China

Cinchona officinalis, Hooker. Nat. order, Rubiacese ; Common names, China (Ch. hard), Quinquina, Cortex Peruvianum (Peruvian bark).

Preparation, Tincture of the bark (or triturations).

Authorities. 1, Hahnemann, R. A. M. L., 3; 2, Anton, ibid.; 3, Baehr, ibid.; 4, Becher, ibid.; 5, Clauss, ibid.; 6, Franz, ibid.; 7, Gross, ibid.; 8, Hardish, ibid.; 9, Hartmann, ibid.; 10, Darting, ibid.; 11, Herrmann, ibid.; 12, Homburg, ibid.; 13, Langhammer, ibid.; 14, Ch. F. Lehman, ibid.; 15, J. G. Lehman, ibid.; 16, Mezer, ibid.; 17, Michler, ibid.; 18, Staph, ibid.; 19, Teuthorn, ibid.; 20, Wagner, ibid.; 21, Walter, ibid.; 22, Wislicenus, ibid. ; 23,f Alpinius, in Murray's App. Med., " general statement from observation ;" 24, Baglivus in Berger, q. v., " results of suppression of intermittents by China;" 25, Baker, Med. Trans, iii, 162, "effects of Cinchona rubra ;" 26, Baker, Act. Med. Cur., Ill, 0. 70, " as Baglivus ;" 27, Berger, Diss, de Cinch, ab iniquis judiciis vindicata, 1711, "all S. (save S. 262) mentioned only to reject them ;" 28, Bresl. Samuel, 1728, p. 1066, " as Baglivus ;" 29, Cartheuser, Diss, de febr. interm. epid. Francof., 1749, " as Baglivus ;" 30, Cleghorn, Diseases of Minorca, " effects of China in agues ;" 31, Kriiger, Misc. Nat. Cur., Dec. Ill, ann. 3, " as Baglivus ;" 32, Ettmuller’s, diss, de usu et abuse prsecip., " as Baglivus ;" 33, Fisher, in Hufel. Journ., iv, 652, "as Cleghorn ;" 34, Torney, Med. Ephem., 1, 2, " not obtainable ;" 35, Fothergill's, works, " cannot find any such symptom;" 36, Fiborg, Diss, de usu cort. Peruv., 1773, " physical effects of powder ;" 37, Gesner, Samml. v. Beob, I, 244, " not obtainable ;" 38, Greding, Ludw. advers., I, 90, " effects of Hyoscyamus," omitted ; 39, Hildebrand, Hufel. Journ., xiii, 1, 142, "as Cleghorn;" 40, Juncker et Fritze, Diss, de usu cort. Per., p. 26, " from China given in gangrene of foot, with Alkermes and syrup of Canella ;" 40a, Kreysig, Diss, de febr. quart., " not obtainable ;" 40b, Koker, " from China given in cold stage of ague ;" 41, Lemprecht, Act. Nat. Cur., II, 0, 129, "as Cleghorn;" 42, May, Lond. Med. Journ., 1788, p. 273, " as Fiborg ;" 43, Morton, Opera, II, " observed effects of overdosing;" 44, Murray, App. Med., "as Berger;" 45, Pelargus, Obs. I, 1, 72, "as Baglivus;" 46, Percival, Essays, vol. i, "as Fiborg;" 47, Quarin, Method. Med. febr., p. 23, " as Fiborg ;" 48, Paulin, Obs. de Med., Paris, 1754, " not obtainable ;" 49, Richard, Recueil dobs. de ind., II, 517, "as Baglivus;" 50, Romberg, Misc. Nat. Cur., Dec. Ill, ann. 9, 10, 0, 109, "as Cleghorn;" 51, Roschin, Ann. de Heilkunde, "not obtainable;" 52, Schlegel, Hufel. Journ., vii, 4, 161, "as Cleghorn ;" 53, Stahl, in various works, " as Baglivus ;" 54, Sydenham, Works, I, "observed effect of China ;" 55, A. Thompson, Med. Essays and Obs., iv, 11, 24, "as Baglivus;" 56, Thos. Thompson, Med. Observ., xxxvi, "as Baglivus;" 57, Walth, proving with

| Hahnemann's cited authorities, Nos. 23 to 56, revised hy Dr. Hughes. daily doses, increasing from 2 drachms to £ ounce, A. H. Z., 20, 367 ; 58, Piper, effects of a clyster of 1 ounce of powdered bark, A. H. Z., 19, 202; 59, Goes, effects of a strong infusion on a sound man, Russ. Med. Zeit., 1851 (from Z. f. Horn. Kl., 1, 117) (60 to 69, Jorg's provings, critical essays, ISo. 2, from B. J. of Horn., 24, 222); 60, Enders took daily doses, 18 to 120 drops of tincture; 61, Hacker, same doses as last; 62, Franthraan, same ; 63, Meurer, 2 drachms powder twice in one day ; 64, Steinback, as last ; 65, Kieman, as last ; 66, Guntz, as last ; 67, Meurer took within twelve hours and a half 16 ounces (in four doses) of tincture, prepared in proportion of one part cortex to six parts spirits vini ; 68, Sternback, 6 ounces in four doses, as last ; 69, Guntz, as last ; 70, Robinson's provings, " a middle-aged female, gl. ^th in 8 ounces water, teaspoonful each morning," B. J. of Horn., 25, 323; 71, "a middle-aged female, gtt. 10 0, in half wineglass of water, at a single dose," ibid.; 72, "a female, pil. ^th, night and morning," ibid.; 73, " in a young female, gtt. 5 0, three times a day in a tablespoonful of water;" 74, Gabalda, effects of half a spoonful of wine of bark daily, in a person after loss of blood, L'Art. Med., 5, 278 ; 75, Berridge, proving on a boy, aged 14, with repeated doses of the 30th dilution, N. Am. J. of H., N. S., 3, 500.

Mind p. 183

Emotional Excessive excitability, with despondency and intolerance of noise

Dreadful feeling of excitement

Lively the whole evening, though with staring eyes,8.f

Uncommonly lively in the forepart of the night until 2 a.m.,14.

Feels intoxicated ; inclined to be jolly

Slightly intoxicated after each dose

Slight intoxication (2 ounces)

(Delirium),30 37.|

(Delirium during the fever)

Completely beside himself and in despair ; tosses about in bed

From time to time she falls into a weeping mood without any external cause, brought on by some selfmade imaginary whim, for example, fancied need, something that she could not eat to satisfy her appetite, etc. (after twenty hours)

Moaning, complaining, and screaming

Quiet mood,13.§

He is quiet and will not answer

Obstinate silence; he will answer nothing

Silent, ill-humored, disinclined to talk (during the first days)

Earnest mood

* Absence of the usual lively mood ; he prefers to be alone

Sadness, despair

Discouragement

Gloomy mood ; has no desire to live

* What usually appears to him bright and joyous seems now unattractive, unworthy, and shallow,w.

Despondency

Inconsolable

Anxiety,30*™1.

Anxiety at night, on waking from frightful dreams

[Great anxiety, death], 40b.||

[Excessive anxiety]

Intolerable anxiety (about 8 p.m. and 2 a.m.) ; he springs out of bed and wishes to take his own life, but does not go near the open window, or take a knife ; with heat of the body, without thirst

Nameless anxiety

Excessively anxious carefulness

* An excessively anxious solicitude avoid trifles (after one hour and a half)

* In the morning on waking, anxious thoughts and ideas

[Hypochondriac troubles]

Illhumor, amounting to the most violent wrath, so that he could have stabbed any one

Caresses increase his ill-humor

Fretful, taciturn, absorbed in himself

Fretful, though neither sad nor quarrelsome, but not inclined to rapid thought

Fretful and irresolute ; she is unable to accomplish her aim, aud consequently is indignant (after a few hours)

Complaining fretful ness

Sighing fretfulness

Internally very fretful

* He is peevish, ill-humored, and easily angered (after four hours)

Peevish when excited, at other times stupid, perplexed, embarrassed

Extremely inclined to become angry, and to seek every opportunity for being angry ; afterwards quarrelsome, and inclined to grieve and reproach others (after two hours)

Morose, inclined to anger

Discontent ; he considers himself unhappy, and thinks he is hindered and tormented by every one (after five hours)

* Discontented and sensitive mood, inclined to anger

He despises everything (after one hour)

Want of docility

Disobedience

* During a cheerful mood, sudden, transient screaming, and tossing about the bed,without any apparent or visible cause

Indifference to all external impressions, with disinclination to talk

Intellectual. Desire for work, to read, to write, to reflect ; a general, remarkable activity and industriousness/.f

He has many ideas, a variety of things occupy his mind ; he builds castles in the air (after a few hours)

A large number of projects

He makes many plans for the future

* He makes many plans and reflects upon their execution ; many ideas crowd upon him at once

His head is full of many plans which he would like to execute, in the evening

No desire for work ; he is inactive

Disinclination for mental labor, with sleepiness?1.

Disinclination for intellectual and serious business

* Disinclination to think; alternating condition of cheerfulness and gloominess, for three hours (after two hours)

His perception is slow, has great aversion to motion, and is more inclined to sit and lie

Slow flow of ideas

He is rapt in thought (as if the flow of ideas stood still), (after three hours)

Periodic stoppage of thought

If he wakes at night he is unable to collect his senses

* He cannot arrange his thoughts in order ; he makes mistakes when writing or speaking, places words in reversed order; the talking of others disturbs him very much (after two hours)

[Stupidity]

Head p. 184

Confusion and Vertigo. [Confusion of the head],33 5S.

Confusion, extending over the whole head, lasting half an hour (after three-quarters of an hour)

Confusion of the head in the forehead

Confusion of the head like catarrh (after nine days)

Confusion of the head, like a dizziness, from dancing, and as in coryza

Confusion of the head, with tensive pain in the forehead and orbits™.

Confusion of the head, as after intoxication, with pressure in the temples

Confusion and emptiness in the head, with indolence of the body, as from night-watching and loss of sleep (after one hour)

* The head is very much confused in the morning, as after intoxication, with dryness of the mouth?.

Vertigo,^19'] 59.

Vertigo ; the head is inclined to sink backward, in every position, though it is more severe while walking and on moving the head (after six hours)

* Vertigo ; the head is inclined to sink backward ; more violent on motion and when walking, relieved when lying (after a few minutes)

Vertigo in the occiput, while sitting

Vertigo, with faintness ; she staggered and could not walk straight

At first vertigo and a dizzy nausea, followed by general sensation of heat

* On waking at night he. is dizzy, so that he does not dare to rue

General Head. Blood rises to the head, the forehead is hot, the limbs cold,l.%

Head somewhat affected (second day)

Stupefaction of the head, with pressure in the forehead (after a quarter of an hour)

[Heaviness in the head]

Heaviness of the head ; at noon a dizziness rises into the head, without pain

Heaviness of the head and weariness of all the limbs, in the morning on waking from sleep

Heaviness of the head, which is inclined to sink backwards, while sitting

* Headache like a heaviness and heat in it, worse on turning the eyes, together with jerking pains in the temples

Headache

Headache, now in one part, now in another part of the brain

Headache, alternating with frightful dreams throughout the night

Headache, weariness, followed by some coldness

Dull, stupefying headache, in the morning on waking

* Headache, so sensitive that it seems as though the skull would burst ; the brain beats in waves against the skull

* Headache, as if the brain were pressed together from both sides and old at the forehead, very much aggravated byxvalking in the open air

Headache, as if the brain were gathered into a ball, with excessive excitement of the mind, uneasiness, with excessive and overstrained fantasies

A kind of pressure, like a congestion in the head, with sweat on the forehead (after half an hour)

Headache, first a pressure in the forehead, afterwards extending over the whole head

Painful pressure and pressing in the head toward the forehead, as if everything in the head were too heavy and would be pressed out, relieved by strong pressure with the hand (after three hours)

Pressive headache, especially in the occiput

Pressive headache, aggravated in the open air (after nine hours)

Pressive headache half an hour after dinner ; it lasts until going to sleep

* Violent pressive headache deep in the brain, and a sensation of constriction, especially in the right side of the forehead and in the occiput, very much worse when walking?.

