Conium

Conium maculatum, L.

Natural order, Umbelliferae. Common names (Cicuta of the old Romans, but not since the seventeenth century), Poison hemlock; (G.), Schelling; (F.), Grande eigne.

Preparation, Tincture of the fresh herb in blossom.

Authorities (Nos. 1 to 36 from Hahnemann, Ch. Kr., with notes by Dr. Hughes ). 1, Hahnemann ; 2, Franz ; 3, Gross ; 4, Langhammer ; 5, Rummel; 6, Wislicenus; 7, Amatus Lusitanus, Cur. Med., v, 23: no such observations at place named, nor in index to whole work ; 8, Andrew, Obs. on Stoerk, symptoms observed in patients taking Con. ; 9, Audry, Quest. Med., not obtainable; 10, Bliss, Essays on Med. Subj., not obtainable; 11, Bierchen, Tal. om Kraftskador, observations ; 12, Boerhaave, Prselect. ad Inst., observed on self; 13, Clark, in Essays and Obs., Edinb., iii, 434," observation ; 14, Collin, Ann. Med., Ill, 104, as Andrew ; 15, Cullen, Mat. Med., from grain 30 of powder, in an adult; 16, Van Ems., in Boerhaave, Pnelect. de Morb. Nerv., 1, 97, effects of Cicuta aquatic;f 17, Erhart, Diss, de Cicuta, a list of symptoms from authors ; 18, Fothergill's, Works (Loud., 1781), p. 315, general statement from observations; 19, Gather, Essays on Med. Subj., as Fothergill's ; 20, Greening, Ver. Schriften, as Andrew; 21, Haller, Collins, Anz., 1775, p. 523, observation; 22, Waldschmidt, Prag. de Cic, not obtainable ; 23, Landoutte, Journ. de Med., xv, as Andrew; 24, Large, Dub. Cic. Vex., not obtainable, probably as Andrew; 25, Limprecht, Act. Nat. Cur., 1, 0, 52, poisoning by "Cicuta" root, but of what species doubtful ; 26, Med. Obs. and Enq., iv, 364, after application of C. to a cancerous breast; 27, Pauli-Sim, Quadrup. Bot., no symptoms mentioned in edition of 1667 ; 28, Pharm. Helv., general statement from experience; 29, Reismann, no reference given; 30, Rowley, seventyfour cases, Lond., 1779, not obtainable; 31, Schmucker, Chir. Wahrnem., as Andrew ; 32, Storck, de Cicuta,as Andrew ; 33, Tartreux, Epist. Sfol., as Andrew; 34, Valentine, Hufel. Journ., xxix, 3, 92, as Andrew; 35, Watson, Phil. Trans., case of poisoning ; 36, Whytt, on nervous disorders, observed on self; (Nos. 37 to 45 additional provings) ; 37, Lembke, A. H. Z., 47, 177, proving with tincture, repeated doses of 2 to 40 drops ; 38, Dr. Schueller, Vienna provings (allow.), began with 5 drops, increasing to 200 drops at a dose, B. J. of Horn., 6, 272 ; 39, Pliny Earle, two provings, first with American extract, 3 doses a day for nineteen days, increasing- from 1 to 60 grains; second, with English extract, 3 doses a day, from 1 to 100 grains, Am. J. of Med. Sci., 36, p. 61 ; 40, Dr. Kitchen, effects of "full doses," 10 to 20 minims, on healthy persons, Am. J. of Insanity, 4, 1873; 41, Dr. Fountain took 12 grains of extract " to test its activity," Am. J. of Med. Sci., Jan., 1846 ; 42, Dr. Harley, Old Veg. Neurotics, effects of tincture, extract, and Succus Conn ; 43, Dr. Robinson, provings on females with the 1000th and 30th dils., B. J. of Horn., 25, 323; 44, Dr. Berridge,a lady took 1 dose of the 30th m. of F. (one symptom after three days), N. Am. J. of Horn., N. S., iv, 193 ; 45, Dr. Edward Curtis, took 2 drachm of Squibb's fluid extract, N. Y. Med. Rec, May, 1875 ; (Nos. 46 to 64, additional cases of poisoning) ; 46, Haff, poisoned by eating herb in soup, from Orfila, Toxicol. ; 47, Gasson, man ate some herb Con., from Orfila ; 48, Vicat, a man and wife ate some root, from Orfila ; 49, Schlegel, Material. 1801, effects of eating the herb, in salad; 50, Buchuer, Repertorium (Fr. Mag.), two cases, one from rubbing the essence into a goitre; 51, Matthiolus (from Wibmer), a monk ate some of the root ; 52, Guldenklee, a man ate some of the root (from Wibmer) ; 53, Kircher, two men ate the root (from Wibmer) ; 54, Hee, a girl of twelve, ate the root (from Wibmer) ; 55, Dr. Weitenweber, two boys ate the root, Prag. Med. Mon., 198; 56, Bennett, a tailor, ate some herb, Ed. Med. J., 1845 ; 57, Bianchi, two girls ate some root, Gaz. Lomb., 1837 (S. J. 95, 313) ; 58, Knorre, a young woman, smelled some of the pulverized seeds, A. H. Z., 19, 222 ; 59, Dyce Brown, a pregnant woman, took 13 drops of Succus Conn for a dry cough, Month. Horn. Rev., 1869 ; 60. Skinner, five children poisoned, Liverpool Med.-Chir. J., 1858 (from Am. J. of M. S., 36, 564, original not obtainable) ; 61, Guarda, a robust girl, took a strong decoction to produce abortion, Quar. Horn. Journ., 1, 482 ; 62, Cattell, B. J. of Horn., 11, 341, collected symptoms; 63, Walker, of Brooklyn, killed by three doses of 50 drops of Squibb's fluid extract, taken at intervals of half an hour, record dictated by himself, New York daily papers, 1875; 64, Comoc, poisoning of a family by eating some of the root cooked with other vegetables, from Imbert Gourbeyre's collection of cases in B. J. of Horn., 33, 654.

