12H20.) Preparation, Triturations of the pure crystals.

Authorities.'\ 1, Fr. Husemann, took the SOth and 12th ; 2, Tr. took the 6th and 12th ; 3, Dr. M. J. Cheese, 30ih ; 4, "n. n." 3d and lower; 5, Mrs. Hz., 30th ; 6, R. sen., 3d ; 7, Mrs. R. M. R., 12th ; 8, Miss R. A. R., 6th ; 9, Mr. H. H. R., 9th ; 10, Miss A. R., 6th ; 11, C, Jr., 6th ; 12, Dr. Jeans, 3d ; 13, C. Hg., 200th Jen. ; 14, Becher; 15, Wibmer, crude ; 16, from Marcy, etc.. Elements of a New M. M. ; 17, Alice R. ; 18, Poisoning by calcined Alum.

Mind

Conscious of all that happens ; conscious of the services in church, while the blood rushes to the head that she hardly can hold it up or keep her eyes open

From 9 a.m. until noon veiy depressed and sad ; could have wept all the time ; felt very much oppressed, anxious, and heavy, like a stone on the chest, with inclination to take a long breath (third day)

Great anxiety, and disbelief in the power of medicine to relieve him

Feared to leave her seat in church, after feeling faint

They frighten him, ebullitions going upwards

Great fear in her dreams

* Scarcely endurable pains inrectxim

Much excited, with the twitching

Excitability of feeling, as when one is agitated by unpleasant news

Great agitation, anxiety, and restlessness, t.

Nervous restlessness ness

Perceptive faculties were gone during the deathlike fainting spell

When thinking about his disease, he feels the heart beating

After mental excitement, heart begins to beat violently

More anxious at night than at other times

Intellect and senses perfect,^l

Head p. 193

In the evening, when lying on the back, a sensation as if vertigo was coming on, with a weakness in the pit of the stomach, which disappears when opening the eyes and turning on the right side (one hour)

Vertigo when looking downwards, as if he should fall forwards, and at other times often giddy

Great vertigo, nausea, and weakness

She staggers to a chair; overcome by sudden nausea

Vertigo, with headache, in the evening, ceases after lying down

Blood rushes to the head with such rapidity and force that she cannot raise or open her eyes

Blood at first driven to the head by the suddenness and severity of pain, leaving it afterwards

Dull, heavy pain in the head, particularly in the back of it,l

At 8 a.m., severe jerking pain on the left side of the forehead (third day)

Pain in right of neck and forehead

Temples shooting

In the afternoon until evening, stinging pain on the vertex, when stooping

Pressing on top of the head,"; vertex (third day) 6.

Back of the head pains

Pain in the head, going from place to place, coming and going (forenoon)

The pain in my head was worse than any other symptom (worse in the morning when getting awake); at one time it was acute, shooting from one temple to the other; at another, heavy, and pressing on the top of my head, as if a great weight were placed thereon, with nausea ; this continued all day without cessation, but the sickness of the stomach left me, and returned at intervals only ; it was accompanied by chilliness and feeling as if cold water w^re poured down my back ; at another time great heat throughout my body : in fact I felt exactly like I did the time I was attacked with small-pox

About twenty-five minutes after taking the third dose, the same sensation of warmth ; slept during the night; in the morning some headache over the eyes and pains on the left side of the chest

Wakes in the morning with pressing headache over the eyes, which lasts until 10 A.M.; headache is relieved by drinking cold ■water; the following morning the same symptom (first and second days); in the evening, at half-past nine, the same headache as in the morning, with vertigo, lasts until bedtime ; lessens after lying down to sleep

Great pain in head, and nausea, when awaking at night

Headache, with sickness

Headache, lasting all afternoon, after attack at noon

Pain in head after cold feeling

Head and hands cold ; blood seemed to be forsaking them

Headache relieved by drinking cold water.

Eyes p. 193

Sight grew dim, with attack of pain in the stomach

When opening eyes vertigo disappears

Looking down, vertigo

Pain over the left eye

Bruised feeling on the inferior edge of orbit of left eye on pressure, or by moving the eyelids (after eight days for two days)

Itching, burning on the border of the right lower eyelid, followed by milder itching, also on the left lower lid and on the left hip ; in the morning (second day)

Burning, itching on the right lower eyelid b.

Spongy excrescences of the lachrymal caruncle and of the eyelids (Lefevre).

Ears p. 193

Hears everything in sleep; his bird's moving in the cage; what happens around her

At midnight, heat in both ears and left side of the face, disappearing when going to bed h.

Nose p. 193

Great dryness in nose.

In choanse dryness from throat

Face p. 193

Animated expression of the face, with fever

Face, left side, heat at night/.

Embonpoint from general bloating, with a sickly and sallow complexion/^

Sickly, sallow complexion.

Deathly pale, she .'^supposed she was

Deathly pallor of the face, like a corpse, with cramp in stomach

Pain in the left articulation of the jaw close to the ear

When shaving, the chin bleeds from slight scratch, in the morning (second day)

Lower lip twitching, with pain in stomach

Lips blue

Mouth p. 194

Mouth very dry after five hours, but the thirst not increased

Dryness in the mouth and throat

Very severe pain in mouth ; burning sensation and dryness of the mouth

In mouth burning pains, burning

Accumulation of saliva in the mouth, with feeling of dryness on the tongue ; qualmishness in the stomach, and accumulation of wind in the abdomen (third day) b.

Stool and Anus p. 194

Immediately after taking it, at midnight, a metallic taste and slight nausea ; she was very sick, and went to sleep soon, and slept until 5 a.m.