The brain seems pressed by much blood

An uninterrupted, dull, cutting pain, extending from both temples and the occiput to the orbits, more sensitive and aggravated on motion and on stooping

Sticking headache, especially in the left frontal region (after one hour and a half)

Single stitches shoot from the inner ear through the brain, as if to pass out through the top of the head

Tearing in many places in the head, aggravated by walking, or by moving the head

Sticking-tearing in many places in the head, aggravated by moving the head

* Violent jerking -tearing in several places in the head, aggravated on motion and when walking, relieved when lying (after one hour)

Tearing headache from the right occipital bone to the right frontal eminence

Headache, as if the brain were sore, increased on the slightest touch of the hand on any part of the head, but especially by fixed attention, or by deep thought, or even by talking

Headache, when walking in the wind, consisting of a bruised and sore sensation

Violent hammering in the head, extending into the temples

Forehead, Frontal headache

Headache above the orbits, which begins in the forenoon, is very much aggravated by walking, but disappears after dinner (after eighteen hours)

Burning pain, with hot sweat of the forehead

A pressure like a fulness in the head, just above the eyes (after two hours)

Tensive pain in forehead and orbits

Digging headache in the left side of the forehead, while sitting unoccupied, or when occupied about something in which he is not interested

Drawing pain in the forehead

Drawing headache from the occiput to the forehead, as if the whole forehead were drawn rest of the body, 1201, 1214, 1215, with external coldness, 1171, 1202, or only internally perceptible heat in the face, with cheeks cold to the touch, and cold sweat on the forehead

H. together, this ends in the temples as a throbbing ; disappears on walking, but returns when sitting or standing, and is relieved by pressure of the hand

Headache from afternoon till evening, a pressure in the middle of the forehead

Sticking pressure on the forehead above the nose, and on the cheeks (after thirty-two hours)

Sticking pressure in the right frontal eminence, more violent on touch (after ten minutes)

Sticking pressure externally on the left frontal eminence, together with vertigo and some nausea in the throat

Pressive pain in the right side of the forehead

Pressive headache in the forehead; on bending backward it changed to the temples, where it becomes worse ; while sitting, it was located only in the forehead

Pressive headache when walking, at first across the forehead, and then in the temples (after six hours)

A little weight about forehead in morning, which disappeared about middle of day (second day)

Sticking headache in the forehead (while sitting)

Pressive-sticking headache in the forehead and in the temple of one side (after four hours)

A severe burning stitch between the forehead and vertex

Jerking-tearing in frontal eminences

Headache, like a jerking, towards the forehead, always worse until evening, when it disappears

If he puts the hand to the forehead he feels a pain moving back and forth

Temple. Headache in the temple

Headache in the temples like a dry coryza

Pressing together in the temples (after five hours)

Pressure in the left temple

Pressive headache in the temples, in the evening

Fine sticking in the left temple

Continued sticking sensation in the right temple

Sticking headache between the right temple and the forehead, with violent pulsating of the temporal artery (after half an hour)

Stitches between the forehead and temple of the left side ; when touched, he feels a severe throbbing in the arteries of the temples, and the sticking disappears

Tearing headache in the left temple

Pressive tearing in the temporal region, as if the bones would press out/'.f

Jerking-tearing in the right temporal region, for three days

* Jerking headache in the temple, extending to the upper jaw1.

Vevtex. Contractive pain in a circle on the vertex (after half an hour)

* Headache, first like a cramp in the vertex, followed by bruised sensation in the side of the head, aggravated by the slightest motion

Pavietals. Headache ; a digging in the left side of the head, while sitting (after nine hours and a quarter)

Pressive headache in the side to which he inclines himself

Headache in the left parietal bone, like a throbbing

Jerking from both parietal bones down to the throat

Occiput. A dull sensation in the lower posterior portion of the head, as when waking from sleep

Painful drawing upon the occipital bone

Painful drawing on the right side of the occiput

Drawing pain in the left side of the occiput, which disappears on bending the head backward

Drawing pain in the articulation of the occiput and atlas, when touched, so that he is obliged to bend the head backward

Drawing headache in the occiput, while sitting

Severe pressure in the occiput, as if the cerebellum would be pressed out (after five hours and a half)

Pressive headache in the occiput (after three hours)

External Head. Momentary contraction of the skin of the forehead, as if it were drawn together in one point in the centre (after half an hour)

Pain, as if the skin on the upper portion of the head were grasped by the hand

Contractive pain on the left side of the occiput in the skin

Sharp stitches in the left side of the scalp

* The whole scalp is so sensitive to touch that everything on it hurts him ; the roots of the hair seem to be especially affected (after thirty-six hours)

Sticking-itching on the scalp (after one hour),6. 1

Eyes p. 187

Objective, The eyes are somewhat red, with pressive-burning pam m them, and much heat (in the afternoon), (after six hours)

Subjective. Sensation in the eyes as in general weakness, as if they were very much sunken, which was not the case (after a quarter of an hour)

Feeling as of sand in the eye

Movement of the eyes painful, with sensation of mechanical hindrance

Painless pressure in the eyes, as from weakness and loss of sleep (after ten hours and a half and twelve hours)

Biting in one, and then in another eye, with lachrymation

Pressive-biting pain in the eyes, as from salt; she was obliged to rub them (after half an hour),1.!

Brow and Orbit. Pain over the left orbit

Fine, itching pain above the orbits

Pressure in both eyebrows, more externally, aggravated by motion of the frontal muscles (after three hours)

Lids. Gum in the external canthus (after sleep)

The eyelids will close from weakness and sleepiness (after half an hour)

Jerking of the left upper lid back and forth (after six hours)

Twitching, blinking, trembling in both eyes (after two hours and three-quarters)

Uncontrollable twitching of right upper eyelid

Sensation of dryness between the lids and the eyeball, with rubbing pain on moving the lids, without visible alteration in the eye

Violent pain in the lids

Pressive pain in the external canthi

Tearing in the left external canthus

Tickling sensation on the lids (after five hours)

Lachrymal Apparatus. Lachrymation

Lachrymation, with crawling pains in the eyes and in the inner surface of the lids

On waking at night, it seems as if the right eye were swimming in water (after nineteen hours)

Conjunctiva. Inflammation and redness of conjunctiva

Ball Motion of eyes painful, with sensation of mechanical hindrance™.

Bupil. Pupils dilated (after one hour and a half)

Pupils very much dilated (after a quarter of an hour)

Extreme dilatation, and almost immobility of the pupils, with weakness of vision, so that he could not recognize at a distance distinctly (myopia), with a fresh color to the face, and otherwise general activity (after six hours)

Contracted pupils,1 ; (after three-quarters of an hour),9 ; (after one hour)

Pupils contracted (immediately, and after three hours and a half)

Pupils sensitive, but more inclined to contract than to dilate (after twenty hours)

Vision. [Dimness of vision]

[Amaurosis]

The room (lighted by a candle) appeared in a blinding sulphurous-yellow light, but after a few minutes all the surroundings were of a shimmering rosy-red (this symptom appeared as the headache suddenly disappeared, during a sluggish evacuation, with tenesmus)

Black points float before the vision (after four hours)

Darkness before the eyes

Ears p. 187

Internal. Pain in the left ear, only when touched (after six days)

(Pressive pain in the inner ear, like earache), (after one hour)

At first a throbbing sensation in the ear, afterwards a long-continued ringing

Tickling in the ear

External. Drawing pain behind the ears, extending as far as the mastoid process

Tearing in the lobules of the ears

Tearing in the cartilage and the external meatus auditorium

Transient sticking pains here and there in the parotid glands

Bleavina. Difficult hearing

Something seems to be constantly before the ear (like deafness), (after one hour)

* Ticking sound in the ear, as from a distant watch

* Ringing in the ears

* Ringing in the ears, with headache in the temples,6 n.

Frequent ringing in the right ear, together with tickling-crawling in it, as if an insect had crept into it

* Roaring in the ears

Nose p. 188

Objective. Redness and heat only on the nose (after twelve hours)

Sneezing (after half an hour, two hours, and three hours)

The attack of the paroxysms of fever commences with sneezing

Sneezing, with coryza (after one and two hours)

Forcible dry sneezing several times (after seven hours)

Watery discharge from the nostril, which is at the same time stopped (after thirteen hours)

Catarrh, so that it trickles from the nose for two hours

Catarrh, with sensitiveness of the nose, and some pimples on the margin of the nostril and septum of the nose, which are painful to touch (after nine days)

Attacks of stopped coryza

Bleeding of the nose, in the morning between 6 and 7 oclock, after rising from bed, for several mornings in succession

Frequent, profuse nose-bleed

Nose bleeds after blowing it violently

Subjective. A soft pressure across the root of the nose, extending upward, and on the eyebrows, which disappears when touched, with tension of the skin of the left wing of the nose

* Pressive pain in the root of the nose (after the heat of the cheek had disappeared), which extended, to the side (after five hours)

Fine needle-like stitches in the cartilage of the wings of the nose

Tearing pain in the back of the nose

Biting deep in the left nostril, sudden, painful, sticking on every inspiration ; the biting is aggravated by compressing the nose, after which there is itching externally on the back of the nose, in the evening (after half an hour)

Smell. (He fancies that he smells a corpse)

Face p. 188

Objective. Hippocratic face (pointed nose, hollow eyes, with blue rings), indifference, insensibility ; he paid no attention to those about him ; did not care about those things of which he was usually most fond (after one hour)

Face sunken, pale

* Sunken, pinched face, pale, sickly, as after excesses

The color of the face is bad, earthy

[Red, puffy face]

Face flushed and swollen

* Paleness of the face

Frequent changes in the color of the face

Subjective. Right-sided faceache

Pressure across the face, especially near the nose and cheeks, together with contraction of the eyelids, as if the upper and lower lids were drawn towards each other (after three hours)

Needle-like pains in left face, left chest, and left hand

Cheeks. Redness of the cheeks and lobules of the ears

Fine stitches in the right cheek-bone, which disappear on pressure

A picking pain in the zygoma and in a right back tooth

A cutting-burning pain in the upper jaw, while standing (after seven hours)

Lips. [Blackish lips]

(The skin of the lips is wrinkled and shrivelled) (after five hours)

(Cracking of the lips)

Cracking of the lower lip in the middle (in sneezing)

* Dry lips, without thirst (after seven hours)

Sensation of soreness on the right side of the upper lip near the corner, as after much wiping in coryza

The inner surface of the lower lip is sore and excoriated

Pain in the lower lip near the left corner of the mouth, as from a corroding ulcer

Lower Jaw. Jerking, dull stitches in the right side of the lower jaw

Tearing in the left side of the lower jaw

Tearing pressure in the right upper and lower jaws at night, before midnight

Mouth p. 188

Teeth. *The teeth are loose and painful, only when chewing

Toothache, with looseness of the teeth (after three hours)

Toothache, dry catarrh, and lachrymation

Drawing toothache comes on easily in the open air and in a draft

Pressive drawing toothache in the left upper teeth, with sensation as if the gum or inner portion of the cheek were swollen (after one hour)

Toothache, like a pressive drawing, in the left side of the lower jaw

While smoking tobacco (to which he was accustomed) drawing-tearing toothache upward and downward in the upper jaw, followed by an attack of faintness

Throbbing toothache

Drawing pain in the incisors in the morning,6. f

Toothache, sticking from within outward in the front teeth

Pain in the lower incisors, as if they had been knocked against something

* Digging in the upper back teeth, relieved for a moment by biting the teeth together, and pressing upon them (after forty hours)

Pressive pain in the crowns of the right back teeth, when biting the teeth together

Drawing, pressive toothache in upper back tooth, with sensation as if it were benumbed, in the morning (after twenty-four hours)

Picking pain in an upper back tooth

Small fine stitches, with tearings in the right upper back teeth, neither relieved nor aggravated by touch, or inhaling fresh air (after two hours and a half)

■ Jerk ing-tea ring in the upper back teeth of the left side (after five hours)

Gums. Swelling of the gum and lips

Tongue. Painless swelling on the side of the back part of the tongue

A vesicle beneath the tongue, which is painful to move

(Yellowish tongue, not coated with fur)

Tongue very much coated, especially in the afternoon (after seven hours)

* Tongue coated yellow

* Tongue covered with a thick, dirty, white coating (after a quarter of an hour)

Tongue coated very white, in the morning,-1.

