Asafœtida

Ferula Asafoetida, Linn. Nat order, Urabelliferse. Common name (German), Stinkasand. Preparation, Tincture of the gum.

Authorities. 1, Franz, Collection Archiv., 1, 3, 195 (provings by Staph, Gross, and Hahnemann); 2, Voigtel, ibid, (from Syst. d. Arzm.) ; 3, Provings by Joerg and his class (Joerg Materialien), symptoms obtained from the crude drug; 4, Lembke, N. Z. f h. KL, 13, 129, proving with crude drug; 5, Dr. Boas, Casp. Woch., 1841 (external application in a plaster) ; 6, Trinks, A. H. Z., 15, 63. ^ ^

Mind

Very irritable in disposition, and yet different to everything

Fretful and apprehensive mood, which seems to arise from the abdomen ; it is, however, not difficult to fix his attention (second day)

Ill-humored, and dislike for work (thirtieth hour)

Head p. 570

Vertigo I

Slight vertigo

Turning in the head (third hour)

Confusion of the head, with pressure in the temples (first day)

Dulness of the head.l

Head dull and confused

Heaviness, fulness, and confusion of the head, followed by aching headache over the whole brain

Heaviness of the head

Headache

Aching in the brain

With steady heat and pressure in the head there was a sensation of momentary unconsciousness when sitting and reading

Continued headache, becoming alternately more severe and slighter

During the night when awaking, and in the morning, some pains in the joints and bones of the head

Weakness in the head (three-quarters of an hour)

Headache, like an emptiness in the head, which attracts the attention (first day)

Fulness in the head

After sleeping well, awoke with fulness of the head, which gradually changed to periodically recurring pains, lasting more or less into the next night

Fulness of the head, changing gradually into an aching and pressing pain, as if the whole brain were compressed, attended with dizziness, increased heat of skin, and some quickness of pulse

Fulness of the head, with frequent stitches of pain in the forehead and temples

The brain seems to be tense

Rush of blood to the head, and warmth of the face (first day)

Congestion of the head, with heat of the face and headache

Severe pressure on small places of the skull

Pain in the forehead

Frontal headache

Headache, more particularly on the left side of the forehead

Heat in the forehead and face, with chills in the back, and cold hands ofi and on (three and a half hours)

Sense of tensive confusion and burdensome heaviness of the forehead (after frequent smelling it)

Frequent drawing in the forehead

* Drawing, wavelike pressure, through the left half of the forehead, which ends in a dxdl pressure on the frontal eminence

* Pressive pain in the forehead (sixth hour)

* Pressive pain in the forehead from within outward (fifth hour)

Pressure externally in the forehead (first hour)

Especially hard to bear is a pressure in the forehead and maxilla

Pressive pain in the right side of the forehead from within outward (one hour and three-quarters)

A slow, intermitting ache (like a pushing out) beneath the right frontal eminence

Pressure on the forehead in different places, sometimes combined with stitching pains

Pressure in the forehead. With weakness in the whole body (two hours and a half)

Tearing pains in the forehead

Fine needle stitches in the left frontal eminence

* Single, sudden, and deep-penetrating stitches under the left frontal eminence, like shocks, followed by some sensitiveness

Swashing and gurgling sensation in the brain, beneath the upper part of the frontal bone (second day)

Near the frontal eminence externally, continued burning stinging, which disappears on touch, and pains as if ulcerated, but immediately disappears (second day)

Tearing in the right temple

Pressing asunder in both temples, sometimes very severely

Pressure in the right temple (one hour and a quarter)

A transient dull pressure over the right temple, suddenly

Pressure in the left temple, from within outward (sixty-eighth hour)

A sudden pain in the left temple, like an inward-pressing pointed plug}.

Intermitting pressing-inwards in the left temple, almost like a pushing inward

Slow, successive, dull stitches in the left temple

Single, deep stitches in the left temple

Sensation of pressure on the vertex

A pressure-e exactly on the vertex, and on the forehead over the right eye

* Pains in the left side of the head, extending to the eyes, and changing into intermitting, severe, and slight fulness of the brain,l

Stupefying tension in the head, especially in the left side

In the right side of the head above the ear, a drawing, which changes into a simple sticking

Pressive pain on the right side of the head (thirtieth hour)

Pressure in the left side of the head from within outwards (forty-fifth hour)

A suddenly beginning, rapidly increasing pressure on the left side of the head, as from a dull tool being pressed in ; it suddenly goes away

Pain in the right parietal hone, as from a deeply penetrating plug

Aching pain in the occiput, gradually extending over the head, as if the brain were compressed by a cloth thrown over it

Drawing pain in the occiput

Drawing and pressure in the occiput

Pressure on the left side of the occiput (nine hours and a half )

A couple of fine, superficial stitches on the right side of the occiput

Eyes p. 571

Causes trouble in the eyes

* Troublesome dryness of the eyes

Periodic burning in the eyes, and pressing together of the lids, as if overcome with sleep (twenty-sixth hour)

Pressure in both eyes (second day)

Aching over the eyes, as if from great sleepiness

Burning stinging in the left eye (two and one-quarter hours)

Rough feeling of the eyes, as if sand were under the lids

Itching in right eye (forty-ninth hour)

Burning in the left brow (sixty-second hour)

Severe boring pain above the eyebrows

Pinching drawing across the supraorbital region (first hour)