Immediately after taking it, metallic taste in the mouth, and slight nausea, more like qualmishness

Taste sourish, astringent, with a disgusting sweetish after-taste, t.

Metallic

Burning, sourish feeling on the right side of tongue; after taking 30th

In the evening, after taking it, burning, sourish feeling on the tongue b.

Stitches in the tongue, especially on the tip b.

Tongue rough, and as if scraped, in the morning

Feeling of dryness on the tongue, especially on the forepart, as if it had been scraped (notwithstanding there being sufficient saliva in the mouth), in the morning (second day)

In the evening, immediately after taking it, burning on the tongue (second day)

Palate and Throat p. 194

Roof of the mouth thickly coated with phlegm

After the powder of Alum was blown in the throat, to cure a redness thei-e, the lower half of the uvula was like a berry hanging on a string from the upper part

Pains in gullet, extending up into the swallow, pain from stomach

Very severe pains in the pharynx ; burning in the mouth, pharynx, and stomach

Thick phlegm in the throat, and the roof of the mouth is thickly coated with it

He spit up a limip of coagulated blood in the morning after rising (third day)

Tickling in throat after rising

In throat, scratching, with the cough

Prickling sensation in both sides of the throat, and great dryness, with constant desire to drink ; the dryness extended to the posterior nares, and rose into the throat (after two weeks)

Soreness and dryness in the throat, on both sides, when talking, aud when swallowing (two weeks after taking the last dose),l

Dryness in the throat, with desire to drink

Heat and burning in the throat and larynx

In pharynx, burning pains, burning down the oesophagus,'l

Appetite p. 194

Appetite was rather increased (Barthez).

Undisturbed appetite after two hours; increased in two days,'l

One drachm, dissolved in water, taken in small doses during the twenty-two hours, increased the appetite and digestion moderately, increased the secretion of urine, confined the bowels somewhat, but without injuring digestion

Increased appetite b.

Unusually good appetite, aud thirst (third week),l

Good appetite, with fulness of stomach

Increased appetite and thirst, after a sensation of contraction in the stomach

Appetite lessened, i

No appetite; she eats little (twenty-first day)

Mind p. 194

Desire to drink, with dryness in the throat

Thirst intense,'l

Thirst, and good appetite,*; thirst and appetite increased

Thirst, with heat in the stomach, relieved by drinking cold water

Thirst and appetite increased after contraction of stomach,'l

Intense thirst, with fever

Before breakfast, attack of nausea ; worse during breakfast, better after it,'; during breakfast, cough worse °; after it, full in stomach

Eating something, with sinking in stomach, she feels better/.

While at dinner, erections

After the meal, heaviness in the stomach, and a throbbing like in an abscess; distension of the stomach and epigastrium

After eating, violent throbbing in the stomach, lasting twenty-tive minutes

Gastric Sf/mptoms. -^[110.^ Immediately after taking a dose, each time some eructations

Slight nausea immediately after taking the 12th

Nausea

Qualmish in stomach,'; sickness at intervals,*; when awakening at night, prevents falling asleep again,'; continues in the morning, preventing him from going to his work

Two hours after taking it in the morning, she was taken with nausea, faintness, and weakness, lasting until the afternoon

Nausea and faintness in the morning, together with nervous restlessness and excitement, which seemed more like that produced by agitation of the mind than by illness of the body. The pain returned about the same time in the afternoon, and I have not been entirely free from it since

Nausea in the morning, with such a weakness that she is unable to sit up (twenty-second day)

Nausea and vertigo ; and headache,'; and metallic taste,'; and faintness; and chilliness

Loathing of food; with pain in stomach; nausea with it; sickness

Nausea, with retching, as if everything would come up the throat

Inclination to vomit, fifteen minutes, but no vomiting (after two and a half drachms) ; vomiting easy, and not preceded by much nausea ; same time with constipation after (three drachms) (Barthez).

Nausea and vomiting,'"; with fever, t.

She spits up a lump of coagulated blood in the morning after rising (second day)

Vomiting and disturbed digestion after large doses (Sundelin).

Stomach p. 195

Immediately acute pain in the stomach and gullet, burning in the mouth, and nausea; symptoms of a severe attack of inflammation in stomach and bowels ensued ; for several days not out of danger. After a single dose of a solution of ten to twenty grains,'®

Pain in stomach, nausea, vomiting, colic, more frequent discharges from the bowels

Pain and nausea ig the stomach, and pain and rushing of blood to the head, with drowsiness, which lasted several hours

Next morning I rose at 5 oclock, and soon after, I think in less than an hour, was suddenly attacked with severe pain and nausea, together with a convulsive bearing in the stomach, resembling the deathly sickness of pregnancy, but without vomiting; this was also attended by faintness and flashing to the head, which made assistance necessary to remove me to a chamber. I think the symptoms lasted a full hour, and were succeeded by partial loss of voice, soreness of throat, and occasional throbbing of the heart

Nausea and faintness, accompanied with a sick, griping pain in the stomach, and loathing of food

The next day at noon, just as she returned from school, she was seized instantaneously with the most acute pain in the stomach ; her mother saw her looking perfectly well, and in less than five minutes, found her sitting drawn together with her knees against her breast, and a face like a corpse; deathly pallor; lips blue. She said, "Oh, mother, I feel so strangely, «I think I have the cramp Cham, relieved, but there remained great vertigo and nausea ; she complained of being very cold, but did not shudder; great weakness, as after long illness, with headache lasting all afternoon

About and 4 oclock, p.m., sitting in church, she was seized with a sharp, steady pain in the stomach, accompanied by the most deathlike faintness she ever recollected to have felt, with extreme sickness and immediate loss of strength. A cold sweat covered her ; she thinks she must have been deathly pale, for she felt as though the blood (which had at first been driven to the head by the suddenness and severity of the pain), were leaving it and the extremities altogether; they were quite cold ; her sight grew dim, and she became so faint that she expected every moment to fall from her seat.