[Clean tongue, with bitter taste]

Sensation on the tongue as if it were dry, and covered with mucus (after one hour)

Fine stitches in the tip of the tongue

Burning stitches on the tongue

Biting on the middle of the tongue, as if it were sore or burnt

Biting on the tip of the tongue, as from pepper, followed by accumulation of saliva at this place

General Mouth. After an agreeable surprise much bright blood came suddenly into the mouth (after twenty-four hours)

Towards morning, an offensive odor from the mouth, which disappears as soon as she eats anything

The mouth is slimy, and the taste watery and flat

Acidity in the mouth

Feeling as though there was an offensive exhalation from the mouth

[Dryness of the mouth]

* Dryness of the mouth, with thirst

Painless swelling of the arches of the palate and uvula (after three hours)

Dry palate, with thirst, in the evening, an hour after the fever

Tobacco-smoke causes an unusually acrid and biting sensation in the posterior part of the palate (after twenty-four hours)

Scraping on the palate, even when not swallowing (eighth day)

Saliva. Accumulation of saliva, with nausea

* Much saliva in the mouth, with nausea (after two hours)

Contractive sensation of the salivary glands ; flow of saliva

A sensation in the mouth, causing a coagulation of saliva, as if he had smelled of too strong vinegar

Watering of the mouth (70 drops after one hour)

Mucus in the mouth, in the morning after waking, and after making some exertion ; it seems to him as though it was offensive to those near him ; he believes there is an offensive odor from his throat

Taste. *Flat, insipid taste, after drinking

Sweetish taste

* Taste at first sweetish, then sour ; profuse saliva

Nauseous taste in the mouth, as after cheese

A nauseous, at times bitter taste, especially in the morning; the food had an unpleasant though not a bitter taste

Very nauseous taste (in consequence of his having taken large doses of bark in powder for intermittent fever, a year and a half previously), (18 drops)

* Slimy taste in the mouth, which disgusts him with butter

Bitter, slimy taste (70 drops after one hour)

Salty taste

Sweetish, salty taste in the mouth (after three hours)

Frequently a sour taste in the mouth, as if his stomach had been disordered by fruit

[Bitter taste]

* Bitter taste in the mouth ; even the tobacco tastes bitter while smoking

Bitter taste in the throat, which obliges him to swallow saliva (immediately)

Bitter taste in the morning

Bitter taste in the mouth, while drinking coffee

Constant bitter taste in the mouth

All food tastes unusually salt, afterwards bitter

Bitter taste of food, especially of wheaten cakes (after six hours)

* Although he had no bitter taste in his mouth by itself, yet everything tasted bitter ; after swallowing food there was no bitter taste

Tobacco tastes sweetish while smoking

Black bread tastes sour (after three hours)

Coffee tastes sourish

Beer tastes bitter and mounts to the head

* Bread tastes good while chewing, but bitter on swallowing

Bitter, salty taste of bread and butter ; dryness of the palate and throat ; when not eating, no unnatural taste in the mouth, only dryness and thirst

Supper has little taste

No taste from smoking tobacco

Speech. [Loss of speech]

Throat p. 190

Very dry sensation in the throat, with cool breath (after one hour)

It seems as if some food remains in the upper part of the throat (after three hours)

The throat seems swollen internally ; sticking, only when swallowing, on the left side of the tongue, with a pressive pain in that spot, only when talking or breathing

Contractive sensation in the throat

Sticking in the right side of the throat, only when swallowing

Stitches in the throat, in the evening after lying down, not when swallowing, but when breathing

Stitches in the throat from a slight draft of air, when not swallowing

Sensation in the pit of the throat, as if it were sore ; a sensation when swallowing like a sore throat, although swallowing does not hurt it

Troublesome sensation of rawness in the throat

Fauces, Pharynx, and (Esophagus. [Angina faucium]

Scraping sensation in the fauces, especially on the margin of the larynx, as after rancid eructations or heartburn

Sensation of emptiness in the pharynx and oesophagus (after eleven days)

Tension in the pharynx, on bending the head backward, which, however, did not hinder swallowing

Contraction of muscles of oesophagus

A gentle contraction of the oesophagus, with the peculiar China taste, for one hour and a half (18 drops, directly after)

Swallowing. Swallowing difficult, on account of a sensation of narrowness in the throat

Painful swallowing ; swollen submaxillary glands, with special pain in them on swallowing

External Throat. The submaxillary glands are simply painful

(beneath the angle of the lower jaw), especially when touched and on moving the neck

A clawing or pinching pressure in the right submax-

hillary glands, on motion of the neck and on touch, or by itself

Stomach p. 190

Appetite. Rather an increase of appetite (second day)

Good appetite at dinner

Very good appetite (70 drops)

Appetite

unusual, so that I ate nearly as much again as usual, for eight days (after

Abdomen p. 190

Great appetite for sour cherries

He has an appetite for various things, hit does not exactly know what

Voracious appetite

longing for something, he does not know what

Hunger in the after-

noon at an unusual hour

Hunger, though without relish

* Hunger and yet want of appetite; the food tastes natural, yet seems disagreeable in the mouth

Great hunger and appetite at 8 a.m., without knowing what he wishes to eat

Ravenous hunger, with insipid taste

A kind of ravenous hunger, with nausea and inclination to vomit (after two hours)

h frequent longing for indefinite substances

Enjoyed his dinner

He relishes supper but is immediately satiated, and hence can eat very little

Less appetite (70 drops)

Little appetite

Little appetite at noon, from a sensation of satiety

[Loss of appetite]

Loss of appetite, as from slight nausea

Loss of appetite and nausea ; constantly wants to vomit and cannot, before and after noon

No appetite all day (140 drops)

No longing for food, with a natural taste

No desire for food or drink

indifference to eating and drinking ; only while eating some appetite and the natural taste of the food return (after six hours)

The dinner is eaten without any relish

He does not relish tobacco when smoking

Thirst. More thirst every morning than in the afternoon

* Thirst and hunger, in the evening, an hour after the fever, then, after he had eaten, coldness and rumbling in the bowels

(Thirst during the chill),x.t

* Thirst after the chill, without subsequent heat

* Thirst, after shivering through the skin

* Thirst after the fever, during sweat on the back and forehead

{400. .] Very great thirst for an hour (after nine hours and a half), followed by burning heat over the whole body, with throbbing in all the veins, without sweat and without thirst, with violent burning of the ears and forehead, though with only the usual warmth of the cheeks, hands, and feet, all of which parts seem in the internal sensation of being too hot (after ten hours and a half)

Excessive thirst for cold water, with chill and heat, especially in the morning just after walking

Unquenchable thirst, during a chill and intermittent fever

Great desire for wine

Little thirst

No thirst when eating

No thirst with the heat immediately after midnight, only dry lips

Aversion to water and longing for beer

Aversion to beer

* Aversion to coffee, although, food has a natural taste

Eructations. Eructations (immediately)

Eructations (directly after)

Eructations, without taste or smell

Eructations until going to sleep (immediately after)

Eructations tasting of the food

■ Eructations, as if caused by nausea, with colic (after three-quarters of an hour)

An eructation, as from nausea (after one hour)

Four eructations, with a taste of bark (36 drops after fifteen minutes)

Some eructations (2 ounces)

Sundry eructations (1 ounce, soon after)

More frequent eructations (70 drops)

Constant eructations (70 drops after one hour)

* Empty eructations of only air (after two hours)

Tasteless eructations till toward evening (directly after)

Tasteless eructations after eating

Bitter eructations after eating (after two hours)

Continued bitter eructations (18 drops after one hour aud a half)

Incomplete sourish eructations, after drinking milk (after one hour and a half)

Bitter, sourish eructations, after bread and butter

A sobbinglike tendency to eructations, something half way between sobbing and eructations (after three-quarters of an hour)

Frequent rising of badly-tasting mucus

Hot risings from the stomach, soon followed by a decided taste of China, beginning at the root of the tongue and spreading through the whole mouth

Nausea and Vomiting, Nausea,43; (after five minutes)

Nausea (18 drops)

Nausea (after five minutes)

Nausea (70 drops ; after one hour)

[Nausea], '25.f

Nausea for about an hour

Nausea and hot risings from the stomach, with a decided taste of the China, extending from the root of the tongue over the whole mouth (after five minutes)

Nausea in the region of the pit of the throat, after eating

[Nausea, with the usual appetite]

Nausea and unpleasant taste (120 drops)

Nausea and vomiting

Nausea, without vomiting

Excessive nausea and aversion for not unpleasant substances, even when they are not set before him and he only hears them spoken of ; with aversion to labor, constant sleepiness during the day, and yellowness of the eyeballs (after eight hours)

Nausea, flushes of heat, and orgasm of blood disappear after eating

Inclination to vomit

Inclination to vomit (18 drops)

(Retching and contraction in the pharynx, without hindering breathing)

[Continued vomiting]

11.15 a.m., slight vomiting, consisting principally of water, of a very sour taste, of a spirituous, penetrating smell, like bark

Stomach. [Indigestion]

The food eaten at supper remains in the stomach undigested

The stomach is easily disordered by food, or by eating an improper kind of food, with flat taste in the mouth, fulness in the abdomen, fretfulness, and headache

* 3Milk easily disorders the stomach

Sensation of emptiness and qualmishness in the stomach

[Anxiety in the region of the pit of the stomach]

[Anxiety in the region of the pit of the stomach, especially after eating]

After a moderate meal followed by a walk, while sitting, a nauseous anxiety in the stomach, as from an overloaded and disordered stomach, together with hunger

[Heaviness and pressure in the stomach]

[Sensation of heaviness in the stomach]

After pressing upon the stomach, a burning rises half way into the chest

Fulness after eating, though with the usual appetite before the meal

Sensation of fulness in the stomach

He feels as though he had eaten to satiety, had drunk to satiety, and also had smoked tobacco to satiety, although he has for all the articles a natural good taste (a few hours)

Compression in the pit of the stomach which impedes respiration (after half an hour)

Some spasm in cardiac region

Sticking pain in the pit of the stomach, extending to the sternum

Jerking-sticking in the stomach (after three hours)

Transient stitches here and there in the stomach and abdomen

Severe stitches in the pit of the stomach, during inspiration (after three hours)

Sharp stitches in the pit of the stomach

Sensation of soreness, with pressure (or pain, as if one pressed upon a sore place) in the pit tf the stomach, several mornings

Pressure in the stomach

Pressure in the stomach, as from fulness

In the morning, in bed, while lying on the side, pressure in the stomach (as if it were constricted) ; it disappears when lying upon the back

Pressure in the stomach, and griping

At first pressure in the stomach, afterwards accumulation of flatulence, followed by vomiting after eating, with the usual appetite (vegetables)

* After taking food, even a very little, there was immediately a hard, long-continued pressure in the stomach

Heavy pressure in the stomach

Severe pressure in the stomach, after every meal

A severe pressure below the pit of the stomach, as if everything there were sore, in every position; the same when touched ; soon afterwards a violent diarrhoea, which did not relieve the pain in the pit of the stomach (after seven hours)

Violent pressure in the stomach, which disappears while eating,18.f

Oppression of the stomach

Weight on stomach

Abdomen p. 193

Hypochondria. Pinching stitches in the left hypochondriac region (after one hour and a half)

Several attacks of intermitting pressure in the region of the liver, while standing, which disappear on ben ding the body forward ; the region is painful to touch, as if suppurating (after five hours)

Continued stitches beneath the right ribs, in the region of the liver, unaffected by inspiration or expiration (after four hours)

Violent stitches in the region of the liver, extending from within outward, only on expiration (after five hours)

Swelling of the liver,40a.

[Obstruction of the liver]

[Obstruction of the spleen]

Cutting pressure in the region of the spleen, as if the spleen were hardened

Stitches in the spleen when walking, even slowly

Umbilical. Griping, as if external, below the right side of the navel, while sitting, in the evening (after thirteen hours)

Colicky spasms in region of navel

Pressure in the umbilical region

A constrictive pressure in the umbilical region, in the evening in bed

Contractive pressure on the right side below the navel, as if there were an induration there, while sitting

After a moderate meal at noon and in the evening, pinching pressure somewhat above the navel, in the upper abdomen, which becomes intolerable on motion, and is only relieved during complete rest

Severely pressing pain on both sides below the navel, after eating

Severe cutting in the umbilical region, with cold sweat on the forehead, lasting a quarter of an hour (after a few minutes)

Dull sticking in the right side above the navel, more severe when touched

Dull sticking in the left side of the abdomen about the navel, and at the same time below the right nipple, extending inward (after one hour)

Excessive, pressive sticking on the left side below the navel, while walking rapidly and afterwards (after two hours)

Tearing in the umbilicus

Tearing and rumbling in the abdomen below the navel

Excessive tearing on the right side near the navel, extending down into hypogastrium, in all the inguinal region ; relieved by bending backward

* Colic in the region of the umbilicus, together with shivering

Frequent attacks of cutting colic in the umbilical region

General Abdomen. [Inflammation of the abdomen]

Distension of the abdomen, especially of the lower abdomen

Distension of the abdomen, as from much drinking and from flatulent food

Distension of the abdomen, in the morning, without flatulence

* Distension of the abdomen after eating, like a fulness

Distension of the abdomen, colic, and diarrhoea

[Obstinate distension of the abdomen, causing anxiety]

Obstinate, tense distension of the abdomen,™.

[Flatulent distension of the abdomen]

[Swelling of the abdomen]

Belly much swollen for a short time, until eructations ensued (36 drops)

[Ascites, dropsy]

[Tympanitis]

* Tympanitis

[Contraction of the abdomen and sides by

-j- Alternate action with 478. heavings and fallings of the scapulae],55.f

[Indurations of the abdomen]

[Attacks of hardness, distension, and pains in the abdomen], 55.;j

[Ulcers in the abdomen]

Fermentation in the abdomen from eating fruit (cherries)

Crackling in the left side of the abdomen, downward and backward, as if in the ascending colon

Rumbling in the abdomen (after one hour)

Rumbling in the upper abdomen (after two hours)

Rumblings and rattlings in the intestinal canal (18 drops, after one hour and a half)

* Great rumbling and moving of much flatus in the abdomen, with a pressive sensation, in the evening between 6 and 10, followed by passage of much offensive flatus

Violent commotion in abdomen, followed by passage of the clyster, with relief of symptoms

* Excessive flatulence (after five hours)

* Flatulence, and profuse discharge of it

More flatus than usual (second day)

* Very badly smelling flatus (120 drops)

* Accumulation and passage of much flatus (after half an hour)

* Flatulent discharges (18 drops)

* Discharges of very fetid flatus (70 drops)

Passage of much offensive flatus (after ten hours)

Passage of much excessively offensive flatus

(With desire and urging for stool only flatus is passed)

Much passage of flatus, together with drawing in the abdomen, with a hard stool, which is difficult to pass (after forty-eight hours)

Pain in the abdominal muscles, as if bruised (after one hour)

Pain in the abdomen, as from a purge, after drinking

* Fulness of the abdomen,Wa.