Dull pressure on the external margin of the left orbit

Twitchings in the left upper eyelid

Often a twitching movement in the upper lid

Frequent burning in the right eyelid

Burning in the edges of the right eyelid

Burning in the inner corner of the right eye

A transient, dull pressure in the middle of the upper lid

Stitching and itching of the eyelids

Stitching and itching in the edges of the eyelids

Itching, stitching and burning in the lids, especially the right

* Burning in the right ball (twelfth hour)

Tensive burning in the right ball (twenty-sixth hour)

Burning in the left ball, as from wiiJiin outward (five and a half hours)

Burning stinging in the right ball (sixtysecond hour)

Some dilatation of the pupils

Dimness of sight

A kind of dimness of the eyes ; on writing, the letters become darker, as from a slight veil over them ; disappears after some blinking

Muscle volitantes

Ears p. 571

Strong heat of the ears, which burn, and are very red

Drawing behind the left ear

Slight transient drawing on the outer rim of the concha of right ear

Drawing and stitches around the left ear

Repeated short drawing in the meatus auditorium

Pressive pain in the right ear (forty-nine hours)

Pressure in the left ear (two and a half hours)

Dull sensibility, especially dull hearing, forenoon; he hears nothing distinctly, must always ask a second time (first day)

Clear ringing before the ear

Nose p. 571

Violent sneezing several times a day

Coryza (thirty-sixth jour)

Pressure in the nose, as if it would burst, especially in the right wing (thirty-one hours)

Face p. 571

Heat of the face and ear continues, and with hot hands, chills run down the back

Heat in the face, even the ears feel hot

Pressure in the right side of the face from within outward (half an hour)

Heat in the cheeks

Severe heat in the cheeks, perceptible to the touch

Frequent flushes of heat over the cheeks, afternoon (first day)

Heat of the cheeks and forehead, with heaviness

Stinging burning in left cheek (four and a half hours)

Itching in the right cheek (seventy-two hours)

Stitches in the skin of the left cheek, then on the right

Pressure on the zygomatic bone

Drawing pain in the left cheek

Pressure in the left cheek (twenty-four hours)

* J?i various places in the face, on the malar hone, the nasal hones, painless tension, with a kind of numb sensation

On the left angle of the chin, in a small area, a numb pressure, which extends into the tooth right above it

Pain in the maxillary joints

A transient pain, like a continuous pinch, on the ramus of the lower jaw

Drawing in the left lower maxilla

Drawing in the right lower maxilla, then in the right forehead

Pressure in the maxillary joint

Severe pressure in the left corner of the maxilla

Mouth p. 572

Bluntness of the teeth

Severe drawing in the lower incisors

Soreness of the gums

Great dry sensation in the mouth, though he has moisture enough (first day)

Burning in the mouth, throat, and stomach

A biting burning pain on the point of the tongue, frequently repeated

Stitches in the point of the tongue

Accumulation of spittle

Accumulation of saliva in the mouth

Salivation

Continual running of saliva in the mouth

Insipid taste

The taste (of the drug) is not only nauseous, but also harsh and hard, and hard to be got out of the mouth

Fatty, rancid taste in the mouth

Rancid taste in the mouth, as if the stomach had been disordered by rich and fatty food

Throat p. 572

Dryness in the throat; while swallowing, tension in it (twelve hours)

In the evening, a hysterical rising in the throat, as if a ball or large body ascended from the stomach to the oesophagus, or even pharynx, obliging him repeatedly to attempt to swallow it

With constriction of the throat, pressure in the chest (sixty-three hours)

Drawing along down the left side of the throat, on motion (first day)

Spasms in the oesophagus

Spasm of the oesophagus, like that of hyderia

Hysteric rising in the oesophagus

* 8sensations as if the peristaltic motion ivere reversed, and, in the oesophagus, were being driven from the stomach up towards the throat

Aching and burning in the oesophagus and throat, resembling heartburn, like that after eating too much fatty food

Stomach p. 572

Appetite increased

Hunger with nausea

Hunger, with desire for strong cooling food

Loss of appetite

Appetite poor,l

Aversion to beer, it tastes slimy (first day)

Constant eructations of air having the taste of garlic

Frequent eructations tasting of the drug

Eructations

Frequent offensive eructations

Eructations followed by nausea and disgust for food.l

Frequent garlic-like eructations

Frequent eructations with the garlicky smell of the remedy

EructatiouSjl

Frequent eructations

Eructations with profuse accumulations of saliva

Disgust and nausea,l

Nausea

Distension of the stomach and bowels, with a feeling as if the peristaltic motions were reversed, with much spasmodic working in the oesophagus

Pain in left side of the stomach

Increased warmth and aching in the stomach, toward the left side, not at all to the right, but more up into the oesophagus, like the globus hystericus

Continuous and acute pain in the stomach

Stomachache in alternating exacerbations and remissions

Stomachache in intermittent paroxysms

Aching and distending pain as if from flatulence in the stomach and oesophagus, extending more toward the spleen than the liver,l

Feeling as if the stomach had been disordered by indigestible fatty food,l

Intermittent pains in the stomach and abdomen

Burning in the stomach and diaphragm

Burning in the stomach,l

Aching in the stomach

Sickly sensation in the pit of the stomach, like pressure, not exactly painful

Aching and drawing pain in the stomach, extending first toward the spleen, and afterward in the direction of the liver, increased on full inspiration

Perceptible pulsation in the pit of the stomach (first day)/.

Pulsation in the pit of the stomach, even perceptible to the finger (second day)/.