The pain in the stomach felt as though it would draw her double. Having no friend near her she feared to make the attempt to leave the pew, lest she should not have strength to reach the door unaided, much less her home. The attack lasted, she thinks, about half an hour, after which the violence of the pain gradually abated, the faintness passed off, the chilliness gave place to heat, and the blood rushed to her head with such a force, that she could hardly hold it up, or keep her eyes open, though quite conscious of the services going on about her. After services she was able to walk slowly home, though very weak, feeling very much as if she had been ill for a month. She felt the weakness especially in her back, although she had no pain there, but during the rest of the evening, whenever drawing a long breath, it appeared to come from a spot on each side of the spine, about the middle of the back, on a line with the inferior angles of the scapulae (fifth day). The effects passed off with a night's rest, and she had no further return of the symptoms (nor has she had such an attack since, two years after)

At 3 p.m., while sitting, a sudden jerking pain from the stomach up into the swallow, at the same time a twitching of the lower lip, and weak feeling in the pit of the stomach ; he has to rise and walk about when all the symptoms vanish b.

At 8 p.m., when walking in the open air, a severe pain to the left of the scrobiculum, somewhat relieved by standing still and pressing on it, and disappearing when bending double; when continuing his walk the pain returns, but a little lower than in the first place, and becomes more perceptible with every step b.

Pressing pain in the pit of the stomach, followed by throbbing sensation, when lying on the back in the evening (first day) (second day)

In the forenoon, at 11 oclock, a sinking sensation at the stomach ; after eating something she felt stronger, but had for fifteen minutes a violent throbbing, fifteen minutes after which it got better (twenty -second day)

Every morning, as often 'before, some cough

Fainty weakness in the pit of the stomach, as she had it during pregnancy

Weakness in pit of stomach, with vertigo in the evening, while lying on his back ; when sitting, has to rise

Feeling of uneasiness in the pit of the stomach, with rapid, short breathing 6.

[1^0.] Unpleasant feeling in the stomach, t.

Sense of contraction in the stomach, lasting for fifteen minutes, followed by acute aching in the stomach ; half drachms in an ounce of water (Barthez).

Pressing or contractive pains . in the stomach (T. W.).

Feeling of a strong contraction of the stomach; soon after, increased appetite and thirst, more active digestion

After breakfast, fourth day, feels very full in the stomach, and yet good appetite ; she thinks if she could vomit she would feel better, but has no nausea

A sensation of a fulness in the pit of the stomach urges him to take a deep breath, but he cannot Jen.

Heaviness in the stomach

Distension of stomach ; epigastrium

From pit of stomach warm creeps rain down

Nausea in the morning, and so weak that she could not sit up ; she felt a heat in the stomach, with great thirst, relieved by drinking cold water (twenty-second day),l

Stomach, burning pains, burning,^l

Heat and burning in the pit of stomach, and a feeling of fulness there Jen.

Tenderness to the touch, and with burning in the pit of stomach

Burning heat and tearing pains in the stomach/

A distension of the stomach and of the scrobiculum, after eating (several weeks)

Throbbing as in an abscess, and heaviness in stomach ; throbbing sensation in pit of stomach while lying on his back (evening in bed),l

Habitual hemorrhages from the stomach, such as are sometimes observed in hard drinkers ; repeated doses of the first decimal trituration are highly serviceable

Much gas in the stomach, at once

A throbbing in the epigastrium, extending to the heart, with violent palpitation

Distension of epigastric region ; and pain

Abdomen p. 197

A stitching pain runs straight down the median line of the abdomen into the penis, as though it followed a thread

Warm creeps running from the pit of the stomach down over the abdomen, followed by jerking contractions of the abdominal muscles, from sides towards the linea alba (fifteen minutes after)

Relaxed feeling in the abdomen (third day) h.

Weakness

Accumulation of wind in the abdomen

Distension of the bowels

Taken internally in large doses, Alum excites nausea, vomiting, griping, purging, and even an iuflamraatory condition of the intestinal canal ; effects which may perhaps be induced by small quantities, in persons endowed with unusual or morbid sensibility of the stomach and bowels (Pereira).

Burning pain in the small intestines

Fearful burning in the lower part of abdomen and small of back ; can scarcely get up ; she feels as though her back would break (third day)

Colic, with pain in stomach

Without producing either nausea, pain or constipation, it relieved colic pains

Pain in the belly when walking, with fulness and heaviness

In the evening, jerking contraction of the large abdominal muscles, from both sides below towards the linea alba (fifteen minutes after taking)

Stool p. 197

Usual fluid discharges cease ; and, notwithstanding his various meals, no second stool, as usual, but a sparing, scanty, consistent opening (the second day),'l

Stools become more difficult for two or three days (after some drachms, which partly had been vomited up)

Costiveness

In small doses it always causes a rarer, dryer, and harder stool ; in somewhat stronger doses irritation, more exudation and copious stools (Vogt).