* After eating, he remains for a long time full; what has been eaten remains in the upper part of the abdomen

It seems as though the upper abdomen were constricted

Sensation of contraction of the intestinal canal, with rumbling in the lower abdomen

Contractive pain in the abdomen, in the evening while sitting, which disappears on rising, and still more when standing and walking

Narrowing and tightening (angustia et firmitas) of the intestines

Pinching and coliclike contraction of the intestines above the navel, on rising after stooping

Violent pinching in the upper abdomen ( was obliged to bend double in order to relieve it), (after one hour), alternating with inclination to vomit, urging to stool, and shaking chill all over; after a griping pressure in the upper abdomen

Pain in the abdomen like a pinching and drawing, mostly while sitting

Griping in the abdomen, with increased hunger and weariness (after three hours)

* Griping, with violent pains in the abdomen on passing flatus1.

Violent griping in the abdomen, which disappeared on rising from sitting

Spasmodic pain in the abdomen, composed of pressure and constriction (after twenty-four hours)

Cold, colicky cramp in bowels, followed by slight diarrhoea

Drawing pain in the right side of the abdomen, while walking

Pressure in both sides of the abdomen, as if a stool should follow and could not

Pressure and heaviness in the abdomen

Pressure and cutting in the intestines, during and after the passage of whitish turbid urine

Sticking pressure in several parts of the upper abdomen, in the morning in bed (four days in succession)

Pressive pain in the region of the caecum (while sitting)

Griping, pressive pain in the abdomen when walking, towards evening

Sharp pains in abdominal region, of about eight minutes continuance (after two hours)

Cutting pains shoot through the abdomen in all directions, before the passage of the flatus (after one hour)

Stitches in the abdomen, extending downward on inspiration, while sitting

Sharp stitches in the left side of the upper spiration (after seven hours)

Beating in the right side of the abdomen.12.

Drawing-jerking pain in the side of the abdomen, while eating and drinking (after two hours)

Throughout day, during digestion, colicky pain (second day)

[Colics]

* Colic before the passage of flatus

■* Colic before the stool

Colic with the stool

Colic, at noon before eating, as in retention of flatulence

* Colic, immediately after eating a moderate supper with good appetite, that is, distension of the abdomen, with here and there sharply pressive pains, mingled with gripings in all the intestines

Colic in the epigastric region, like a pressure, which is always relieved by rising from sitting, but returns on sitting down again, and lasts two hours (after three-quarters of an hour)

[Colic, with nausea]

* Colic, with great thirst (after one. hour)

[Excruciating, intolerable colic]

[Unspeakable colic]

Flatulent colic (after two hours)

Flatulent colic; pain in the upper abdomen ; the lowest intestines felt constricted, and the flatus endeavored in vain to expel itself, with tension and pressive pain ; eating even caused tension under the short ribs and anxiety

Gripingsticking colic in the abdomen

Forcibly pressing colic, in the evening, as if diarrhoea would come on, while sitting, which disappears on walking and standing

Pressive, pinching colic (sticking) below the region of the stomach, as if diarrhoea would come on, without, however, any stool, in the evening (after thirty-six hours)

[Scorbutic colic],31:

Hypoffastrium and Iliac Region. Increased peristaltic motion in the lower abdomen, together with pressure

Gurgling in the lower abdomen

Paroxysmal, cramplike pain in the hypogastric region, while standing

In the abdomen above the mons veneris, griping-drawing back and forth, as if diarrhoea would come on, with short passages of flatus, while sitting (after twenty-seven hours)

Severe pressure in the left side of the lower abdomen (after three minutes)

Pressive pain in the lower abdomen, during the febrile chill (after a quarter of an hour)

Dull sticking in the lower abdomen on the left side, in the region of the kidney

Fine stitches in the hypogastrium on the mons veneris, almost only while walking

Pressive, tearing pain on the left side near the mons veneris.11.

A sore pain in the abdominal ring, and sensation as if a hernia would protrude through the sore ring (after four hours)

Rectum and Anus p. 195

Rectum. A continued burning pain in the rectum, after the midday nap (after four days)

Contractive pain in the rectum, especially when sitting (after seventy-two hours)

Pressure in the rectum (after two and six hours)

Sharp stitches in the lower portion of the rectum, especially in the sphincter anialso during stool, and afterwards sticking-drawing, lasting three days

Tearing and tearing jerks in the rectum, while lying in bed (after ten hours)

Crawling in the rectum, as from ascarides after a stool

Crawling in the rectum, as from ascarides, and discharge of many of them

Amis. Bleeding haemorrhoids

Painful sensations in haemorrhoidal tumors (120 drops)

Sensation of an acrid substance in the anus during stool

A burning and burningitching at the orifice of the anus, immediately

Stitches in the anus during a stool, mixed with blood (after five hours)

Piercing stitches in the anus and rectum, when not at stool (after five days)

Crawling in the anus

Crawling-creeping and itching in the anus and urethra, with a burning in the glans

Perineum. Sticking pain in the perineum, especially sensitive when sitting

Urging. Inclination for stool

Inclination to thin stool, like diarrhoea

Stool p. 196

Diarrhœa Diarrhoea

* Diarrhoea ; it seemed as though the fasces contained undigested food ; they passed in several pieces (after twelve hours) ; and after he had finished there was still an inclination to stool, bid no more passed,u.

Diarrhoea, with burning pain in the anus

Diarrhoea of undigested faeces

[Frequent, diarrhoea-like, blackish stool],47.f

Violent purging,54.!

Three stools, of which the last was pappy (70 drops)

* Three soft stools, with biting-burning pain in the anus, and colic before and after every stool

Two stools, contrary to custom (36 drops second day)

Two stools in morning (second day)

Two pappy stools (second day)

Stool after eating

Thinner stools (120 drops)

Stool thinner than usual (after twenty-four hours)

A soft stool during the day

* Soft stool, with dark urine (after forty-eight hours)

Nodular, yellow, soft stool, in the morning

Bilious stools

Constipation. [Constipation],26 :13.

Constipation the whole day ; constipated stool in the evening

Constipation ; a long-continued accumulation of faeces in the rectum

Constipation, with accumulation of faeces in the intestines, heat in the head, and dizziness

Throughout the day, constipated (120 drops, second day)

Costive (second and third days)

Rather costive (third, fourth, fifth, sixth, and seventh days)

Stools less frequent

Alvine discharge intermitted for two days (18 drops)

The stool is evacuated only with great pressure and after long urging, and then it hurts very much

He is obliged to press out the stool with great force, although it is not hard but pasty ; this is followed by ineffectual urging to stool, with pain

In evening, stool harder than usual

Urinary Organs p. 196

Bladder. Pressure in the bladder after frequent and almost ineffectual efforts to urinate

Urethra. Constant burning in the orifice of the urethra

Continual burning in the orifice of the urethra, with a sore sensation on the margin of the prepuce, especially painful when the clothes rub against it (after two hours)

Burning pain in the orifice of the urethra, during and after urinating (after three hours)

Spasmodic contractive pain, extending from the rectum through the urethra to the glans penis and through the testicles, in the evening

Sticking in the urethra when urinating

Burning-biting in the forepart of the urethra, in the evening

Painful sensitiveness of the urethra, especially with stiffness of the penis, also noticed when sitting and rising up

Bubbling sensation in the region of the bulb of the urethra (after six hours)

Frequent and such urgent need to urinate that the urine passes involuntarily

Micturition. It promotes the flow of urine

Increased passage of urine, with burning in the orifice of the urethra (after two hours)

Very frequent urinating (after twenty-four hours)

The urine is passed in a feeble stream and slowly ; he is obliged to urinate very frequently

Scanty and dark-colored urine (70 drops after one hour)

[Scanty, yellowish-green urine]

Scanty urine, with brick-red sediment, and hard, tense swelling of the foot, spotted with red

Scanty secretion of urine during the first twelve hours; it afterwards becomes more copious

Urine Urine somewhat darker-colored (18 drops after one hour and a half)

* Dark-colored urine, with brick-red sediment (after twenty-four hours)

Urine is not passed frequently, but is paler than usual, and deposits a cloud (after three hours)

Pale yellow urine, which on the next morning has deposited a dirty-yellow, flocculent sediment

\\ whitish, turbid urine, with a white sediment

Sexual Organs p. 197

Male. Frequent erections (after six hours)

Awoke thrice in the night, with erections (second day)

Pressing pain in the glans, before urinating

Fine needle-like stitches in the fhenura of the glans, worse on touch, especially sticking and tensive, painful ; nothing was to be seen externally

A jerking pain between the glans and prepuce, when walking

Itching in the elans, which compels rubbing, in the evening, in bed

The scrotum hangs down I after one hour)

Drawing pain in the testicles

A kind of tearing pain in the left testicle and left side of the prepuce, in the evening, in bed

Swelling of the spermatic cord, painful to touch, and of the scrotum, especially of the epididymis

Increased sexual desire

Nightly emissions

In each of the four succeeding nights, a not insignificant emission (120 drops)

An excessive emission at night, at 3 oclock

Female. Increase of the existing menstruation, even to metrorrhagia; the discharge is passed in black clots (after one hour),1.!

Suppression of menstruation

Respiratory Organs p. 197

Larynx and Bronchi. Accumulation of mucus in the larynx, which he constantly loosens, and which makes the voice hollow and hoarse

Sensation of a collection of mucus in the larynx

A kind of drawing in the air-passages below the larynx, followed by paroxysms of coughing

Stitches and a raw sensation in the larynx

* Continual irritation to hacking cough, in the morning after rising, as from sulphur-vapor, whereby nothing could be loosened, for several mornings

Tickling in the evening, provoking cough, which, however, he is able to suppress

Pain in the bronchi and in the sternum, on coughing

Voice. An affection of the larynx, so that the tone of the voice and of singing is deeper than usual, and rough (after two hours)

* Hoarse, rough voice

Cough (did Expectoration. *Cough caused by laughing

He wakes after midnight with cough ; with every paroxysm of coughing he feels a sharp sticking in both sides of the chest, still he is able to cough lying down

* Severe coughing, immediately after eating (after four hours)

[During the chill of an ague paroxysm, difficult cough, with stitches in the sides]

Suffocative cough for a few minutes at night, about 2 and about 4 oclock (a kind of hooping-cough); she screamed on account of it after she had coughed a few times

[Suspicious cough]

(Cough of bloody mucus)

Respiration Whistling and wJu zing in the bronchi, on breathing (after two hours)

[Breathing, with sibilus through the nose],53.!

Snoring and moaning when sleeping, in a chill

Snoring inspiration (through the nose) when asleep (after three hours)

Snoring inspiration and expiration, while asleep

When asleep, a snoring inspiration soon follows, and a. puffing expiration

Inclination to breathe deeply, before dinner

[Impeded respiration for half an hour],53.|

Very difficult, painful inspiration and quick expiration

[Dyspnoea]

Dyspncea,with difficult, at times rattling expiration (mostly when walking), with rawness of the chest (after four hours)

[Asthma]

t 688 seems to be the primary action of Cinchona, 689 the subsequent or secondary action ; the excitement of the circulation and haemorrhage from the nose (235-237), from the mouth, 301, from the lun^s, 705, are the not at all seldom primary action.

H. (Compare Chinin. sulf., S. 563.

% See note to S. 798.

Hughes.

A kind of suffocative attack, as if the larynx were filled with mucus, especially towards evening, and at night on waking from sleep (after eight hours)

Chest p. 198

Some twitching and jerking here and there in the pectoral muscles

A sensation, at first burning, then of agreeable warmth, extending from the upper part of the chest to the stomach

An agreeable fulness of the chest, as from satiety, with a pleasant (sweetish) taste of the saliva (after one hour)

[Tightness of the chest]

Tensive pain, especially in the internal pectoral muscles (in the morning)

Contractive pain beneath the last ribs, and a sensation as if bruised, only when walking

* Pressive-drawing pain across the lower portion of the chest while sitting, which caused anxiety; it disappeared while standing and walking

■ Tearing-drawing beneath the last ribs, while standing

Pressure upon the chest

A burning inward pressure in the whole chest

Pressure from within outward in the region of the last ribs (after twenty-four hours)

An intermitting cutting pressure across the chest while sitting bent, which disappeared on becoming erect, and still more when standing and walking

Pressive pain in the chest

Pressive pain in the chest, and sensation of soreness in the larynx, when coughing

Oppression of the chest

Great oppression of the chest, in the region of the pit of the stomach, as if something were burrowing about there (after four hours)

[Deathlike oppression of the chest],40b.f

In the evening, a sensation of oppression and uneasiness in the chest ; he feels himself obliged to breathe deeply and to make a sighing expiration, whereupon the oppression is for the moment relieved ; with a weak, scarcely perceptible pulse, and anxious, impatient mood

The chest seems oppressed (in the night); whistling and rattling, with wheezing and rales in the bronchi, without his being obliged to cough on account of tough mucus (after five hours)

Stitches in the chest, in the morning

Stitches in the chest when walking rapidly, which disappear during rest

Dull stitches in the chest, which compel expiration

Rhythmical dull stitches from within outward in the thorax, during rest and motion, without affecting respiration (after one hour)

Sharp stitches between the seventh and eighth ribs

Sharp stitches in the thorax from within outward, in the region of the sixth and seventh true ribs, without affecting inspiration or expiration (after three-quarters of an hour)

Some violent stitches in the chest, just above the precordial region, while he ivas at rest, especially while reading (after three and a half, sixteen, and eighteen hours)

(Crawling in the chest, as if something were crawling about in it)

[Troubles below the short ribs]

Front. Drawing pain behind the sternum

Pressure over the whole anterior portion of the chest, at night while lying upon the back

Pressure externally upon the sternum, while sitting bent over, which causes anxiety, and does not permit sufficient inspiration ; it disappears on becoming erect (after six hours)

Pressure externally on the middle of the sternum while the upper part of the body is bent over, and also while standing ; it disappears on pressing upon it (after twenty-six hours)

Severe pressure on the sternum after eating, worse when sitting bent over or raising the arm

Some stitches from the sternum toward the back, soon after drinking (after eight hours)

Sharp stitches in the forepart of the chest beneath the last ribs, without affecting inspiration or expiration

Sharp stitches on the sternum, at the point of attachment of the ribs, on both sides from without inward, without affecting inspiration or expiration (second day)

(Throbbing in

j The bark hud been given during the chill of an intermittent fever.