Violent pressive pain in the pit of the stomach, extending towards the liver region, when sitting (first day)

Pressure in the epigastric region shortly after eating (first day)

Pressure in the epigastric region, with great dejection after eating (second day)

Abdomen p. 573

Griping (into a hall) pain below the navel when standing (first day)

Pressive pain at the navel, extending outward (twentyone hours)

Burning sticking in the umbilicus (twenty-nine hours)

Crawling sticking in the umbilical region (four hours)

Fine pointed stitches in the navel (two and a half hours)

In the flanks a pressive pain on drawing in the abdominal muscles (first day)

Abdomen distended

* Great distension of the abdomen

All the symptoms disappeared in the evening except the distension of the abdomen

Great distension of the abdomen, notwithstanding frequent discharges of flatus

Remarkable distension of the abdomen, somewhat after a hard, dark, very pungent and offensive stool, causing pain in rectum

Rumbling in the bowels

Violent rumbling in the bowels

Rumbling in the intestines (eleven hours )

Painless rumbling in the intestines (one and a half hours)

Bellyache, with violent movements and rumbling in the bowels

Discharge of flatulence

Increased passage of flatus

Easy, sometimes almost or quite involuntary passage of flatus, which is scarcely noticed

Many expulsions of offensive flatulence

Much very offensive flatulence, with retained stool

Much retained flatulence, which only passed off the following morning, with a half-diarrhoeic evacuation

Relief from time to time, by discharge of offensive flatus

Sensation of the greatest illness in the whole abdomen, with gi*eat heaviness and pressure in the sides (second day)

Pain in the upper abdomen, as from taking cold, and as if diarrhoea would ensue, with a kind of ravenous hunger (second day)

Drinking disagrees, causes immediate heaviness, and chilling sensation in the intestines (first day)

Burning in abdomen

Flatulent pain in abdomen when waiking after dinner (first day)

Tension in the abdomen, after eating, as if he had overfed (second day)

Pinching in the intestines (six hours)

Gripings with flatulence (one hour)

Intermitting griping in the upper abdomen

Violent cutting pains in the bowels

Cutting pinching in the intestines (twenty-three hours)

Cutting in the abdomen when walking or sitting

Sticking gripings in the left side of abdomen (twelve hours)

Violent colic pains, with rumbling in the bowels

Pinching drawing across the abdomen, when sitting, with dull stitches in the left side of the abdomen, extending outwards (second day)

* In the morning, sensation in the epigastric region, and in the whole abdomen, as if it ivere all beaten, with sense of fulness in the former, and eructations (second day)

Itching in the skin of the abdomen, below the navel (five hours)

Stitches extending from within outward, in both sides of the abdomen, while sitting, after eating ; disappears on pressure (second day).

Sticking from within outward in left side of abdomen (seventy hours)

Sudden, jerklike, violent stitch from the right side of the abdomen, from within outward, toward the parietes (first day)/.

Stitches in the left side of the abdomen, when walking (first day)

Pointed stitches in the left side of the abdomen, externally, which go away completely on rubbing (three and a half hours)

Clucking stitch in the left side of the abdomen, extending outwards, with flatulence (sixty-two hours)

Attacks of slight griping in the lower abdomen (half an hour)

Laborlike cutting and forcing pains in the lower part of the bowels, in the region of the uterus

On the left side of the lower abdomen, violent sticking and drawing, which extends along the inner side of the ilium, when sitting (second day)

Violent stitch in the lower abdomen (two and a half hours)

Itching sticking in the skin of the right side of the lower abdomen (five hours)

Stool and Anus p. 574

Tenesmus

* Pain in the perineum, as though something dull pressed out there (first day)

Constant dysenteric feeling, as if a stool would take place

Persistent but fruitless urging to stool

Fruitless urging to stool

Frequent urging to stool

More frequent stools than usual in twenty-four hours

Causes diarrhaja,l

Watery stools

Mushy stools, with much flatulence, without pain, but with feeling of fulness and heaviness in the abdomen

Small, partly hard, partly mushy stools

Profuse, thick, papescent, brown, and very offensive stoolj

Very solid, dark-brown, nauseously offensive stool

Hard, dark, offensive stool

Fluid stools, with violent pressing down on the rectum

Thick, papescent stools, light yellow

Symptoms relieved after a blackish-brown, very thick, papescent, and exceedingly offensive stool

Watery stools, without bellyache, but with profuse discharge of flatulence, which did not remove the great distension of the abdomen

Diarrhœa, with pains in the bowels (two and a half hours)

Diarrhea, two to three times daily, with bellyache, for three days. Diarrhoea, three to four times daily, for four days in succession, with bellyache

Flatulence with diarrhoea (five hours)

Two stools without pain, but some rumbling, and leaving heaviness and distension of the abdomen behind

Constipation

Constipation with almost constant tenesmus

Constipation for two days, then a difficult hai'd stool

Constipation and much tenesmus, with distension of the abdomen

Urinary Organs p. 574

Repeated stitches in the urethra

Severe slight stitches in the urethra

Stitching and burning in the urethra, but not when urinating

The urine is smaller in quantity and darker

The urine smells strongly of the drug

Urine acrid and pungent, though lighter colored

Urine brownish-yellow

Urine brownish-yellow, ammoniacal, but without sediment

Urine dark, and ammoniacal

Easy discharge of dark-brown urine, which deposited no sediment, but which smelled very strong and pungent

Sexual Organs p. 574

Peculiar pressing toward the genital organs, with pains in, and tenderness of, the testicles