The bowels confined

In the afternoon, difficult passage of a hard stool, with some blood (the first day)

In the afternoon, hard stool, expelled with difficulty, and some blood ; followed by beating in the anus (second day)

First "^hard, then soft stools and pain following

Relieved constipation entirely; the stools since, of natural consistence and frequency

Costiveness of long standing ; 30 cent.,'

Stools dry, seldom

Copious, solid stools

In large doses it acts as a purgative, More frequent discharges

Had had several days three or four diarrhoea discharges, and while damp weather favored this state, after taking Alum in solution, no stools appeared ; the next day only one scanty, consistent evacuation ; the following day, in the morning, a copious, mushy stool. After omitting the Alum, soon a light looseness returned four or five times a day

Diarrhoea, with frequent strong tenesmus, slimy discharges ; and while they pass very violent pains in the rectum, going down into the thighs. A tuberculous patient

Diarrhoea, stools yellow like those of an infant (three on eleventh day )

Diarrhoea appearing during the typhus abdominalis, consuming the strength of the patient, is quickest relieved by it (Maly. in Hygeia, 16, 335)

Diarrhoea in tuberculous patients

Blood with stool

Great masses of coagulated black blood pass from the anus in the third week of typhus, with signs of the greatest exhaustion. A girl of 18 years, 3d cent, in water

Diarrhoea, with frequent violent urging, slimy stools with severe pains in the rectum during stool, going down into the thighs

Fetid, bloody ichor from the rectum

Putrid dysentery (Jahr.)

During stool, pains in rectum

During stool strong dyspnoea

After stool, smarting and burning at rectum ; pains in anus and rectum ; in rectum, ° ; violent, ° (for three or four hours).

After a stool, beating in anus

After a hard stool, hemorrhoidal tumors

Rectum and Anus p. 198

Violent urging to stool

In rectum, severe pains during stool

With the stool, tearing in rectum

Smarting and burning at the rectum, after a solid stool, 'I

Beating in the anus, after a stool (second day)

Violent pains in the anus and Lecture, a few minutes after stool ; stinging and tearing up the rectum, relieved by bending forward and sitting bent over ; worse particularly when lying on one side ; somewhat better from lying on back ; at the same time burning and throbbing in the anus

In frequent attacks, first hard, then soft stools, and after it, for three hours, the most violent pains, burning, shooting, and particularly cutting in the rectum upwards, lasting from morning till noon ; with the stool passes a great deal of blood, without any relief; sometimes a sensation as if the anus would protrude. After the patient had carried a piece of Alum in his breeches pocket, he never had it again. (Reported to Dr. Neidhard.)

The same symptoms have in many cases been cured by giving high potencies

Severe pains in the anus and rectum, appearing several minutes after stool ; stinging and tearing up the rectum, relieved by bending forward and sitting bent forward ; particularly worse when lying on the side ; not so much when lying on the back ; burning and throbbing in the anus ; after five days better, but then a stitching pain from the upper part of the left chest through to the back, between the shoulder blades ; worse at night in bed ; it wakes him ; increases when lying on the left side ; not increased by taking a long breath ; at the same time, sudden attacks of flutterings at the heart, disappearing as quickly as they came. A man with chronic asthma (Dr. J. Husemann)

A woman with what was called cancer of the rectum (?), caused by a metallic pessary introduced in the vagina for prolapsus uteri, and remaining there for years, which had been somewhat benefited by Nux. and Sulp., but not permanentl}

Intense pains in the anus, and in the rectum the worst, particularly after stool ; she can scarcely endure it; sometimes lasting three or four hours. During stool, strong dyspnoea.

Four da3''s after taking 30 cent., more relief than from any other remedy since three months ; for the first time, stool without pains ; was perfectly cured, had no return, even after a scirrhus was cut out of the mamma six years later, and is ueax'Iy well now, twenty-five years after

Ulceration of the rectum ; if there is an ulcerated surface, and mostly exceedingly painful excrescences and fetid, bloody ichor, 2"" (Wolf )

Hemorrhoidal tumor after a hard stool,''l

Piles, with aching within the anus (after eight days),'l

A small lump at the anus itches violently, particularly in the night, not so much during the day 6.

Itching at the anus all evening (first and second day)

Urine p. 198

Increased secretion of urine

Frequent urination b.

The urine becomes remarkably acid from the use of it (Krans).

In the morning a bluish, iridizing film on the urine passed the evening before b.

Brown, muddy urine, over which is formed a thin, variegated cuticle, like that which is formed over stagnant water that contains iron (after six days)

The urine looks as though cheesy milk had been stirred into it

White, cloudy urine (after ten hours)

Orifice of urethra itching

Mind p. 199

While at dinner (2 oclock), erections; something quite unusual (third, day) 6.

In the night an emission of very thick semen; felt unusually well and strong next morning i.

A cutting pain in the left side of the penis

Shooting pain from the middle line of the belly, as along a thread down into the penis (third day)

Itching on the scrotum and at the orifice of the urethra, in the evening (second day)

Sexual Organs p. 199

In the highest degrees of weakness of uterus, its good influence is only transient (Hufeland).

Higher potencies relieved permanently if indicated by the symptoms

Causes induration and scirrhus uteri, if continually used for copious menstruation and hemorrhages (Hufeland).

Catamenia very scanty and more watery than usual (33 years old), has usually very profuse menstruation.

During catamenia hands weak, drops things easily

Menses did not appear since several months, no good digestion, loss of strength, pain in the lower limbs, particularly at night ; the collum uteri swollen and puffed up, the vagina very sensitive, and narrowed, particularly at the orifice, by swellings of various size (Jacquot).