H. the sternum, in the morning and evening)

Sides. '"Pain in the side, as ?/ beaten, or as from a blow

Bone-pains in the joints of the ribs, as if bruised, on inspiration

A contractive pain in the right side of the chest, in a not very large spot in the middle of the chest, so that he was obliged to expel the breath suddenly and almost involuntarily

Pressure on the left side near the ensiform cartilage

Drawing pressure on the right side of the chest while sitting ; it is relieved while standing and walking

(Sharp pressure, with crawling in one side of the chest)

Tearing pressure below the last true ribs, on the left side near the ensiform cartilage

A pressive pain in the side of the chest, which impedes breathing

Hard pressive pain in the right side of the chest, in the region of the fourth and fifth ribs

Sticking in the right side of the chest below the arm, in the region of the fourth rib, as if it were in the diaphragm, almost like a continual stitch ; it disappears on pressing upon it and bending over (sixth hour)

Sharp sticking pain on the left side near the ensiform cartilage and in the pit of the stomach, only on inspiration (after sixty hours)

A tickling-sticking in the left side of the chest, extending towards the precordial region

[Stitches in the side]

Stitches in the side, while sitting and reading

Stitches in the side and back, and constant nausea, while eating and drinking (after five hours)

Stitches in the sides, with great heat, strong, hard pulse, and staring eyes

Stitches in the left side of the chest,u.

Stitches in the left side of the chest (on expiration), while sitting (after two hours)

* Dull stitches in the cartilages of the third and fourth left false ribs, without affecting inspiration or expiration

Sharp stitches near the right nipple, from within oidward (after ten hours)

Severe stitches in the side at night, but during the day, only on motion or on touch (after thirteen days)

Severe stitches beneath the last ribs, on inspiration, which arrest the breathing

* A small- spot below the last right ribs, in which even the slightest pressure or walking causes a sticking pain} .

Pressive, fine stitches in the left side of the chest (after eight hours and a half)

Heart and Pulse p. 199

Precordium. Dilatation of right side of heart

* [ Oppression of the precordial region, which impedes respiration~\,3i .

Stitch in the precordial region after every drink

JETeavt's Action Palpitation of the heart

Palpitation of the heart, with intermitting pulse ; intermissions of every ninth beat followed by three or four rapid beats

At 3 a.m., awakened by considerable palpitation of the heart, which was not lessened by any change of position, but was increased by lying on left side ; at 4 the palpitation subsided, and at 5 he fell asleep again ; at 9 the palpitation returned with diminished force, and increased with increased motion of the body (120 drops, second day)

Soon after dinner, considerable palpitation of the heart, increased by movement, lessened by quiet, continuing till 7 A.M. (120 drops, after four hours)

* Palpitation and rush of blood to the face, which was hot and red, together with coldness of the hands (after one hour)

Palpitation, immediately followed by chill (after twenty minutes),1.f

Violent palpitation, conjoined with anxious sensation

Violent palpitation, with depressed pulse and coldness of the skin

Pulse. Rapid, irregular pulse (after six hours)

Rapid and hard pulse, with flushes of heat, alternating with chilliness of the back, which is covered with cold sweat, which also appears on the forehead (after a few minutes), without thirst during the chill or fever, lasting five hours

After last dose, pulse more than 70,69.

Pulse 80,69.

Pulse slow, weak (after one hour and a half)

Pulse slow, weak, which after a while became gradually stronger and more rapid (after three-quarters of an hour)

[Pulse much slower and weaker than usual during the first hours],40b.f

Neck and Back p. 200

Neck. [Contraction of the neck],55. %

Movement of the neck is painful

Pain in the nape of the neck, extending to the throat, when turning the head, as if the cervical glands were swollen (which was not the case) ; the pain is more severe on touch, as if bruised (after a walk)

Drawing pains in the nape of the neck

Drawing pain in the lower portion of the right side of the neck, just at the beginning of the neck, while standing, disappearing on stooping

Several stitches in the neck (which leave a kind of stiffness)

Slow drawing stitches in the anterior cervical muscles, while at rest

Hack. Th robbing-sticking pain in the back

Stitches in the left side of the back (while sitting)

Pain in the back, on the slightest motion, as if bruised (after three hours)

Dorsal. Contractive pain between the scapula?, while standing (after three hours)

Pain, as from a sprain, in the shoulder-blade (after twenty-four hours)

Tearing in the region of the left scapula, on inspiration

Drawing-tearing pain in the left scapula (after nine hours)

Needle-like stitches across the right scapula and in the left side of the chest (after a quarter of an hour)

Small stitches iu the middle of the spine (after five hours)

Lumbar (Tensive) pain in the small of the back, as from a heavy load or after long stoop>ing (after twentythree hours)

* Intolerable pain in the small of the back, as from cramp, or as if bruised and crushed; the slightest motion causes sudden crying oid,x.

Dull sticking pain in the region of the right kidney, more violent while bending the body (after twenty-four hours)

Dull stitches in the lumbar regions

Jerking-tearing in the left side of the small of the back

Sacral. Severe sticking-drawing pains in the middle of the sacrum, extending towards the lumbar vertebrae

Jerking across the sacrum (after half an hour)

Painful jerks in the sacrum (after twenty-one hours)

Extremities in General p. 200

Objective. [Swelling of the limbs]

* Laxity of all the limbs and trembling of the hands

Trembling of the limbs from a chill and creeping shiverings over the thighs, in the open, still, not cold, air; nevertheless, he was not chilly in a cold room (after nine hours)

[Weakness of the limbs]

Trembling, loss of power of the limbs, with dilated pupils

[Gout]

Subjective Numbness and deadness of the limbs

The limb upon which he lies goes to sleep

A paralytic stiffness in all the joints, causing mental depression, on rising from sleep in the morning and from the midday nap

Heaviness of all the limbs, especially of the thighs, as if lead were hanging to them?.

[Pain in the limbs, especially in the joints]

Jerking -tearing in various places on the limbs, especially the hands and soles of the feet, aggravated by touch

* A sensible though invisible trembling of all the limbs, combined with a cooling sensation

Superior Extremities p. 201

Weakness of the arms, noticed if he clenches the hands

Tension in the arms and hands (after two hours)

1 earing first in the left and then in the right arm (after three hours and a half)

Tearing and drawing iu the arm, if she stand by the window

Paralytic tearing in the upper limbs, which extends into all parts, aggravated more by touch than by motion

* Paralytic jerking-tearing in the bones of the upper limbs, aggravated by touch (after one hour)

Paralytic jerking-tearing, which extends from the head of the humerus along the muscles and bones to the phalanges, where it is painless ; therewith the whole arm is weakened; the pain is increased by touch (after three hours)

Shoulder. Intermitting pressive-drawing pain on the margin of the right axilla, near the forepart (after three days)

Tearing pressure in the left axilla and on the anterior and inner border of the scapula

Paralytic jerking-tearing on the top of the shoulder, which is painfully sensitive to touch; after the pain has disappeared, it is renewed by touch; even the pressure of the coat on the shoulder causes it,u.f

Arm. [The arms are outstretched, with flexed fingers],™. ,J

Paralytic pain in the right upper arm, which begins in the head of the humerus and loses itself in the hand as a fine and slight tearing, together xvith warmth of the whole body, especially of the forehead (after eight hours)

Sticking pains in the upper arm, which almost immediately disappeared on moving it (after three-quarters of an hour)

Jerking-tearing in the humerus, towards the upper and inner portion (after two hours)

Elbow. Painful drawing on the coronoid process of the left ulna (in the bend of the elbow), more violent when touched

Tearing-piercing through the left elbow-joint, frequently returning

Stitches in the left elbow-joint

Tearing pain in the left elbow-joint, worse on motion (after two hours)

Forearm. The forearm goes to sleep when bending it (for example, when writing), with fine sticking in the tips of the fingers

Drawing pains in the bones of the forearm, as if the periosteum had been scraped with a dull knife

Drawing bone-pains from the elbow to the fingers, in the evening (after twentyfour hours)

Tearing and drawing back and forth, now in the right forearm, where it disappears on rubbing, now in the left (after four hours)

Tearing in both ulnae, worse on touch

Wrist. Sharp drawing-sticking across the left wrist (in the evening), (after thirteen and fourteen hours)

Hand Trembling of the hand while writing (after one hour)

Drawing pain across the back of the hand, which is swollen, on moving the left hand

Drawing pain in the palm transversely across the roots of the fingers

The hand pains (cramplike drawing) on closing it

Dull sticking in the metacarpal bone of the right index finger

Tearing at the point where the metacarpal bones unite with the bones of the wrist (after five hours)

Jerking-tearing in the base of the hand and metacarpal bones

Jerking-tearing in the metacarpal bones and fingers, aggravated by touch

Fingers. The knuckle of the middle finger is swollen ; he cannot move it on account of pain and stiffness

[Blue nails]

Drawing in the thumb, middle and index fingers, extending upward

Tearing in the bones of the last phalanges of the fingers of the right hand, especially severe in the joints, without affecting motion (after half an hour)

Fine sticking-tearing in the last joint of the right thumb,u.f

Jerking-tearing in the phalanges of the fingers (after twenty-four hours)

Jerking pain in the left little finger

Inferior Extremities p. 202

Tottering of lower extremities

Weakness and exhaustion in the upper and lower legs, as from a long walk

Walking becomes difficult, and he feels very soon exhausted, as from a sensation of heaviness and paralysis of the legs

The lower limbs go to sleep while sitting

Cramplike (stickinglike) drawing in the upper and lower legs (after half an hour)

Pain, like a sticking and burning, simultaneously on several parts of the lower limbs

Hip. Weakness and unsteadiness of the hip and knee-joints, two mornings in succession, as though he had taken a long walk on the day previous ; on continued motion this sensation leaves the joints, and changes to a bruised pain in the upper thigh during the first day, but more especially in the lower legs on the second day

[Pain in the hip-joint, knees, and foot, as if they were sprained or crushed],55. J

In the hip and knee-joints, pressive drawing when sitting, which disappears on standing and walking

Thigh. Hard swelling of the thigh, which at times extends down over the knee to the sole of the foot, becoming thinner in the lower part, reddish, and painful to touch

Weakness of the thighs

Sensation in the left thigh, while standing, as though there were hardened pimples in the flesh, with drawing pain in it (after two hours)

(Burning on the front of the upper part of the thigh)

A burning and crawling, as if gone to sleep, in the thigh on which he had been sitting, on rising from sitting ; especially noticed in the hollow of the knee, particularly while standing

Tension in the anterior muscles of the thighs when walking

Cramplike paralytic pain in the right thigh and knee-joint, on rising from sitting, if he had sat for some time ; also noticed while walking (after five hours and a half)

Drawing in the nates and also in the knees, while standing, which ceases while sitting. §

Slow painful drawing on the inner side of the left thigh, which seems to be only in the skin

Cramplike drawing in the right thigh, extending upward from the hollow of the knee (with sensation of pressure), just as if the lower leg would be drawn up, in the evening, while sitting; it disappears when standing and walking

In the bend of the thigh, especially in the tendon (of the psoric muscle), a pressive drawing, while sitting

A painful pressive drawing downward in the femora, mostly while sitting, in the afternoon

Tearingdrawing in the left nates, while sitting

Drawing pain in the bones of the thigh, as if the periosteum had been scraped with a dull knife

Pain in the posterior muscles of the thigh as if they were beaten, while sitting

In the upper part of the flesh of the right nates, on the pelvic bone, pulselike steadily increasing pressure while sitting, which disappears after rising

A stitch on the posterior portion of the right thigh, extending downward, while standing

Tearing in the femora from above downward, during rest and motion ; paroxysmal, lasting several days (after seventy-two hours)

Jerking-like tearing in the thigh

Jerking-tearing on the anterior and outer portion of the right and left thighs, only caused by touch, not by motion

Jerking-tearing on the anterior portion of the left thigh (after two hours)

Jerking in the middle of the left thigh (after five hours)