Drawing in the glans penis while urinating

The drawing pain in the glans penis alternately disappeared and returned

Pointed stitches close to the penis in the mons veneris (second hour)

Needle-like stitches, externally, on the penis (sixtieth hour)

Swelling of the scrotum

Increase of sexual inclination for several hours

"^-Swelling of the female genitals (so great, that antiphlogistic remedies had to be used),l

Nymphomania in a plethoric woman (from large doses)

Violent laborlike pains in the region of the uterus, intermitting

Menses ten days too soon, scanty for three days, then became natural

Respiratory Organs p. 574

So smothered in the air-passages that he must hack repeatedly; the tone of the hacking cough is not clear, but hoarse (from smelling the strong tincture)

Dry irritative cough, excited by tickling in the larynx

Frequent cough, with slimy expectoration

Slightly quickened respiration

Quickness of breathing, interrupted by coughing and yawning

Chest p. 575

The breasts swelled as large as if she were iu the last month of pregnancy, and a milky discharge escaped from them/.

In the region of the short ribs, right around across the back, a jerklike constriction

Spasmodic tightness of the chest, as if the lungs could not be fully expanded

Spasmodic contraction of the chest, so severe that the pulse became small, contracted, irregular, and slow

* Oppressive aching feeling in the chest, relieved by mucous expectoration

severe pressure in some dorsal vertebrae

Drawing pressive pain, with contraction of the chest (half an hour)

Pressure here and there in the thorax and iu the muscles of the back

Pressure on the chest, with constriction of the throat (sixty-third hour)

Pressive pain in the left intercostal muscles, from within outward (thirty-seventh hoar)

Pressure in the left intercostal muscles, from within outward, which is worse during inspiration and expiration (fifth hour)

Decided oppression of the chest,l

Slight oppression of the chest

Spasmodic oppression of the chest

The oppression of the chest increased to an agonizing degree, preventing respiration, and driving the patient about in a restless ma,inner

Great oppression of the chest, with pressure and throbbing in it, when lying, soon after a meal (second day)

Burrowing sticking, from the diaphragm out to the left ribs, continues on inspiration and expiration (sixty -seventh hour)

Penetrating stitches in the chest after hawking, when standing and sitting (sixty-fourth hour)

Needle stitches in all the intercostal muscles, when sitting

Stitches and pressure in the chest, when lying, with very difficult sighing, sobbing inspiration; on pressing with the hand on the chest, or on sitting up, it disappears (second day)

Weak movements in the left intercostal muscles (four and a half hours)

When stooping, severe pain back in the region of the left short ribs

Burning drawing in the right intercostal muscles (sixty-first hour)

Pressive sticking in the right cavity of the thorax, then fine stitches, with pressive pain, in the ribs near the spine (fifth hour)

Pressure under the left front edges of the ribs

Pressure in the thorax, to the right side, extending outward (sixty-ninth hour)

Lasting pressure behind, iu the region of tue left short ribs

* Pressive pain in the right side of the chest, from within outward (twentysixth hour)

Pressure iu front, below the edge of the left ribs

Oppression of chest, especially on left side,l

Drawing sticking pain in the left side of the chest (four and a half hours)

A pressive sticking pain on the lower ribs of the right side, which extends into the abdomen to the flank of the same side (half an hour)

Stitch in the right ribs (sixth hour)

Tensive stitches in the left intercostal muscles (fifty-eighth hour)

Dull stitches in the left ribs (sixty-third hour)

Pinching sharp stitches in the right inner side of the ribs (twenty-seventh hour)

Boring stitches in the left cavity of the thorax, from within outward, continuing the same during inspiration and expiration

Boring dull stitches in the left side, extending outward to the ribs, continuing during inspiration and expiration (forty-seventh hour)

Stitches in the Legion of the diaphragm, on the right side (twenty-fourth hour)

After a meal, stitches in the region of the last true ribs, right side, and oppression of the chest

Pressure in the sternum

Pressure iu the sternum and on the right side of it

On bending the thorax forward, a pressure on the lower part of the sternum (first day)

Even on compressing the abdomen, pressure on the lower part of the sternum, and nausea, with fulness at the pit of stomach (second day)

Pressive pain in the middle of the sternum, with a kind of nausea rising up from the chest (thirty-fourth hour)

Dull pressure in the sternum; passes oft on inspiring and expiring, but returns on writing (three-quarters of an hour)

Pressive stitches in the sternum, from within outward (thirty-second hour)/.

Fleeting but verypainful stitches under the breast-bone, Avith aching and burning in the chest, and frequent inclination to cough

Pressive throbbing in the thorax, extending to the fauces, on standing and sitting (sixty-fourth hour)

Heart and Pulse p. 576

Congestion and distension of the heart, att(nded with smallness of the pulse, and followed by loose stool

* Slight palpitation of the heart, more Wee a tremor, several times, when sitting

Aching pain in the region of the heart, as if from overfilling

Quickness of the pulse

Fulness and quickness of the pulse

Pulse small and frequent

beating of the heart and pulse became somewhat small, quick, and irregular

Pulse small and rather slow

Neck and Back p. 576

Twitching in the muscles of the right side of the neck (twenty-third hour)

Clucking in the muscles of the left scapula (forty-second hour)

Drawing pain in the muscles of the neck, right side

Drawing down along the left side of the neck, on motion (second day)

Pressure in the right side of the neck (second hour)

Attacks of pain in the back, especially below the scapula (sixth hour)