Mind p. 520

Emotional. Liveliest excitement (after twelve hours)

Drunkenness

Delirium,9 15 *9, etc.

Violent delirium, interrupted by crying out from pain (always with the sounds ah! oh !)

-Constant delirium

Delirious and stupid ; they threw themselves into the water, thinking they were geese ; for three years they remained partly paralytic, suffering from much pain

They ran wildly delirious about the whole house, knocking so hard against the walls that they were full of bruises

Partly foolish and partly delirious, for some months

Full of fantasies, in the morning (after twenty-four hours)

Became much agitated, were attacked with hallucinations and delirium, and went out of the house ; the neighbors thought the whole family had gone mad, and were obliged to employ force to compel them to return home; watched them and rallied them in their hallucinations, and more or less absurd proposals ; the patients had been mirthful all the while

Intermittent delirium

The husband, who had been somewhat addicted to liquor, saw all sorts of animals dancing upon the bed, and picked straws a little

Visions of her brother and child, who had died; at the same time, she saw distinctly persons in the room ; she was quite aware that this was an illusion, and tried to get it out of her mind, but she could not prevent herself seeing them together, as if they were coming in at the door

Fancied that some one was coming in at the door, at night

Constant mirth

Tendency to laugh, as if coming from the right hypochondrium and stomach, during an exhausted condition

Tendency to laugh, with loss of vital energy

Violent weeping, with tears, at night, in sleep

When alone in the house she was seized by an inclination to weep ; on giving way to it, it changed to a loud hiccough, followed by flickering before the eyes and indistinct vision, so that she was obliged to steady herself in walking, followed by exhaustion of all the limbs, and dull headache

She is easily disturbed by trifles, and made to cry

Lively, well, and strong, in the morning (alternating curative action), (after twenty-four hours)

Lively free mood (curative action), (third and fourth days)

Lively mood, with inclination to talk (curative action)

Sad mood (after one day)

More sad than lively

Hypochondriac depression and indifference, while walking in the open air

Frequent thoughts of death

Anxiety

[Anxiety]

Awakened at night by anxiety, so that she lies long awake

Extreme anxiety constantly impelled them from place to place

[Hysterical anxiety]

Anxious sensation, with beating of the heart, and profuse nosebleed

Inclined to be frightened

Fearful thought, after waking at night

Very apprehensive thoughts, almost amounting to deathly anxiety, after midnight, while half awake

Fearful lachrymation, faint-hearted

Sunk in deep thought ; he apprehensively considered the present and future, and sought to be alone

Dread of men, of their approach, yet with dread of being alone

Fear of thieves

Superstitious thoughts

Constant ill-humor and fretful n ess

* Very ill-h humored, every afternoon, from 5 to 6, as though a great guilt weighed upon him, with paralyzed feeling in all the limbs, indifference, and taking no interest in anything

Fretful and peevish about trifles

Extremely fretful and anxious thoughts about dying, in the morning, with confusion of the head (after twenty-nine hours)

Fretful mood ; he does not know how he shall busy himself ; the time passes too slowly (after eight hours)

Fretful things absorb his attention

She feels peevish, vexed, and easily put out about trifles

Very easily aroused to anger

* Morose mood ; everything about him makes an unpleasant impression upon him

* He is averse to being near people, and to the talk of those passing him ; is inclined to seize hold of and abuse them

Great discontent

Indifference to agreeable sensations

Insensibility, with indolence

* Extremely insensible

Intellectual Disinclination for business?1.