Knee. *Hot swelling of the right knee, with drawing-tearing pain, whereby he is waked at night (at 12 oclock)

Giving way of the knees, especially on ascending steps

When walking, the knees give out and bend under

Pain in the knee on bending it, preventing sleep, with nodes in the skin on it

Slight trembling of the knees when rising from sitting, which was relieved while walking

A sharp drawing pain in the right knee when rising from sitting and when walking, which disappears on sitting again (in the afternoon)

Rhythmical jerklike drawing in the tendons of the flexor muscles in the hollow of the knee

Stitches in the left knee-joint

Tearing, extending from the knee-joint up towards the thigh, combined with weakness, so that standing and walking became difficult

A jerking-tearing on the inner side of the patella

Paralytic tearing in the right knee-joint, which soon extends upward towards the thigh, and then extends downward toward the lower leg, with weakness of the part, aggravated more by touch than by motion

Pain in the knee on the slightest motion, as if bruised (after three hours)

Pain on the side of the patella when touched (after two hours)

Jerking pain in the knee,1.-

Leg. [Hard dark-red swelling on the calf, which progresses to suppuration]

Weakness in the lower legs when walking, the whole day (after two hours)

An inner restlessness in the lower legs obliges him to bend them double and draw them up

A severely burning tension above the tendo Achillis

* Sensation in the lower leg as if the garters were tied too tightly, and as if the leg would go to sleep and become stiff

Painful cramp in the left calf at night, on stretching or bending up the foot, which prevents sleep (after sixteen hours)

Drawing pain in the right tibia, in the lower portion near the heel, and then in the whole lower portion of the foot, while sitting

Painful drawing in the bones of the lower legs (second day )

Cramplike drawing on the inner side of the left sole, while sitting

Pressive drawing in the tibia, in the evening, while sitting; it disappears on standing and walking

A pressive drawing pain on the outer and inner portion of the left tibia, below the patella, on stretching out the left lower leg while sitting, which disappears on bending the leg

Sticking-drawing in the heels (after forty-eight hours)

Sticking in the tibiae while walking, which disappears during rest (after five and several hours)

Stitches now in the tibia, now in the back, now in the chest, while sitting (after fourteen hours)

Severe, sharp, suddenly recurring stitches in the upper part of the calf, while walking in the open air

Tearing in the calf

Bruised pain in the bones of the lower (?) leg when stepping upon it, and still worse when touched ; if she feels of it, shivering of the whole foot and chilliness, as if she had put it into cold water

Pain in the lower half of both lower (?) legs, as if the periosteum were bruised and swollen, only when standing ; when touched, a smarting pain, as if there were a sore bruised spot

Foot. [Swelling of the feet]

[Painful swelling of the feet]

* Very soft swelling of the soles of the feet

[Paralysis of the feet]

Weakness of the feet, as if they were bruised (after four hours)

Violent sticking-burning in the upper part of the foot, close to the tibia (while sitting)

Contractive pinching pain on the outer side of the right sole (after six hours)

Drawing pain in the metatarsal bones of the right foot

Drawing, with sore pain, on the back of the foot while standing, which disappears while sitting

Very violent tearing-sticking in the soles of the feet, while sitting and walking

Stitches in the left sole

Stitches in the scar of a wound on the left foot

Sticking-tearing in the sole of the foot, in the region of the heel, while sitting and walking

Jerklike tearing in the tarsal and metatarsal bones

Jerklike tearing in the metatarsal bones and in the toes

Jerklike tearing, aggravated only by touch, not by motion, in the metatarsal bones and in the phalanges, especially in the joints (after thirty-one hours)

Jerklike tearing at the union of the metatarsal with the ankle-bones (after twenty-five hours)

Sticking-crawling, extending from the great toe up to the back of the foot, as if the part had been frozen, in the evening, while sitting, disappearing on standing and walking,8.-!

Toes. Boring stitches in the tips of the toes

Generalities p. 204

Objective. [QEdema]

Erysipelatous swelling of the whole body

* [Dropsy],24 27 "44 48 49 50 53 55.

Turgor of the cutaneous veins (70 drops)

[Asphyxia, apparent death]

[Cachexia?],27 4i.

[Consumption]

[Slight attacks as of apoplexy, loss of consciousness],55. J

Wandering rheumatism, now in one part, now in another, without swelling or fever, alternating with pains in the interior of the body,54.§

[Suppression of the evacuations]

Stretching

Trembling

Jerkings

Cramplike jerking in various muscles

Cracking in the joints

Extreme lightness of all movements, as if he had no body (after two to three hours),6.||

Inclination to lie down

After the last dose, an agreeable melange of inclination to rest and merriment

Aversion to physical or mental exertion?.

[Sleepy indolence]

Indolence

A languid condition of mind and body, with unusual sensitiveness

Awoke in morning quite lively, yet feeling somewhat exhausted, as after a night of walking (second day)

* Weakness

Weakness; he could scarcely hold up the head, and fell asleep

Weakness and relaxation of the whole body

Weakness, together with loss of the senses

Weakness and sleepiness after sapper (after twelve hours)

At one time weakness, at another extreme sensation of vigor in the joints

Chronic weakness,55. ff

[Sinking of the strength]

[Exhausted strength],30.!!

Exhaustion and relaxation of the body and mind (after one hour)

-* Exhaustion of the whole body, noticed even while sitting, but still more while walking?.

* Faintness,31 37 43.

[Faintness, death],40b.§§

Great faintness,25.||||

Restlessness

Sensations. ^Excessive tenderness and sensitiveness of the nervous system ; the special senses, sight, smell, hearing, and taste, seem too acute; his internal sensibility is offended, and his mind is unpleasantly affected ; previous pains seem subdued and violently suppressed, together with 'great heaviness of the whole body

Excessive sensitiveness of all the nerves, with a morbid sensation of general weakness

The sensibility of the whole nervous system is particularly increased, tense, and excited

Cannot endure the customary tobacco-smoke ; it affects his nerves

* Excessive, almost painful, sensitiveness of the skin of the whole body, even of the palms of the hands (after ten hours)

* In the morning, after a night-sweat, the skin is not sensitive to the air, and is not liable to take cold ; he is able to uncover himself without injury

Feeling of comfort in the evening

Weariness

Weariness and indolence after dinner

* Weariness after eating, so that he desires to lie down and sleep

Sensation of weakness, especially on rising from sitting; is much inclined to sit down, and even sinks back upon a chair if he does not exert the muscles; whereupon a comfortable sensation of red follow ws (after three and four hours)

He seems very weak and prostrated in the open air, and very faint about the stomach and chest, although he seems to have a superabundance of strength for walking

Sensation of heaviness of the body

If he remains erect for a few minutes, stiffness follows, he becomes pale and loses consciousness

All the joints feel stiff on rising from the midday nap

An internal sensation as of impending disease

He feels sick generally; is not at all well

Complaints from a slight draft of air

* Dread of the open air

Rheumatic pains

* Pain in the joints while sitting and lying; the limb cannot endure lying quietly in one place, as after an excessive fatigue from a long journey, or from great exhaustion consequent upon excessive bleeding or a profuse loss of semen ; one is obliged to move the limbs hither and thither, at one time bend them up, at another stretch them oid

[Tensive pains]

Affection of the bones, like a drawing

* Tensive, extremely sensitive drawing pain in almost all the bones, noiv in one, now in another, ichich is for the moment relieved while lying, but soon returns more violent than ever (after fourteen hours)

* Pain in all the joints, as from a heavy weight pressing upon them, in the morning, in bed, disappearing on rising?.

Pain in all the joints, as from a heavy weight pressing upon them, while sitting; the longer he sits, the more tired he becomes

* Oppression of all parts of the body, as if the clothes were too tight (after walking in the open air)

* He is sore all over, in the joints, the bones, and the periosteum, as if they had been sprained, like a dr awing -tearing , especially in tin1, spine, the sacrum, the knees, and thighs

Pain in all the joints, as if bruised, during the morning nap; the longer he lies, the more they pain ; he is obliged to move the limbs frequently, because motion relieves the pain ; when fully awake, the pains disappear

Bone-pains in the joints of the ribs, in the limbs, in the shoulders, and in the shoulder-blades, as if they were braised, if he touches or moves them, even in the slightest degree/.f

Skin p. 206

Objective. [Yellow color of the skin]

* [ Jaundice],27495355.

A jumping in the skin of the abdomen in several places, as if a hair were pulled up

Eruptions, Dry. In the morning, frightful swelling of face, forearms, and hands (urticaria) ; eight days after this had disappeared the dose was repeated, upon which the eruption returned with the same intensity; this time the nettlerash pimples were mingled with vesicles like varicella

Eruption in the concha

(Red rashlike eruption on the forepart of the throat, without itching)

Eruptions, Moist. Watery blisters behind the ears

Eruptions, Pustular. Boil upon the cheek

A boil in the pectoral muscles

[Eruption on the lips and tongue, ulcers, which itch and burn very much]

(Offensive matter is discharged from an ulcer, with burning and itching in it; he cannot let the foot hang down ; the foot is painful when standing)

Subjective. Fine sticking at various points in the skin

Itching of the skin ; blood oozes on scratching

Intolerable itching at night

Itching of the skin ; after scratching, vesicles, as from burning nettles, appear

Sensation at the elbow-joint as if the skin were infiltrated with blood

Contractive pain on the left side of the occiput externally ; it seems as though the skin were drawn to one point; not aggravated by touch

Boring pain in an ulcer

Digging pain in a sore

An ulcer becomes painfully sensitive, with boring pain in it

Painful sensitiveness of the skin of the thighs to the rubbing of the clothes, as though the skin were raw and covered with pimples (after eight days)

Throbbing pain in an ulcer on moving the part, but not during rest

(Sticking-throbbing pain in an ulcer, even while at rest)

(Creeping in the skin of the forehead)

Itching-crawling in the scrotum, in the evening in bed, which causes rubbing

Itching on the left lid

Itching on the arms, loins, and chest, especially in the evening ; after scratching pimples appear

Violent itching on the right sole while walking and sitting, relieved for awhile by scratching

Burning-itching under the knees, on the inside of the arms, when warm and at night in bed, with eruption of small blisters which contain water, but which disappear in the cold air

Sticking-itching on the scrotum

■ In a sore (an ulcer) sticking-itching pain, lasting two hours (after a few hours)

Biting-itching, almost only on those parts upon which he does not lie, and which are turned upward (during the midday nap), (after twenty-six hours)

Biting-itching almost only in those parts upon which he lies in bed ; scratching relieves only for a moment; but if he lies upon the other side, so that the itching side may be upward, then the itching soon disappears (after eight and nine hours)

Crawling-itching on the coccyx, which disappears for only a short time on rubbing (after one hour)

Sleep and Dreams p. 207

Sleepiness. Inclination to yawn

1 awning

Yawning and stretching (after a quarter of an hour)

Yawning, with chilliness of the body

Incessant yawning, without sleepiness

After dinner, great inclination to lie down and sleep

Sleepiness during the day

Sleepiness after eating

Sleepiness with palpitation

Sleepiness the whole day, with stretching of the limbs and yawning

Sleepiness, soon followed by activity

Constant sleepiness during the day ; he falls asleep unawares

Overpowering sleepiness while sitting

8.30 p.m., striving against drowsiness

As soon as she sits down during the day she nods and slumbers; but if she lies down she becomes wide awake on the slightest noise

Very sound sleep at night, only twice awakened by thirst and two calls to urine (the latter unusual)

Very sound sleep, as of a drunken person, without waking once ; in the morning he was completely confused in his head, as though he had not slept enough, together with pressure in the temples on shaking his head

While asleep one eye is open, the other half closed, with the eyeballs turned upward, as in a dying person (after one hour)

While asleep he lies upon the back, with his head thrown backwards, arms stretched above his head, with slow expiration, and strong, rapid pulse

Sleeplessness. Sleeplessness the entire night

Sleeplessness until midnight, with pressive pains all over the head,4.f

She cannot sleep the whole night ; vivid and disagreeable thoughts one after another crowd upon her

He was unable to sleep on account of many thoughts and reflections; each occupied him for only a short time, but in succession crowded upon him, so that through nearly the whole night no sleep came to his eyes, on account of which he became very warm all over towards morning, although he is unable to have less covering, or to be uncovered ; without thirst (after thirty hours)

Feeling more lively than sleepy at night, lay down on sofa, and smoked a pipe

He falls asleep late; he is unable to sleep on account of many thoughts ; he also does not sleep soundly, and in the morning on rising is very much exhausted

Sleep only from 3 to 5 a.m.,14.