Pain in the back, especially in the right scapula (twenty-ninth hour)

Repeated transient drawings in the left scapula

Pressive pain in the right scapula (two and a half hours)

Cutting pain below the right scapula (fifty-fourth hour)

Dull stitches externally in the left scapula (twenty -fourth hour)

Fine burning stitches in and behind the right scapula, extending toward the ribs (second and third hour)

Under the left shoulder-blade, when stooping, severe stitches

Itching on the right scapula (forty-second hour)

Twitching in the muscles of the lower half of the back, when sitting

■'' Cannot work on account of the backache (thirtieth hour)

Pain in the right side of the back (sixth hour)

Perceptible sensation of heat along the back

Burning in the vertebrae, more on the left side

Severe pressure in some of the costal vertebra^

Pressing pains, sometimes very severe, on both sides of the spinal column, in the region of the short ribs, repeating several times, and sometimes aggravated by the motion of the trunk

Stitch in the latissimus dorsi, near the upper arm (first day)

Tensive stitch in the dorsal muscles of the left side, from below upward (twenty-fourth hour)

Transient stitches in the right side of the back (forty-ninth hour)

Crawling in the skin of the back

Drawing pressive pain along the four to five last dorsal and the first lumbar vertebrae, as if it were internal along the bodies of the vertebrae themselves (first day)

Continual dull pressure in the lumbar region

Pressive pain in the small of the back, especially on bending the upper part of the body forward and backward (first day)

Tearing pain in the small of the back, when sitting

Tensive sticking in the left loin, continuing during inspiration and expiration, disappearing on walking (twenty-sixth hour)

Boring sticking in the left loin, from within outward, disappears on inspiration and expiration (forty-first hour)

Burrowing pressive sticking in the left loin, from within outward, toward the ribs, with anxiety (forty-fifth hour)

Fine stitches, as with needles, around the left loin (twenty-sixth hour)

Fine stitches, from the right loin toward the ribs (fifth hour)

Stitch extending along down the sacrum to the anus (first day)

Extremities in General p. 576

In many places on the limbs, rapidly passing cramplike drawings, like a twitching

Bruised feeling in the extremities, especially in the knees, when sitting

Rheumatic pains in the arms and legs, especially in the joints and shoulder-blades, but shifting locally from time to time,l

Drawing and stitching in the calves, in the muscles of the arms, here and there, more in the flexors

Pressure on the joint of the right great toe, above the right carpus, and on the back of the right hand

Shortly after waking up, tearing in the right shoulder, and several times in the left tibia; after rising 'u the joint of the left foot, in the toes, and in the finger-joints

Severe bruised feeling in the muscles of the upper arm, in the joints of the hands and feet, and severely in paroxysms in some places

Upper Extremities p. 577

Twitching in the left shoulder-joint, toward the outer side (ninth hour)

Twitching in the left shoulder (first hour)

Twitching in the deltoid aiOscle (second hour')

Twitching in the deltoid muscle (fourth hour)

Drawing in the muscles of the left shoulder-blade

-Paralytic drawing pain along the left shoulder and down the upper arm, in rest (second day)

Pressing pains in the shoulderjoints

Frequent pressure in the shoulders, more in the right

Below the right axilla toward the front an intermitting severe inward pressure, without oppression of respiration

Beneath the left axilla a transient inward pressure

A pressive pain at the scapular end of the clavicle when sitting (first day)

Dull stitches in the left shoulder (first hour)

Stitches in the left shoulder-joint from within outward (twenty-sixth hour)

Below the left axilla some fine superficial but sensitive needle stitches

Fine tensive stitches in the shoulder-joint extending inward (second hour)

Bruised sensation in the shoulder and elbow-joints

Twitching in the left tipper arm-joint, extending inward (forty-eighth hour)

Twitching in the muscles on the outer side of the left upper arm (fourth hour)

A drawing pain around the head of the humerus, on holding the arm still, with a kind of trembling over-irritability (as after great fatigue) in the muscles themselves, so that he must constantly move them (first day)

Tensive drawing in the left upper arm on the inner side (third hour)

Pressing in the muscles of the right upper arm

Pressure on the muscles of the right arm

Intermittent cramplike pressure in the left upper arm not far from the shou]der

Burning stitch on the outer side of the right upper arm (forty-eighth hour)

Tensive stitches in the right upper arm from the upper part outward toward the inner side, immediately

Boring stitches in the inner surface of the right ui>per arm, which do not disappear on motion (forty-third hour)

Pressive sticking in the right upper arm, on its inner surface from within outward (sixtyeighth hour)

Sticking pain on the inner side of the left upper arm (twenty-sixth hour)

Twitching sensation in the inner muscles of the left upper arm (thirty-fourth hour)

Burning on the outer side of the right elbow-joint (seventh hour)

stitchintke elbows (twenty-sixth and sixtyfourth hour)

A fine, long stitch extending into the bend of the elbow (sixty-fourth hour)

A cramplike twitching extends down the right forearm, with the feeling as if the hand would stiffen

In slow intermissions, craraplike drawing streaming up along the inner surface of the left forearm

Pressure on the outside of the left forearm (second hour)/.

Boring pressure on the inner side of the left forearm from within outward (first hour)

On moving the finger, tearing pains along np the forearm

Tearing pains up along the forearm, on bending the fingers (first day)

Dull sticking on the inside of the right forearm

Tearing stitches followed by burning extend up the right forearm, during rest (second day)/.