As she had it during pregnancy, faint weakness in pit of stomach

Respiratory Organs p. 199

Hoarseness, voice shrill, cannot talk loud ; at times she feels as though she had lost her voice; altogether the sound of the voice varied when talking, it is sometimes high, sometimes low ; cannot talk loud enough

After a week, repeated the proving with precisely similar though less violent effects, except that her voice was entirely lost for a full week, and the soreness of the throat became so troublesome, as apparently to give her doctor some uneasiness ; he called repeatedly and administered medicine several times during the ensuing fortnight. This aphony lasted for months

Hoarseness ; worse from talking, which likewise causes a tickling cough

Hoarseness with tickling cough ° ; with cough in the evening

Talking increases hoarseness ; voice changing,'; throat dry; causes a tickling cough

Chest p. 199

Tickling in the larynx causing cough (Trbg.).

Tickling in throat causes cough ° ; scratching like dust in larynx

Painful scraping sensation of roughness in the larynx, with expectoration of much clear mucus, for two or three days after taking the medicine

With the cough, scraping in the throat to the middle of the sternum ; rawness in the breast ; but slight expectoration

In larynx, heat and burning

Sense of constriction in the windpipe

Heart and Pulse p. 199

Oppression of chest ; tightness across the upper part ; sense of heat and burning, t.

Sensation as if ligated in chest

With every deep inhalation, pain on both sides of the spine, in the middle

When inhaling, pain in clavicle

Rapid short breathing with uneasiness in stomach

Respiration rapid

Ineffectual urging to take a deep breath, by fulness in pit of stomach,'l

Not increased by deep breathing, stitches from chest to back

Cough p. 199

* Cough from tickling in larynx, caused by talking

Some irritation to cough, in the morning after rising (first day); tickling in the throat causing cough (second day)

Tickling cough one hour after getting up in the morning (second day)

Cough immediately after rising, excited by a tickling in the throat; worse during breakfast, after breakfast better, and only occasional cough during the day

Tickling cough in the evening, from twilight (7 oclock), until bedtime, with hoarseness

Severe spell of hard shaking cough, caused by a scratching sensation in the larynx, as if dust were in it, which is relieved by the discharge of a quantity of clear mucus (after a few hours)

Dry cough in the evening after lying down; after she felt nearly well ; but she had a cough in the evening

Every morning (as often before), some cough (twenty-second day),®. Cough in the morning immediately after rising, excited by a tickling in the throat, particularly worse during breakfast, afterwards better; only now and then during the day. The same tickling cough in the evening, from 7 oclock until he goes to bed, with hoarseness.

When coughing, a scratching in the throat, to the middle of the sternum, and rawness in the chest; very scanty expectoration. After the 30 cent., immediate improvement; after three days a relapse; then with a repetition of the dose for two days, gradual improvement.

Diarrhoea with frequent, violent urging; slimy stools, with severe pains in the rectum during stool, going down into the thighs. A young man who had been given up several years before as an incurable consumptive, but had been afterwards cured by homoeopathy

* With the cough, scrnpijig in throat

When coughing, a scratching in the throat, to the middle of sternum

Cough, with pain in region of ovary

Expectoration p. 200

Slight expectoration,^; very scanty

Thirst, phlegm in throat and on palate

Expectoration of a mass of clear, transparent phlegm A

Expectoration relieves scraping

It evidently so changed the expectoration as immediately to cause a copious discharge of mucus from the bronchi, and finally checked the superabundant secretion ; did not produce thirst or any unpleasant symptoms, and so far from aggravating the febrile state, it often served materially to alleviate it

Chest p. 200

When inhaling, pain under the right clavicle and right shoulder (second day)

Since yesterday, stinging from the upper part of the left chest, through to the back, between the shoulder-blades. Worse at night in bed, when it awakens him ; not aggravated by deep inhalation

Stitching pain down the middle of the chest; later in the right side

From upper left of chest stitches through to the back

Pain from heart to lower part of right lung

Sore pain in the right side of the chest under the nipple, especially when bending up double (contracting the body) in the morning (second day)

Pain in the left chest when sitting, especially when bending forwards 6.

Pains in the chest to the left, near the middle of the sternum, after rising, when washing and dressing, lasting until 9 A.M. The following morning the same and worse (Trbg.). Pains in the chest ; on side of chest

Rawness on the chest '

To the middle of sternum, scraping, scratching ^ '

Sensation of fulness in the chest ; in the afternoon, particularly after supper, painful, as if distended in the chest and arms

Soon after taking it in the evening, felt a slight pain or binding sensation in her breast, especially on the right side, retiring to rest almost immediately, it disappeared after lying down

Tightness across upper part of ches"t,'l

Feeling of weakness in the lower part of the chest and in the abdomen

Heart p. 200

Half an hour after the second dose he feels very warm in the left side, opposite the shoulder, inside, and feels also very tired, still he slept afterwards very good

To the heart a throbbing from epigastrium

From the heart a pain shooting to the lower part of right lung

At times quite well as if nothing ailed her, then, when beginning to think about her disease, she feels the heart beating, so that it seems to move the whole chest; and yet, when she places her hand over it, it seems to beat very little stronger than natural, and at other times its motion is scarcely perceptible; sometimes the contractions are frequent, sometimes seldom. The contraction seems to end with a snap, as if the valves of the heart were jerked suddenly shut

Fluttering of heart, sudden attacks, disappearing as quickly as they came

Rapid and violent palpitation, worse when lying on the right side ; also when lying in one position for any length of time; has to throw himself about in bed (twenty-first day)

Perceptible strong palpitation and strong pulsation through the whole body, when standing for some time on one spot

Was in about an hour seized with a throbbing of the heart, similar to heavy blows of a hammer, with long intervals; in ten or fifteen minutes the violence abated, and gradually subsided

Violent palpitation ; intermitting beating of the heart

The palpitation of the heart and other symptoms, except the constipation, were better during the first week until Saturday, when owing to a sudden excitement, the heart began to beat violently, and continued to do so for a few moments, and the palpitation then passed off.