[Uneasy sleep]

Uneasy sleep, with tossing about, without waking

Uneasy sleep, and slight sweat all over after waking in the night

Uneasy sleep, full of dreams and crying out

Uneasy sleep at night, from which he started up from time to time, and every time remained unconscious for some moments

Uneasy sleep at night, with worrying dreams and tossing about, from which he awoke every time

Uneasy sleep; he could not fall asleep; if he fell asleep he soon awoke, with sweat on the scalp and forehead, with chilliness over the back

Uneasiness and loss of sleep

Unquiet sleep in the night, interrupted by four or five erections (first day)

At night in sleep, he tosses about, uncovers himself, and has all kinds of worrying dreams of former occurrences; in the morning he cannot get wide awake, on account of confusion and stupidity in the head ; he feels out of sorts in the morning and not at all refreshed by his sleep

He starts up on falling asleep

He starts out of sleep at night

Slept for some hours, waking frequently at intervals; on the whole, the night resembled one after indulging in spirituous liquors during the day

Out of nervous anxiety went to bed as early as a quarter past eight, soon fell asleep, but awoke frequently (120 drops after eleven hours)

Loss of sleep after midnight ; he is also very sleepy, though his thoughts remain active, so that he remains with the eyes closed, and frequently changes his position in bed

He woke two hours earlier than usual in the morning

Dreams. Confused fancies, in the evening on falling asleep, on which account he awoke again (after sixteen hours)

Confused, senseless dreams, from which he frequently awoke

Sleep disturbed by confused, interrupted dreams, with frequent wakings ; on waking he did not become perfectly conscious

* Confused, senseless dreams after midnight, mingled with half unconscious waking

Voluptuous dreams, with emissions

* Heavy dreams during the sleep at night, ivhich make him anxious after waking

Anxious dreams at night, whereupon he awoke in a half unconscious condition, and remained frightened for some time

An anxious dream ; he imagines he is descending a precipice, on which account he awakes, but the dangerous place remains vividly before his fancy (especially on closing the eyes), so that he continues for a long time in a great fright about it, and cannot quiet himself

Just as he is falling asleep he is waked by frightful fantasies,1.!

A frightful dream at night (after eight hours)

Frightful dreams of unhappiness, which awoke him, without, however, his being able to come to his senses

At night frightful dreams of falling from a height, with waking full of uneasiness, with loss of consciousness for the first few moments

Dreamed that some one had stabbed his brother, and then he called for his mother ; that his mother was dead, and then he cried ; that his mother's arm was hurt ; on each occasion the impression continued after waking

As soon as she closes her eyes to sleep, dreams of horrible things

Fever p. 208

Chilliness. Chilliness,59; (after a quarter of an hour)

Chilliness of the whole body, more internally (after three hours and a half)

Chilliness over the whole body, without external coldness, followed by dull cutting headache, extending into the orbits

Chilliness over the whole body, with cold hands (after half an hour)

Chilliness of the whole body, with very cold feet (after two hours)

Chilliness of the whole body, without external coldness

Chilliness, without coldness of the body, without thirst (during the one and a half hours between the chill and heat)

Chilliness of the body, as if a cold wind blew upon it, especially when walking, only seldom with shivering; it only comes on while sitting, over the arms, loins, and thighs (after eight hours)

Some chilliness, with pressure in the abdomen

Slight chilliness over the whole body

Fleeting chilliness, especially over the back (immediately)

Violent febrile chilliness at 5 A.M., with coldness of the feet (after twelve hours)

Internal chilliness, without perceptible external coldness (after four hours),22.§

Chill internally and externally over the whole body, at times most in the marrow of the bones of the feet, which are colder than the hands (after half an hour)

Chill the whole afternoon, alternating with heat together with weakness of the lower limbs; everything is far worse while walking in the open air

[Two attacks of chill at different times, preceding the fever]

Febrile chill (after a quarter of an hour), coining and going alternately, together with weakness of the knees and tibiae while walking and standing, less while sitting

* Febrile chill over the whole body from tune to time during the whole day, especially on the forehead, whwh has cold sweat upon it; violent thirst a quarter of an hour after the first chill (after one hour)

Febrile attacks of chill and sweat throughout the whole day, intermingled with a persistent sensation of heat and redness of the face, alternating with a little thirst

Shaking chill over the whole body, without (hirst

Shaking chill over the whole body, with ice-cold hands, without thirst (after one to three hours)

Shaking ehdl ami internal coldness for several hours, without thirst (after half an hour and one hour)

External shaking chill and shivering, with internal chilliness, wherewith the left hand and left foot were colder, afterwards both hands and feet became equally cold, without thirst (half an hour to one hour)

(Severe shaking chill, in the evening on lying down)

Shivering over the whole body, with gooseflesh (after one hour),9; in the open air

Shivering over the whole body, without thirst (after two hours and a half V1.

Shivering over the whole bodv, though less severe on the limbs, without thirst; the body is not cold, only the hands (after half an hour)

Shivering in the morning and forenoon, with cold hands, sensation of nausea, and rapid pulse

In the morning, shivering for half an hour, without thirst and without subsequent heat

Shivering and chill on going from the open air into the warm room (after five hours),1.!

Shivering and shaking chill over the whole body

Shivering and shaking chill through the whole body, with cold hands and dulness of mind (after one hour)

He is attacked with shivering and creeping chill in the open air that is not cold ; they immediately cease in the room

[Slight shivering, followed by loss of speech],55. $

Violent shivering in the open air, together with shaking chill and gooseflesh

At noon he eats with relish and with good appetite, but an hour afterwards there follows coldness without thirst, and afterwards a sensation of heat

Coldness and shivering when walking in the open air at 5 p.m., disappearing in the room (after ten hours) ; an hour afterwards great heat, especially in the face, increased on motion and on walking; thirst follows an hour after the disappearance of the heat

Internal coldness, periodic, with shivering and shaking chill over the whole body (immediately )

Internal sensation of coldness, mostly on the arms and hands

He is cold all over,\§

Chilliness in the back while walking in the open air, afterwards heat in the back, with breaking out of sweat, immediately after which there again follows a cold sensation and chilliness

Slight chilliness in the back (after three hours)

Shivering just above the elbows and above the knees

* Shivering or chilliness, with gooseflesh, after every swallow of drink (after six hours)

Chill over the arms, with nausea in the stomach, followed by cold limbs, with shivering and recurrent nausea

Shivering chill on the chest and arms, when Walking in the open air

Coldness of the hands

* Coldness of the hands and feet, even in a warm room

Coldness and chilliness in the knees (after half an hour^.^Coldness of the feet in the evening

Coldness of the hands, feet, and nose

The right hand is noticeably colder than the left

Feeling of coldness in the stomach

Sensation of coldness on the lower limbs, while the face and chest are still warm (after one hour)

Sensation of icy coldness in the left hand, though externally it did not feel colder than the right,1.-}

Sensation of internal coldness in the upper abdomen after every swallow of drink, and renewed on every inspiration (after four hours)

A cold sensation in the left lower leg, from the knee to the sole of the foot

Cold sensation on the ankles and coldness of the rest of the body, while walking in the open air, preceded by increased warmth in the room that was not warm, in the forenoon before dinner

■ Cold hands (after a quarter of an hour)

Cold hands in the evening, and hot cheeks

Cold hands, with chilliness externally over the whole body, as if he had been dashed with cold water; in the open air it amounted to chattering of the teeth ; it disappeared in the room, except that the coldness of the hands persisted

Cold feet in the evening (after four hours)

Cold hands and feet in the morning, with shivering chill over the thighs, which was aggravated by walking (after twenty-eight hours)

One hand is icy cold, the other warm

Ice-cold feet, with warmth of the rest of the body (after one hour)

Heat. Somewhat increased warmth of the whole body, with distended veins, though without thirst, with easily dilating pupils (after eight and twelve hours)

The whole body is very warm, especially the face and chest (after half an hour)

At one time warmth, at another coldness over the whole body (after half an hour to one hour), alternating the whole forenoon

Heat over the whole body, without thirst (after three hours)

* Heat over the whole body, with fine needle-like stitches in the skin, especially of the throat, together with great thirst for cold water (after twenty-two hours)

Heat of the whole body from 5 to 7 p.m., aggravated on walking in the open air, which caused sweat on the forehead, preceded and at first accompanied by heat and great hunger, which return after the fever; on walking there is a sensation in the abdomen as of hot water running down (a creeping of heat over the whole abdomen and down the thighs), with red cheeks, without thirst (after twelve hours)

Heat throughout the whole body, internally and externally, as from drinking wine, with redness of the face

* Heat of the whole iy, with swollen veins of the arms and hands, without sweat or third (after four hours and a half)

Heat of the body, with redness and heat of the face for three hours, with great hunger; burning of the lips if they touch each other, with burning-sticking pain in the skin about the lips, in the afternoon

Heat, with sensation of heat of the body; at first therewith the limbs are still cold, and he has a sensation of coldness in them (after half an hour), with slight thirst for cold water

Heat, alternating with chill ; heat follows about half an hour to an hour after the chill ; some thirst for cold water during the heat

Some heat towards evening, though quite free from chill, with rapid pulse (after twelve hours)

[Irregular heat, acute fever, with excessive sweat]

- Dry heat the whole day

Sensation of heat throughout the whole body, with distended veins, with cold feet, with external warmth over the rest of the body not perceptibly increased

A very transient sensation of heat, with heat of the whole body, and in several places in the skin fine, slight, needle-like stitches, with thirst for cold water (after one hour)

Very great sensation of heat over the whole body, with red cheeks, heat of the trunk and arms, moderate warmth in the upper and lower legs and feet, with moist forehead, without thirst

Sensation of flashes of heat, with thirst for cold drinks

During the heat he is scarcely able to uncover the hands without difficulty

(Fever periodically recurring),6*, f

[Fever, with loss of appetite]

(Increased fever),33.;}

(Diminished chill and increased fever)

[Insidious fever]

Warmth of the face, with chilliness of the rest of the body, ami shortly afterwards coldness of the forehead, with a sensation of warmth in the rest of the body

Warmth and redness of the face, while the rest of the body teas cold, with sometimes an unpleasant sensation of coldness (chill) on the warm forehead

Warmth of the face, with redness of the cheeks, with dry sticky lips, without thirst, at 3 p.m.,0.

Warmth in abdominal region

Feeling of warmth in abdominal region (70 drops)

Agreeable warmth in the abdominal region (18 drops after one hour and a half)

An agreeable warmth from the region of the stomach to the navel, with one tasteless eructation (18 drops)

The right hand is warm I while writing), the left cold,12.§

The hands are now warm, now cold

Heat in the head and oppression of the chest, towards morning

Heat in the head, with distended veins in the hands (after four hours),1-!]

Heat of the external ears

Heat of the face

Redness and heat in the cheek and lobule of the ear of one or the other side, and before this disappears chill over the body, and at last over the limbs (after four hours)

Redness and heat in the cheeks and lobules of the ears, with chilliness over the arms and abdomen (after one hour)

Heat in the face, and after a few hours shivering and chilliness, with coldness of the whole body

Heat in the umbilical region

Burning heat of the face appeared on coming from the open air into a room that was not warm

Very great internal heat of the whole face, of the trunk, and thighs, with cold sweat on the forehead, cold cheeks, and cold feet (after ten hours and a half)

Alternating heat and redness of the face

Sensation of heat and redness of the cheeks, without externally perceptible warmth, without thirst, with cold feet (after nine hours)

A burning, mingled with some crawling and itching, in various parts of the body during the day

Sweat Sweating at night, even with slight coverings, incessant

* Sweating during sleep

* 0n being covered he sweats profusely all over ; this is very troublesome, yet he is so sleepy with it that he cannot collect, himself and get up

Sweat, in the morning while asleep

Cold sweat

* After waking at 3 A.M., sweat of the body, with thirst, without sweat on the feet or on the head, excepting where he lies upon the cheek

General, but profuse sweat

Profuse sweat

Profuse sweat over the whole body, when walking in the open air

Profuse perspiration, with feverish heat

Cold sweat over the body (after half an hour)

Oily sweat in the morning

[Exhausting sweat at the end of the fever]

Sweat in the hair of"the head

Sweat broke out on the face, in the morning as soon as he had risen

Sweat on the neck and back, on the slightest motion

Profuse sweat in the hair of the head, when walking in the open air

Cold sweat of the face, with thirst

Conditions p. 212

Aggravation.

(Morning), On waking, anxious thoughts, etc.; head confused; on waking, heaviness of the head ; on waking, dull headache; weight in forehead; between 6 and 7 oclock, bleeding of nose ; pain in incisors ; toothache in back tooth ; tongue coated white ; after waking and after making some exertion, mucus in mouth ; nauseous taste; bitter taste ; thirst; just after walking, thirst, etc. ; sensation of soreness in pit of stomach ; in bed, while lying on side, pressure in stomach ; distension of abdomen ; in bed, pressure in upper abdomen ; irritation to cough; stitches in chest; in bed, pain in joints; at 5 oclock, chilliness, etc. ; shivering; cold hands, etc. ; while asleep, sweat ; at 3 oclock, after waking, sweat, etc. ; oily sweat; as soon as he had risen, sweat on face.

(Forenoon), Before dinner, while walking in open air, cold sensation on ankles, etc.

(Noon), Dizziness.

(Afternoon), Headache; towards evening, when walking, pain in abdomen; towards evening, suffocative attack; mostly while sitting, drawing in femora; chilliness; at 5 oclock, when walking in open air, coldness, etc.; from 5 to 7 oclock, heat of body; at 3 oclock, warmth of face, etc.