Stitches on the skin of the right forearm/

Pain as if beaten in the bones of the wrist, in rest (second day)/.

A scraping sensation on the inner (ulnar) condyle at the wrist/.

The hands soon get icy cold, the coldness of the back increases and keeps on, with slow pulse

Pressure on the joints of the hands

In bed, repeatedly, severe pressing in the joints of the right hand and in the right temple, and these appeared at 6 A.M., exactly on awaking, and with pressing in the neck

A dull pain in the palm of the right hand as from a pressive body, with the sensation as if the hand would stiffen

Pressive sticking on the back of the right hand (eighth hour)

Cramplike sensitive twitching in the metacarpal hones of the left thumb

Frequent pains in the joint of the left thumb/.

A nurablike pain on the metacarpal bone of the left middle finger, as if an oppressive body lay on it

A transient cramplike pain in the right thumb, with unhindered motion of it; immediately afterward, also in the left thumb

Severe aching, from time to time, in the external condyle of the wrist-side of the thumb

Cramplike aching in the flesh between the metacarpal bones of the left thumb and index finger

Pointed sticking burning at the tip of the left index finger (sixty-third hour)

Drawing pain in the joints of all the fingers

Drawing in the joints of the fingers, on the dorsum of the hands and feet

Pressure at the root of the middle and index finger of the right hand, continuing on various motions (eighth hour)

Pressive pain from the right wrist, extending into the right index finger (twenty-ninth hour)

Pressing pain in the joints of the left thumb

Pressure on the inner side of the thumb (ninth hour)/.

Severe pressing in the joints of the left thumb, and later in the joints of the other fingers/.

On lying and in rest, drawing pressure on the back of the finger, and jerks from the forearm to the elbow (second day)/.

Stitches in the finger-joints

Dull stitch from the thumb outward toward the back of the hand (forty-fifth hour)

Frequent stitches in paroxysms in the joints of the small finger, worse on motion of the joint/.

Lower Extremities p. 578

When walking, drawing and pressure in the lower extremities

Violent tearing pressive pain in the whole right leg, less on walking (third hour)

Tearing around the hip-joint on walking (first day)/.

Drawing fine stitches in the right hip-joint, extending into the intestines (twenty-ninth hour)

Twitches in the right gluteal muscles (sixty-eighth hour)

On the anterior surface of the left thigh, not far from the knee, a frequent wavelike twitching/.

Twitchings in the anterior muscles of the thigh, in the upper half (forty-ninth hour)/.

Twitchings on the anterior side of the right thigh (twenty-fifth hour)

Twitchings in the muscles of the right thigh (fifth hour)

Twitchings of the muscles of the left thigh (second hour)/.

Superficial twitchings on the inner sideof the left thigh (one-quarter of an hour)/.

On the inner surface the thigh, at the upper pai't, sensitive twitchings in slow intermissions

Burning on the anterior surface of the thigh when sitting/.

Drawing in the muscles of the right thigh

Tensive drawing on the inside of the right thigh/.

Constant drawing in the muscles of the right thigh, running down the knee and foot, where a pressure is several times felt, jumping up also to the knee when sitting

Paralytic drawing pain on the outer side of the thigh when sitting/.

Drawing pressive pain in the hamstrings on making them tense (first day)/.

Pressing pain in the muscles of the inside of the right thigh, in the joints of the right foot, recurring several times, also in the joints of the left foot, in sitting as well as when walking/.

Twitching tearing in the left thigh (forty-eighth hour)/.

Tearing in the left femur when sitting (first day")/.

Pains in the flesh of the right thigh as if a pointed body stuck therein/.

Stitches in the skin of the external side of the left thigh

Dull stitches, in the right gluteal muscles (twenty-ninth hour)/.

Dull, sensitive, regularly-beating stitches in the outer surface of the left thigh in a small spot, just below the hip-joint

A restlessness (trembling) in the thigh and leg when sitting, like a violent pulsation of the arteries, after a walk

Twitching on the inner side of the right knee-joint (twenty-ninth hour)

Twitching in the outer side of the left knee-joint

The pains in the knees are severe and of long duration

Burning aching, which sometimes changes to a burning throbbing, in a small spot on the upper part of the knee

Drawing in the muscles above the knee

Stitching drawing pains in the right knee and above it, worse when walking

Pressure in the knees

Frequent pressure in knees, more in the right, when sitting

Pressive pain behind the left patella

Burning sticking in the right patella (fourth hour)

Stitches on the knee near the patella, on sitting; the patella pains on touch as if sore and ulcerated

Stitching pains in the knees and joints of the feet, wandering about, when sitting

Fine stitch in the left kneejoint when sitting (sixty-first hour)

Clucking in the left knee-joint on- the inner side (thirty-sixth hour)

Itching on the inner side of the right knee-joint, which continues on motion (thirtieth hour)

Itching of the skin on the left patella, which does not disappear on scratching (twentyseventh hour)

The lower leg goes to sleep easily, if its nerves are the slightest compressed ; for example, if one leg is crossed over the other in sitting, the latter goes to sleep immediately

A drawing in the skin of the entire external surface of the left leg several times

Itching sticking in the left tibia in the forepart below the knee ; disappears on walking (sixth hour)

A general twitching in the muscles of the upper half of the right tibia

Severe drawing in the right tibia

Pressure in the left tibia, which disappears on motion (thirty-sixth hour)

Sharp stitches from within outwai'd in the right tibia (second hour)

(Sharp stitches running down in the left tibia toward the inside) (fourth hour)