Since that time all symptoms have been increased

Had but little trouble with the disease in heart since, and the few slight attacks have been immediately relieved by it

Pulse, intermittent

Throbbing, as in an abscess, in the stomach,*; after a pressing pain there,"; then throbbing in arms ^

Strong pulsation through the whole body

Generalities p. 201

Tenderness over the second rib of the left side when touched ; tenderness upon pressure, later above the left clavicle

An intermitting sore pain along the course of the third rib of the left side, which continues sometimes a minute (but more frequently less than a minute), and is sometimes accompanied with a more stinging pain in the region of the sixth or seventh rib of the same side, which is sometimes felt in the elbow, at long, irregular intervals

In the morning, sore pain in the right chest under the nipple when bending forward, in sitting (second day)

Skin p. 201

Pain on the side of it

Burning on the right side of the neck b.

Sleep and Dreams p. 201

Between the shoulder-blades, stinging

Stitching pain from upper left chest through to the back between the shoulder-blades, worse at night in bed; awakens him, increases when lying on leftside, not by taking a long breath

Pain on the right side of the spine, near the spine, exactly there where the shoulder-blade ends h.

From 2 oclock P.M. until evening, tearing pain in the back, at the lower angles of the scapulae, when sitting still, not when moving

Under the shoulder-blade

Pain on both sides of the spine on a line with the inferior angles of the scapula3, with every deep inhalation, all evening. On each side of the spine above the middle of it, a spot where the breath appears to come from, drawing a long breath

Feels as if her back would break ; can scarcely get up

In back the weakness is most felt

Sensation as of cold water running down the back

In back, warmth spreading

In small of back, burning

In the morning, fifteen minutes after the fifth dose, a kind of cramp in the back just below the hips on both sides; very warm ebullitions; the sensation goes from the hips up the left side; it frightens him and he quickly takes a cup of coffee

Zipper Lim bs.

Great weakness in the region of the shoulder-blades, with inclination to bend forward, which relieves 6.

Severe pain in the left shoulder

Pains in the left shoulder, which disappear from motion and exercise b.

Itching on the right shoulder b.

Drawing-tearing pains particularly in left shoulder

Feeling of weakness, a kind of numbness in the left arm, and particularly in the left shoulder h.

In arm, lack of power and dull pain

In arn>s, fulness; of bloodvessels,®

Between three and four oclock I felt a pain in my right arm as though a cord were drawn tightly around it, just below the shoulder, occasioning great fulness of the bloodvessels and deprivation of strength. The })ain was dull and heavy, not general throughout the arm, but rather in lines, extending in different directions from the ligature which apparently bound it; the weakness was such that I could scarcely hold the needle which I was using when the pains commenced ; it began suddenly, continued for a few moments, and then abated, although it did not leave me entirely, and returned at irregular intervals during the remainder of the day and evening. Renewed doses increased the pain in the arm, which is this evening quite severe

Pain in the right arm as if a string were tied tightly around it

Half an hour after the second dose pains in the arms and pains over the left eye.

Rheumatic pains in the bones of the arms, particularly in the right; the right side of the chest and under the left shoulderblade

In the morning, for an hour, unpleasant sensation in both arms, afterwards heat, more in the left hand b.

In arm, pain from elbow ; in elbows

In the morning, when awaking, rheumatic pain in the bend of the left elbow-joint, when extending the arm ; disappears after rising and going about 6.

Bruised pain in the joints of the arm, hand, and feet

Pain as if sprained in the right wrist, at 12 M., from thence the pain goes into the first phalangeal joint of the right forefinger, where it is a tearing, which disappears soon, but returns quickly (third day) ; felt weak in the hands, during catamenia; she drops things easily that she holds in her hands

Rheumatic pain in the left hand and all the finger joints

Hands pain ; cold,'; heat,^""' ; trembled very much

Fingerjoints pain, first phalangeal joints

Lower Extremities p. 202

Great lassitude in the lower limbs when going upstairs; the whole of the third day

In lower extremities, lassitude

Down into thighs, pain from rectum

When standing, bruised pain in the lower extremities, as after a severe cold b.

Uneasiness in the knees, with pain right above them

Pain in both knees, particularly in the right, when walking

Sensation as if a cord were tied around the leg, under the right knee ; the pain extends downward and upward, but is confined to the lower leg. To-night a similar feeling, though much slighter, in the lower limb on the same side, as though a cord were bound round it below the knee, the pain extending both below and above, on the under part of the limb only

In the evening a kind of numb sensation in the right leg, from the knee down into the foot, when lying on it (one hour), (first day)

Legs, from knees down, cold

Pain in the left ankle-joint when walking, and particularly when going upstairs; in the morning (third day) b.

Pain in feet

Coldness of the feet, with numbness, in bed, even if the feet are covered up warm

In the feet, coldness from the knee

Feet are very sensitive to pressure, and when walking, particularly the soles b.

Pain in the sole of the foot between the ball of the little toe and the heel ; also, drawing, tearing pain, particularly in the left shoulder b.

In the evening, when walking in the street, stitch pain in the under part of the right big toe ; felt each time when pressing on it, all evening (second day)

Stitches in the right big toe b.

All the Limhs.

Rheumatic pain in the whole body

Pain in the right side of the neck and forehead, then in the left foot and ball of the foot, then on the vertex b.

Bruised pain in the whole body

Slept well ; in the morning, an hour after rising, tiredness, and for three hours a twitching in the limbs, particularly in the arm, and with it much excited

Coldness of the legs from the knees down to the feet, and coldness of the hands, in the afternoon and evening i.