Inability to sustain any mental effort

* Dulness, like stupefaction; difficulty in understanding what he is reading

Dulness ; difficulty in understanding what he is reading, with confusion of the head

[Confused thoughts]

Frequently makes mistakes in speaking

Unable to express himself properly while talking, or to think correctly

Memory weak

* Want of memory

Loss of memory (in seventy -four cases)

Senselessness, after waking from the midnight sleep

Head p. 522

Confusion and Vertigo. Confusion of the head (after one hour)

Confusion and heaviness of the head (after five days)

Confusion and heaviness of the head, on waking, after a sound sleep

Confusion in the left half of the head, as from coldness, or as if the brain did not fill the skull

* Constant confusion of the forehead, in the region of the eyebrows and root of the nose (first day)

Tendency to vertigo, with a sensation as if the eyes were swollen and unnaturally protruded (sixteenth and subsequent days)

* Vertigo (after twenty minutes, eighteenth day)

Vertigo, so that everything seems to turn in a circle

Vertigo, affecting the head

* Vertigo, in the morning, on rising from bed

Vertigo, on becoming erect after stooping, as if the head would burst

Vertigo, on going downstairs ; she was obliged to hold herself still, and for a moment did not know where she was

Vertigo, worse when lying down ; as though the bed were turning in a circle

Vertigo, like turning in a circle, on rising from his seat

Dizziness and reeling in the head, for two days

Very decided dizziness (after half an hour)

* Very dizzy while walking

Giddiness and sensation of weight along the orbit

Great giddiness

Severe giddiness

Sudden giddiness and so much weakness of the legs as rendered the patient incapable of walking, and he was obliged to lie down (after twenty minutes)

The slightest spirituous drink intoxicates him ; even watered wine rises to his head

[Reeling]

Reeling while standing

General Head. Apoplexy

[Serous apoplexy],14.4:

Great weakness of the head, and of the whole body, with loss of appetite

Unable to hold head up (half an hour)

Utter inability to keep the head erect

Continuous stupefaction of the head, with constant inclination to sleep

Heaviness of the head

Heaviness and pressure deep in the brain

The head is heavy,35.§

Awoke with a headache, and felt weak and poorly, from broken rest, and a sharp attack of diarrhoea during the early morning

Headache, with nausea, at night, in bed

On going in, after walking in the open air, headache, with pressure in the right eye

Headache daily, on account of too scanty though frequent stools, associated with urging

Headache on stepping; she felt every step in her head

Some headache, with diminution of appetite, throughout the day (nineteenth day)

Headache, with nausea and vomiting of mucus (third day)

In a few instances slight headache, muscle volitantes, diplopia, languor, and inclination to sleep

Violent headache

Violent headache, with vertigo, wherewith she sat in one place, sad, and without speaking, for three or four days

Very violent headache

Feeling of fulness in the head

While at the breakfast-table, a disagreeable sensation, like fulness of the head occasioned by a ligature around the neck, this was accompanied by a very slight vertigo (fifteenth day)

Headache, as if the brain ivere too full and would burst, in the morning, on leaking

Tension in the head, and a sensation of compression from both temples, after every meal ; was obliged to rest the forehead on the table

Drawing in the head, with going to sleep of the brain ; relieved after eating

Violent drawing in the head, on going into the open air ; relieved on closing the eyes (soon)

Dulness in the head, after drinking

Dull pressure in the head, on going into the open air ; he was obliged to rub the forehead

Headache, a simple pain, on walking in the open air ; it seems dull ; even in the morning, lasting till breakfast

The cerebral oppression was extremely unpleasant and oppressive (nineteenth day)

Sticking in the head, while coughing

Sticking pain in the head, as from needles, lasting an hour

Shooting into the head from coughing

Boring tearing and pressure in various parts of the bones of the head

Headache, in the morning, on waking, as in epidemic fever, as if the brain were torn, especially towards the occiput (after ten hours)

Headache in the morning, as if the head were beaten or would be pressed asunder

Headache, extending from the forehead to the occiput, as if something were loose, on shaking the head

Forehead, Violent pains in the forehead and eyes, with profuse burning lachrymation, as though salt water had got into the eye

Headache, as from external contraction, in the upper part of the forehead, disappearing on stooping or leaning it on the hand, with chilliness, vertigo, and fretful senselessness (after one hour and a half)

Pressive drawing around the forehead and right temple

Digging and griping in the forehead, as from the stomach, with such great sensitiveness of the brain that it was painfully shattered by noises and by speaking

Drawing pain in the forehead above the brows

Drawing pain in the brain just behind the forehead (first days)

Pressure in the forehead

Pressure in various places on the forehead (after three hours)