Tensive burning in the left calf (seventy -second hour)

Drawing in the calves

Drawing pain in the left calf

Pressive pain below the right calf; on walking it disappears (first hour)

Severe stitches in the right calf when sitting, later when walking

Stitches in the right calf, and like pinching when sitting, for a long while, then the same pain in the muscles above the right knee

Twitching in the right ankle extending downward (thirtysixth hourj

(The decided, cold swelling around the malleoli disappeared in the first twenty hours ; curative action)

In walking about, pressure in the joint of the right foot and towards the calf

Itching sticking below the inner malleolus of the right foot, which at once disappears on rubbing (forty-second hour)

Dull stitches in the left ankle toward the inner side (twenty-ninth hour)

Sensitive intermitting throbbing on the inner side of the left foot

Sensation in the lower part of the left foot (which rides over the other and hangs down) as if it would become stiffened.

Burrowing on the inner side of the left foot (forty-second hour)

In walking, pressure in the joint of the left foot, for a great while

Severe pressing pain in the joints of the right foo!; when walking, after awhile the same pain in the left foot when sitting, but worse when walking

Pressure in the joints of the feet and knees, in walking

Pressive pain on the back of the left foot when sitting (forty-eighth hour)

An irregular intermittent severe tension as from a tight boot on the right instep

Pointed stitches in the doreuni of the right foot, which go away completely on walking (fourth hour)/.

Itching ou the dorsum of the foot continues when sitting and walking (sixty-sixth hour)

Twitching in the left sole toward the toes (second hour)/.

Pressive pain in the right sole, on sitting (forty-sixth hour)/.

Sensation in the ball of the left sole -as if he had stood long upon it/.

Slight twitching in the right great toe (half hour)/.

Drawing pains in the right toes/.

Burning pressure at the root of the left great toe (forty-ninth hour)/.

Fine stitches in the third toe of the right foot, on walking (twenty-fourth hour)

Burning stitches in the left little toe (sixty-eighth hour)/.

A sensitive throbbing in the left great toe from time to time

In the left great toe a simple, sometimes throbbing pain, on rest and motion.

Painful throbbing in the tip of the great toe

Itching crawling on the lower surface of the right great toe (forty-ninth hour)

Generalities p. 580

Yawning, discomfort, restlessness, and debility

Sense of heaviness in the whole body

(Unusual fatigue at evening, followed by very sound sleep)

Troublesome lassitude

Great lassitude and sleepiness in the evening

Great weakness on moving; so long as he lies still or stands he feels bright and strong, except a languishing feeling, whereby the mouth is very dry (first day)

Sense of general prostration ; the limbs sink down heavily and relaxed, and the head feels dizzy

Causes, in large doses, hemorrhages

(Asafoetida penetrates the whole organism (in large doses) ; all secretions, the breath, sweat, urine, flatulence, the pus in the carious ulcers, smell of it),l

A good night's sleep was followed, early in the morning, by oppression of the chest, quick breathing, and beating of the pulse and heart, distension of the abdomen, and in three hours by troublesome aching of the stomach ; all relieved in three hours more by partly solid, partly papescent, dark-brownish and blackish stools, smelling strongly of the drug ; also the rheumatic pains in the back of the head, extending to the arms, and drawing, rending pains in the back of the neck subsided after the stools

Drawing in the muscles of the shoulder-blades, thighs, fingers, and in the right cheek/.

Pressing pains in the thorax, in the elbow-joint below the left shoulder-blade, in the hands, shoulders

Drawing pressing pain below the edge of the ribs on the left side, when walking, and in the muscles of the shoulder-blades

After rising, pressure in the forehead, drawing in the muscles of the right forearm, in the muscles of the left cheek ; pressure in the right tibia, in the left calf ; drawing and pressing in different places of the forehead

Stitches as with needles

Stitches in the points of the toes, in the skin of the right axilla, on the right cheek

Fine, superficial, sensitive, needle-stitches here and there, so that he must rub

Trembling over the whole body, with coldness of the skin, and small, weak pulse

Frequent repetition of the pains

The pains return frequently, and jump from one place to another

Nose p. 580

The following are clinical: (Chorea, Geisschlager in Hufeland's Journ., 10.)

(A very "cold swelling, pitting on pressure, around the malleoli, diminished in eight hours, and disappeared in thirty hours)

(The pus from a carious tibia, previously ichorous, very offensive, and thin, became thicker and odorless ; twelfth hour)

(The charpie did not adhere to the sore any longer, causing, on removal, unendurable pain in the bone underlying it, but came off easily and without pain, even without previous wetting ; twenty-eighth hour)/.

(No longer tormented by the nightly syphilitic bone-pains, but can again sleep under his feather-bed ; twelfth hour)/.

(The apparently healthy portion of the tibia lying beneath the peculiar carious ulcer, became, again sensitive and painful to the slightest touch, or even the approach of the finger, so also to the removal of the charpie, and at night also almost unendurable; second day)/.