Coldness of the hands, and rheumatic pain in the left shoulder ; worse after motion b.

Cold hands and fe£t, as if all the blood had left them, with pain in stomach

Generalities p. 203

Has to throw himself about in bed ; restlessness, agitation, with fever

Nervous tremor and excitability of feeling, as when one is agitated by unpleasant news

Trembling of muscles

Twitching in limbs three hours in the forenoon,*; of lower lip

Jerking contraction of abdominal muscles,"; follow the warm creeps

Slight convulsive movements

Sensation as if a string were tied around the arm and lower limbs

Weak feeling in pit of stomach,^; sinking sensation; uneasiness,^; faintness and weakness, as if dying

Lassitude in the whole body, particularly in the left lower extremity (Trbg.).

Feels very tired (soon after taking it)

Keeps the bed; so faint that she expected every moment to fall from her seat; (reached her chamber with difficulty; stagger*s to a chair),'; deathlike fainting

Weak with the nausea; could not sit up; loss of strength, with sickness; faintness and nausea (in the morning)

Very weak, as if she had been ill for some time; great weakness, as after long illness,^"; debility in typhus

I was immediately sensible of a metallic taste, and slight nausea, but soon fell asleep, being greatly fatigued, and slept heavily until near five ; I arose without more effort than usual, and about six, while standing at a table making some arrangements for breakfast, was suddenly seized with the most overpowering nausea, as though my whole stomach were rising to ray throat; I tottered to a chair, when a cold sweat broke over me ; the effort to vomit ceased, though the nausea continued, attended by a flushing to my head, extreme faintness, and a disposition to shiver; I reached my chamber with much difficulty, and on lying down felt some relief, chiefly in the faintness, and after taking some Ipecacuanha was able to rise and attend to my family, though feeling very weak ; strong palpitation of the heart, intermitting pulse ; the pain shoots from the heart to the region of the lower right lung

Great weakness after attack, particularly in spine

He feels exactly as he felt when he had the small-pox (second day)

Sleep p. 203

When going to bed heat in ears and face disappears

Cannot get to sleep on account of ebullition of blood (first day)

Is more anxious at night than at other times

Sleeplessness, with fever, t.

Very light sleep in the night ; hears nearly everything that happens (Trbg.).

Very restless sleep, tossing to and fro; when he does sleep it is so light that he hears it if his birds move in their cage (Trbg.).

Wakes at night, with nausea and violent headache ; lay awake about a quarter of an hour, when he went to sleep again ; next morning, when he was called, he was unable to attend to his business on account of nausea, with violent headache ; now sharp stinging, from temple to temple ; now heavy pressure on the vertex, as of a heavy weight lying on it; continued all day long

In the night, half waking, half dreaming, she hears what happens around her, but dreams on, of dead bodies, that her father had died ; with it great fear ; would like to turn on her side, but cannot do it, feels so heavy in her bones ; in her dream it seems to her as if the dream would soon pass over if she could turn on her side, but she is not able to do it (at 4 a.m., fourth day)

When awaking in the night, thick phlegm in the throat, and the roof of the mouth thickly coated, which she never had before (third day)/.

Fever p. 204

Very sensitive to cold, which was not the case before (third day)

Like after a severe cold, pain in limbs

While washing and dressing, pain in chest

Inclination to chilliness after attack of retching

Chilliness with the sickness at the stomach

She complained of being very cold, but did not shiver ; it passed off, perhaps in an hour, but was succeeded by pain in the head, which lasted all the afternoon

In the last attack the coldness was general ; she could not distinguish a particular coldness of the feet; but all perceptive faculties were gone during the deathlike fainting spell

Chilliness, and feeling as if cold water were poured down the back

Coldness in hands,'; of legs and hands

Cold feet, even when covered up

Creeping and coldness of the skin, soon after doses, followed by heat and tingling of the same parts

Fever, accompanied by intense thirst; continued nausea and vomiting; sleeplessness ; agitation ; animated expression of the face ; pain and distension of the epigastric region ; frequent pulse, and burning pains in the mouth, pharynx, and stomach

Sensation of warmth, soon after taking it

Great heat throughout the body

Sensation all forenoon, as of inward heat

Heat and tingling following creeping and coldness

Warm ebullitions in both sides

He cannot get to sleep for a long time, on account of extraordinary ebullition of blood in the Avhole body (second day)

In the morning, after the fourth dose, very soon tired ; warm ebullitions like spasms spread over the whole trunk, particularly in the back ; no pains, but a trembling of the muscles ; towards two oclock the pains in the chest return ; feels better when walking

Flushes of heat to the head after attack

Warm creeps run over the abdomen

Cold sweat ; breaks out over the whole body,'; covers her, with cramps in stomach

Chilliness ; at another time, great heat throughout the body

Coldness, with pain in the stomach, gave place to heat, and the blood rushed to her head with such force that she scarcely could hold it up

Chill; metallic taste, slight nausea, palpitation ; pain striking from the heart across to the lower extremity of the right lung; a sensation as of cold water poured down the back, and numbing coldness of the feet, though covered warmly in bed (returned repeatedly after taking the 12th) ; in the last attack the chill was general ; I was not sensible of any particular coldness of the extremities, though, indeed, nearly all sensation was lost for a time in the deathlike faintness

Conditions p. 204

AggrsiVSition

(Morning), Headache over eyes, etc. ; itching-burning on border of eyelid, etc. ; tongue rough, etc. ; dry feeling on tongue; sickness at stomach; nausea, etc.; nausea, with weakness, etc.; cough; bluish film on urine; sore pain in right chest; cramp in back; pain in left ankle-joint; very soon tired.