(Evening), Full of plans; headache in temples; an hour after the fever, dry palate, etc.; an hour after the fever, thirst, etc.; while sitting, griping below side of navel; in bed, pressure in umbilical region ; while sitting, pain in abdomen; while sitting, pressing colic; pinching colic; in bed, itching in glans ; in bed, pain in testicle, etc.; sensation in chest, etc.; while sitting, drawing in thigh ; while sitting, crawling in foot; in bed, crawling in scrotum; itching on arms, etc.; on lying down, chill ; coldness of the feet; cold hands, etc.

(Night), Forepart, until 2 oclock, lively ; on waking, anxiety ; on waking, dizzy ; headache ; on waking, eye seems swimming in water; towards morning, odor from mouth ; on waking from sleep, suffocative attack ; while lying on back, pressure over anterior chest; in bed, burning-itching under knees, etc. ; pressive headache; towards morning, heat in head, etc.; sweat.

(Before midnight), Pressure in jaws.

(After midnight), Loss of sleep.

(Open air), Pressive headache; toothache; weak, etc.; creeping chill ; cold hands, etc.

(Walking in open air), Headache, etc. ; stitches in calf; chilliness, etc. ; chilliness in back, etc.; chill on chest, etc.; heat of body; profuse sweat; sweat on hair.

(Draft of air), Toothache ; stitches in throat.

(Ascending step>s), Giving way of knees.

(Fixed attention), Headache.

(Bending body), Pain in region of kidney.

(Sitting bent), Pressure across chest ; pressure upon sternum.

(After bread and butter), Eructations.

(During chill), Turn in lower abdomen.

(After chill), Thirst.

( While drinking coffee), Bitter taste.

(Compressing the part), Biting in nostril.

(Coughing), Pain in chest, etc.

(After dinner), Weariness, etc.; inclination to lie down, etc.

(After drinking), Flat, etc., taste ; pain in abdomen ; stitch in precordial region ; shivering, etc.; cold sensation in upper abdomen.

(After eating), Eructations; nausea in pit of stomach; anxiety in pit of stomach; fulness; pressure in stomach; pain below navel ; distension of abdomen; colic; coughing; pressure on sternum; weariness; sleepiness.

( While eating ai id drinking), Pain in side of abdomen ; stitches in side, etc.

(Expiration), Stitches in region of liver.

(Eating fruit), Fermentation in abdomen.

(After the heat), Thirst.

(Inspiration), Stitches in pit of stomach ; stitches in upper abdomen; pain in left chest; stitches beneath rib; tearing in region of scapula.

(Lying), Pain of the joints.

(After drinking milk), Eructations.

(Motion), Pain from temples, etc., to orbits; tearing in head; headache in vertex ; pressure above navel ; in daytime, stitches in light side ; palpitation of heart; pain in back ; pain in small of back; pain in elbowjoint; pain in joints; heat

(Moving the part), Pain in ulcer.

(Moving head), Vertigo; tearing in head.

(After midday nap), Pain in rectum.

(Pressure), Pain below rib.

(Raising arm), Pressure on sternum.

(Rest), Especially while reading, stitch in chest; stitch in cervical muscles.

(Rising from sitting), If he bad sat for some time, pain in thigh; trembling in knees; pain in knee ; sensation of weakness.

(Rising from sleep), Stiffness in joints.

(Rising after stooping), Contraction of intestines.

(In room), On coming from open air, heat of face.

(Sitting), Vertigo in occiput; heaviness of head ; drawing headache ; headache in forehead ; digging in side of head ; drawing pain in occiput ; pain in abdomen ; stitches in abdomen ; colic in epigastric region; griping-drawing in abdomen, etc.; pain in rectum ; pain in perineum ; pain across lower chest ; pressure on right side of chest; reading, stitches in side; stitches in left chest ; drawing in hip-joint, etc.; drawing in bend of thigh; drawing in nates; pain in muscles of thigh ; pressure in nates ; pain in tibia ; drawing in sole ; on stretching out lower leg, pain in tibia; stitches in tibia, etc. ; pain, of joints ; sleepiness.

(During sleep), Sweat.

(Standing), Drawing headache; pain in upper jaw; pressure in region of liver; pain in hypogastric region; drawing beneath ribs ; pain in side of neck ; pain between scapula? ; sensation in thigh, etc. ; burning, etc., in thigh; drawing in nates, etc. ; stitch in thigh; pain in lower legs ; drawing on back of foot ; weakness of knees, etc.-

(After stool), Crawling in rectum.

(Stooping), Pain from temples, etc., to ribs.

(Stretching or bending up foot), Cramp in calf.

(After supper), Weakness, etc.

(Deep thought), Headache.

(Sinking tobacco), Toothache.

(Touch), Headache ; pressure in frontal eminence ; sticking in side ; stitches in fraenum of glans; tearing in upper limbs; tearing on top of shoulder; drawing on coronoid process of ulna ; tearing in ulna; tearing in metacarpal bones, etc. ; tearing in thighs ; tearing in knee-joint ; pain in patella ; pain in bones of leg ; pain in lower legs ; tearing in metatarsal bones, etc.; bone-pain in joints.

(Turning eyes), Headache, etc.

(While sitting unoccupied, or when occupied xvith something in which he is not interested), Digging headache.

(Walking i, Vertigo ; pressive headache, etc. ; tearing in head ; headache above orbits ; stitches in spleen ; pain in side of abdomen ; stitches in hypogastric! Hi ; pain between glans and prepuce; pain beneath ribs, etc.; pain below rib ; tension in muscles of thigh ; pain in thigh ; pain in knee ; sticking in tibia ; exhaustion of body ; chilliness; chill over thighs.

(When walking rapidly), Stitches in chest.

(On standing by window), Tearing, etc., in arm

( Walking in wind), Headache.

(While writing), Trembling of hands.

Amelioration p. 213

(Bending backward), Tearing below navel.

(Bending body forward), Treasure in region of liver.

(On bending head backwards), Drawing pain in occiput disappears.

(Bending leg), Pain in tibia.

(After eating), Nausea, etc., disappeared.

(Becoming erect), Pressure across chest ; pressure upon sternum.

(Lying on back), Pressure in stomach

(Moving the parts), Pains in upper arm ; pains in joints

(Pressure), Drawing headache ; pressure from middle of sternum.

(Rest), Pressure above navel ; stitches in chest; sticking in tibia.

(Rising from bed), Pain in joints.

(Rising from sitting), Griping in abdomen ; colic in epigastric region.

(In room), Chill ceases.

(Sitting), Drawing in nates, etc.; pain in knee; drawing in back of foot.

(Standing), Pain in abdomen ; colic; pain across lower chest ; pressure across chest ; pressure over middle of sternum; pressure on right chest; drawing in hip-joint, etc.; drawing in thigh ; drawing in tibia ; crawling in foot.

(Stooping), Pain in right neck.

(Walking), Drawing headache; pain in abdomen; colic; pain across lower chest; pressure across chest; pressure on right chest; drawing in hip-joint, etc. ; drawing in thigh ; trembling of knees; drawing in tibia; crawling in foot.

Footnotes p. 183

† A kind of unnatural excitement, as in the so-called tonic cures of ordinary physicians when they are unable to cure a patient of his disease and still wish to stimulate strength, power, and activity for a few hours. — H. J From its use in intermittent fever. — H. \ It seems to be the curative action. — H. || Effects of China taken during the chill of an intermittent fever. — H.

† Curative action. + With the Cinchona fever there is very frequently rush of blood to the head, 87, 124, usually with redness and heat of the face, 1216, frequently with chilliness of the

† Tearing (drawing) pressure and pressive-tearing (drawing) seem to be the chief pains of Cinchona.

† From the dust.

† Rhus tox. would seem to be the antidote for the symptoms 278, 283. — H.

† This, together with 402, does not seem to be correctly observed ; for in all other observations I have found that the Cinchona fever has no thirst with the shivering or chill, see 1118, 1123, 1131, 1147; the thirst appears much more after the shivering or chill, as is shown by 397, 398, 1 129, or, which amounts to the same thing, just before the heat, 400. So, also, the thirst is not marked during the fever of Cinchona, even in the most developed hot stage, see 29, 1177, 1180, 1182, 1184, 1193, 1203, 1221, except some burning of the lips, 1185, or dryness of them, see 406, 1203, although this dryness explains the expression " some thirst during the heat," 1187; for the " thirst during the transient heat," 1194, does not denote completely developed feverish heat. Much more, however, does the thirst appear after tbe heat, 309, 395, 1148, or what is the same thing,' during the sweat, 1228. "The feverish beat, accompanied by stinging over the whole body, seemed to make an exception, see 1181, 1192.

† Local effect of the powder. — Hughes.

† See note to S. 798. % This, with S. 880 and delirium, occurred instead of the ague paroxysms, five days after beginning China. — Hughes.

† From the extract, looking (says the author) like the extract itself. — Hughes. J Not found. — Hughes \ The constipation of Cinchona is the reaction or secondary effect of the organgm against the great tendency of this drug; the primary action is to cause diarho3a. — H.

† The Cinchona fever frequently begins with a concomitant symptom ; with palpitation, 788, with sneezing, 228, with great anxiety, 29, 1143, with nausea, 1156, 1139, with great thirst, 400, with ravenous hunger, 1185, 1182, with pressive pain in the lower abdomen, 598, or headache, 1114.

† From a dose of an ounce — H. % In an hysterical subject, instead of the paroxysm of ague, with S. 524, 707, 713, I The chief pain caused by China seems to be a jerklike tearing. — Herrmann.

† C especial renewed by simply touching the part, u» m tins s^iu^wm »uu ovi, vlu, often increase to a frightful severity; hence this bark is frequently the only remedy in similar cases. — H. I See note to S. 798.

† Sticking-tearing and sticking-drawing (which also sometimes become a jerking-tearing) seem to be the characteristic pains of Cinchona. See also 857, 877, J See note to S. 526. \ The authority is omitted by Hahnemann.

† Although the symptoms ;ind pains of China are most frequently (next to touch, S. 843) caused and aggravated by movement of the part, yet there is also a not uncommon alternate action, in which the symptoms are relieved and removed by motion, as in this case and 802, 881, 891, 897, 920, 927, 928, and also in which they chiefly occur during rest, 893, 894, 896, 1013, 1017, 1018, 1021. — H. X See note to S. 526. \ In those who have taken China for a long time. — Hughes. || Alternate action, following the previous sensation of weakness caused by China.— H. ^ An alternate action in a healthy person. — H. ff Not found. — Hughes. jj Mentioned by the author only to reject it. — Hughes. \\ Also Sydenham (Opera Lips., 1695, p. 379) speaks of two men killed by Cinchona bark taken a few hours before the paroxysm of fever. — H. HI Occurred in a strong man who had taken a drachm of the best red bark at one dose; the attack of faintness was so violent that he did not come out of it until an emetic had been administered. — H.

† Compare with note to 1013. Here we see expressed the peculiar weakness which Cinchona causes in such' an excessive degree, and it is especially this kind that Cinchona can permanently remove, if the other morbid symptoms correspond to those caused by Cinchona This particular kind of weakness is very similar to the exhaustion caused by the loss of fluids. — H. J The weakness here noticed as if proceeding from great loss of the fluids is associated with 1, 987, 993, 994, 995, 1014, together with the mental symptoms (11, 32, 40, 41, 47), also with the existence of disordered digestion, the disturbance after eating, the much too easy sweating, especially on the back, on motion and during sleep, and the confusion of the head, and is exactly that weakness for which Cinchona is the on I}- fit remedy, and it, almost without exception, affects persons who have lost an essential portion of their strength by haemorrhoids or frequent bloodletting, by constant loss of milk from the breast, by excessive nursing of children, by excessive coition, or onanism, or frequent involuntary emissions, by profuse sweating during disease, by too powerful sudorifics, by diarrhoeas, or by frequently repeated cathartics. In the other forms of morbid exhaustion, when the disease itself does not find its remedy in this drug, Cinchona is always followed by the most pernicious results, frequently shortening the life of the patient; although, indeed, in these inappropriate cases an excitement of the vitality may be produced during the first few hours, but which is easily seen to be unnatural and forced, and which only tends to hasten death by the excessive excitement; and if in these cases its use be long continued, a cachexia difficult to cure may be brought about by the malpractice of the physician. — H.

† This is the alternate action of 299, 300, 302. — H. j Said to be critical. — Hughes.

† The pressive headache at night seems to be characteristic of China ; also the pain in the umbilical region in the evening in bed is related thereto. — H.

† Uneasy sleep at night, with dreams that cause anxiety and starting up, on waking from which he cannot collect his senses, or about which he continues to be anxious, is very characteristic of Cinchona. — H. | On the second and third days after taking the drug the intervals between the chill and heat in the paroxysm became longer. \ 1118, 1124, alternate action with 1151. A

† An infrequent alternate action of the much more frequent condition, 1136, 1 144, 1148, 1157, and 1172. X See note toS. 798. \ Alternate action with 1118, 1124. vol. in.— 14

† Alternate action with 1163, 1208.

† From the use of China in intermittent fever. — H. X From its use in intermittent fever. — H. I 1163, 1208, alternate action with 116(>. || In the Cinchona fever the veins are usually distended, even with only » eat in the head, as in this case, or with the somewhat increased warmth of the body, 1177, or with a simple, sensation of heat, without noticeable external heat, 1191, and even with real external heat (1184).