(The superficial sore in the skin, around the peculiar carious ulcer in the calf and inner side of the knee, becomes again bright-red, bleeds easily, and covered with a tough, mem- ^ branous, coagulated lymph-crust, to which the charpie sticks fast, and when it is removed the whole epidermis around the sore is painfully abraded, clear, transparent, lymphlike pus is seen in the sore; second day)

(Most extreme sensitiveness, in the vicinity of the carious ulcer of the tibia, of the superficial skin-sores, and also of the ulcer itself; the patient cries out if the finger touches a place distant from the idler ; removal of charpie causes most severe pain ; second day),\]

Skin p. 581

Burning in the skin externally on left leg

Sleep and Dreams p. 581

Unusual desire to sleep (thirtieth hour)

Toward 9 p.m. the pains cease entirely, and a good night follows

Sleep disturbed very much

Restless night

Vivid dreams of business and feasting

Sleep full of dreams of things of which he had previously spoken or thought ; the dream becomes a true continuation, which afterward is completely realized

Fever p. 581

* Chills ran over the body from time to time

Chilliness lasts till after 9 a.m.

Chilliness in the back, cold hands

Slight chilly feeling in the back and loins

The chilliness in the back increased, ran through the upper and lower extremities, the hands got cold, a creeping chill ran through the whole body, the nails were bluish, much salivation, and sometimes Asafoetida eructations

In walking up and down the room several times, severe chilliness in the back, cold feet, cold hands, with blue nails

The chilliness seemed to be somewhat less, perhaps from being obliged to walk incessantly the whole morning

Chilliness at 6 p.m., with increased warmth of the hands (second hour)

In two hours the hands begin to get cold, and some chilliness in the back ; the same wandering pains remain, with heat in head and face

Repeated alternations of chilliness in the back and cold hands, with heat and heaviness and pressure in the head; even a slight motion in the warm room aggravates the chilliness

Coldness of the hands, with blue nails, with continued heat of the face and head, visible twitches of the right lower eyelid, stitches in the point of the tongue, pressure in the sternum, chilliness in the back, wandering pains

With the heat of the face, cold hands and feet, and chills of the back from 8^ to 9 a.m.

The fever disappears about 5| p.m., and a sensation of heat only remains

After eating, feverish, with heat in the face (without perceptible heat externally), without thirst, but with anxiety and sleepiness

Cold sweat on the forehead and lirabs

Conditions p. 581

Aggravation.

(Morning), Pain in joints, etc., of head ; sensation as if beaten, etc., in epigastric region, etc.; after rising, tearing in joint of left foot, etc.; early, oppression of chest, etc.

(i^yeninf/), Hysteric rising in throat; great lassitude, etc.

(Mf/Ai), When awaking, pain in joints, etc., of head.

(Bending thorax forward). Pressure on lower part of sternum.

(Bending upper part of body back and forth), Pressive pain in small of back.

(J./iter dinner), When walking, flatulent pain in abdomen.

(Drinking), Causes heaviness, etc., in intestines.

(After eating), Pressure in epio-gastric region ; pressure in epigastric region, etc.; tension in abdomen. (During inspiration and expiration), Pressure in left intercostal muscles ; sticking in left loin.

(When lying), Soon after a meal, great oppression of chest, etc. ; stitches, etc., in chest.

(J/o/.io)i), Drawing down left side of throat; drawing down left side of neck; stitches in joints of small finger; great weakness ; chilliness.

(On moving finger), Tarn up forearm.

(Motion of pain fid joints), Increases sufferings.

(liest), Pam along left shoulder, etc.; stitches up right forearm ; pain as if beaten in wrist-bones.

(Sitting), Pain in pit of stomach ; cutting in abdomen ; drawing across abdomen, etc. ; after eating, stitches in both sides of abdomen; sticking, etc., in left side of lower abdomen ; stitches in chest after hawking ; stitches in utero?-tal muscles; throbbing in thorax; palpitation of heart; twitching in muscles of lower half of back; pain in small of back; bruised feeling in extremities ; pressive pain at scapular end of clavicle ; burning on anterior surface of thigh; pain on outer side of thigh; tearing in left femur; restlessness in thigh, etc. ; stitch in left knee-joint; stitch in right calf; stitches in right calf, etc.; pain on back of left foot; pain in right sole.

(Standing), Pain below navel ; stitches in chest after hawking ; throbbing in thorax.

(Stooping), Pain in region of left short rib ; stitches under left shoulder-blade.

(Swallowing), Tension in throat.

(Making parts fe?ise),Pain in hamstrings.

( While urinating). Drawing in glans penis.

( Walking), Cutting in abdomen ; stitches in left side of abdomen ; drawing, etc., in lower extremities ; tearing around hip-joint; pains in knee, etc. ; stitches in right calf; pressure on joint of foot, etc.; pressure on joint of left foot; pressing pain in joint of right foot ; pressing pain in joint of left foot ; pressure in joints of feet, etc.; stitches in right toe; pain below edge of ribs; chilliness in back, etc.

(On writing). Dull pressure in sternum returns.

Amelioration p. 582

(Evening), All symptoms disappear except distension of abdomen.

(Toward 9 p.m.), Pains cease entirely.

(After blinking), Dimness of eyes disappears.

[Mucous expectoration). Aching in chest.

(Discharge of offensive flatus). Relief from time to time.

( On inspiration and expiration). Pressure on sternum passes off ; sticking in loin disappears.

(Motion), Pressure on tibia disappears.

(Pressure), *Stitches in both sides of abdomen disappear ; stitches, etc., in chest disappear.

(Rubbing), Stitches in side of abdomen go away; sticking below right malleolus dii5^ appears.

(Sitting up). Stitches, etc., on chest disappear.

(After blackishbrown, etc., stool). Symptoms relieved.

(Walking), Sticking in left loin disappears; tearing, etc., in right leg; sticking in tibia disappears; pain below left calf disappears; stitches in dorsum of right foot go away.