(Morning, when getting awake), Pains in head.

(Morning, on waking), Headache over eyes; rheumatic pain in bend of left elbow.

(Morning, after rising), Spits up coagulated blood, etc.; tickling in throat; severe pain, etc.; irritation to cough; cough; cough from tickling; twitching in limbs.

(i^ore?^too?i), Sinking sensation at stomach ; most violent pains in rectum; twitching in limbs, etc.; twitching of lower lip; sensation as of inward heat.

(Noon), Most acute pain in stomach, etc.; sprained pain in right wrist.

(Afternoon), Headache; difficult passage of hard stool, etc.; hard stool, etc.; sense of painful fulness of chest, etc.

(Afternoon and Evening), Coldness of the limbs, etc.

(Evening), Contraction of abdominal muscles, etc. ; itching of anus ; itching on the scrotum, etc.; hoarseness with cough; tickling cough; pain on both sides of the spine; pain under big toe.

(Evening, after lying dotvn), Dry cough.

(iV<^/i<), More anxious; heat in side of face; itching of hnnp at anus ; emission of very thick semen ; pain in lower limbs ; nausea and violent headache.

(Night, when awaking), Great pain in head, etc. ; thick phlegm in throat, etc.

(Night, in bed), Stitching pain through upper chest; stinging pain through upper chest.

(Midnight), Heat in ears, etc.

(9 a.m. till /toon). Very depressed, etc.

(Towards two oclock), Tarns in chest return.

(2 P.M. till evening). Tearing pain in l^ack.

(3 p.m.). Sudden pain from stomach into the swallow, etc.

(Between 3 and 4 p.m.), Pain in right arm.

(About 3.30 and 4 p.m.). Pain in stomach.

(8 p.m.). Pain in left of the scrobiculus.

(Evening at 9.30), Headache over eyes, etc.

( Walking in open air). Pain to left of the scrobiculus.

(In bed). Coldness of feet, etc.

(Bending xip double), Sore pain in rightsideof chest.

(Sitting bent forward). Pain in left chest.

(Before breakfast). Attack of nausea.

(During breakfast), Nausea; cough.

(J/iter breakfast). Feels very full in stomach, etc.

(Coughing), Scratching in throat.

(Drawing breath). Pain under right clavicle, etc.

(Drawing deep breath). Pain on both sides of spine.

(At dinner). Erections.

(After dinner). Heaviness in stomach.

(After eating), Violent throbbing in stomach ; distension of stomach, etc.

(Mental excitement), Heart begins to beat violently.

( When extending arm), Rheumatic )>ain in bend of elbow.

(Looking down). Vertigo.

(Lying on one side), Pains in anus and rectum.

(Lying on right side). Palpitation of heart.

(Lying on right leg). Numb sensation in it.

(Lying in one position for any length of time). Palpitation of heart.

(Lying on left side). Stitching pain through upper chest.

(Lying on back in the evening). Pain in pit of stomach, etc. ; weakness in pit of stomach, etc. ; throbbing sensation in pit of stomach.

(During menses). Hands weak, etc.

(After motion). Coldness in hands, etc.

(Moving eyelids). Bruised feeling on edge of lower orbit.

(Pressure), Tenderness before left clavicle.

Bruised feeling on edge of left orbit.

(After retching), Inclination to chilliness.

(When sitting), Pain in left chest.

(Sitting still). Tearing pain in back.

(Standing), Bruised pain in lower extremities, as after a severe cold.

(Standing for some time on one spot). Strong palpitation.

( With every step, while walking). Pain to left of scrobiculus.

(During stool). Pains in rectum; strong dyspnoea; tearing in rectum.

-(After stool). Smarting and burning at rectum ; pain in anus and rectum; beating in anus ; stinging and tearing up the rectum ; burning and throbbing in anus.

(After hard stool), Hemorrhoidal tumors.

(After solid stool). Smarting and burning at rectum.

(After supper), Sense of painful fulness in chest, etc.

[Swallowing ),Soreness and dryness in throat.

(Talking), Soreness and dryness in throat, etc.; hoarseness; cough.

(Touch), Tenderness over left second rib.

(Beginning to think about her disease). Feels heart beating, etc.

( Walking), Pain in belly ; pain in both knees, etc. ; pain in left ankle-joint ; pain under big toe.

( Going upstairs). Lassitude in lower limbs ; pain in left ankle-joint.

(Washing and dressing after rising), Pains in chest.

Amelioration p. 205

( When going to bed). Heat in both ears, etc. ; heat in ears and face disappears.

(Bending double). Pain to left of scrobiculus cordis.

(Bending forwards and sitting bent over). Pains in anus and rectum ; stinging and tearing up the rectum.

(Bending forwards). Weakness in region of shoulder-blades.

(After breakfast). Attack of nausea ; cough.

(Drinking cold water). Headache ; thirst, etc.

(Eating something). Feels better; feels stronger in stomach.

(Exercise), Pains in left shoulder.

(Expectoration), Cough ; scraping in throat.

(After lying doivn), Pain in breast.

(Lying on back), Tearing up the rectum.

(After lying down to sleep), Headache over eyes, etc.

(Motion), Tearing pain in back ; pains in left shoulder.

(Opening eyes), Vertigo.

(Rising and walking about), Pain from stomach to swallow, etc. ; pain in left elbow-joint.

(Standing still and pressing on it), Pain to left of scrobiculus.

(Walking), Feels better.

Footnotes

† The symptomatology is, with a few exceptions, taken from Hering's monograph of Alumen ; the clinical observations of the old school are not here included.