Pressure in the forehead, alternately severe and slight ; afterward heaviness, followed by the same sensation in the occiput

Pressure in the right side of the forehead, in the left side of the occiput, and in the left parietal eminence

Pressure and heaviness in the forehead, lasting the whole day

Pressive pain in the forehead, externally

Pressive headache, as from a stone, on the upper part of the frontal bone (after three days)

Pressive headache from within outward, over the eyes

Pressive headache, externally in the forehead, causing stupefaction

Jerklike sudden sticking in the forehead, lasting the whole day, worse in the room

Sticking pain from within outward in the forehead, at noon

Sticking headache in the forehead, the whole day ; still she could not lie down

Sticking headache coming out at the forehead, with inclination to lie down, in the forenoon

Stitches in the forehead

Stitches, extending out of the forehead, in the morning after rising

Throbbing in the forehead

Temples. Slight pain from temple to temple several times during the day (eighth day)

Some headache in the region of the temples, attributed to a cold (third day)

Drawings in the right temporal muscles; worse when walking

Drawing pain in the temporal bones

Drawing pain in the temples, on touch

Pressure in both temples (after a few hours)

Tearing in the right temple and right ear

Tearing pain through the temples, in the morning (fourth day)

Tearing pain in the temples, while eating

Tearing headache in the temporal region, with pressure in the forehead, after eating (third day)

Vertex. Pressure on the vertex, with feeling as though one would fall

The headache consisted of a violent pressive, squeezing sensation, like something pressing on the top of the head ; the pain then went down from the top of the head to the sides of the jaws, and thence to below the left breast, with a feeling of choking and inability to draw a breath

Dull pressure deep in the vertex

Dull pressure on the vertex, afterward around the forehead

Nipping in the vertex on every step, while walking, without pain ; not while sitting

Some pain and heaviness in top and back of head (after half an hour)

Parietals Numbness, xvith sensation of coldness, of one side of the head

'■''''Sensation in the right half of the brain as of a large foreign body

Pressive pain in the right half of the brain, extending backward

Sticking in the parietal bones, and in the forehead, with vertigo, so that he was obliged to sit down ; together with sticking in the cervical muscles

Tearing stitches, extending from the left parietal bone to the frontal region

Headache on one side, gradually increasing as if bruised, and as if something heavy were pressing downward, aggravated by moving the eyes towards the affected side

Pulsation in the right side of the head, in the evening, in bed

Occiput. Heavy sensation in the occiput, that frequently disappears and reappears ; it appears from time to time while sitting bent, but always disappears on becoming erect

Fulness and confusion in the occiput

Pressure on the left side of the occiput

Pressure in the right side of the occiput, as with a plug

* Pain in the occiput ; at every pulse it feels as though pierced with a knife

Slight tearings in the left side of the occiput, while walking (after half an hour)

Tearing headache in the occiput and nape of the neck, and especially in the orbits, with constant nausea, so that she was obliged to lie in bed

External Head. Falling of the hair

Burning on the scalp above the right frontal eminence, with sensitiveness of the skin at that place

Sharp pressure in a small spot on the scalp

Much itching on the scalp

Eyes p. 524

Objective. The eye itself immovable, staring

Their look was wild and piercing

Weak look of the eyes

Trembling look, as if the eye trembled

Red eyes

Eyes somewhat congested and wild

* Yellow whites of the eyes (after ten days)

Protruding eyes

Movements of the eyes as if they were pressed outward

* Affected with a weakness and dazzling of my eyes, together with a giddiness and debility of my whole body, especially the muscles of my arms and legs, so that when I attempted to walk I was apt to stagger like a person who had drunk too much strong liquor

Mucus in the eyes in the morning

Subjective. Increased irritability of the eyes (first days)

The eyes felt uncomfortable, causing me to brush them frequently to clear apparent obstructions from the lids

Heat in the eyes

An almost burning heat shoots through the eyes in the forenoon and evening

* Burn lug in the eyes

Burning in the eyes, towards evening, with pressure in the orbits

Drawing pain in the eyes, with redness of them

Pressure in the eyes, as from a grain of sand, especially in the forenoon, with inflammation and redness of the white of the eye, and biting lachrymation

Pressure in the eyes, mostly while reading

Dull pressure above both eyes, afterwards in the occiput, as if a band were tied about the head

Painful pressure in the eyes if she closes them to sleep, in the evening, in bed

Brow and Orbit. There was an aching pain across the eyebrows and mistiness of vision

Pressure above the right eye, extending into the eye

Pressive pain in the bones above the right eye, in the nose, and malar bone, late in the evening and lasting ten minutes

Pain in the orbits, especially with the headache

The absence of any preponderating action of the muscles supplied by the fourth and sixth pairs of nerves shows that they are equally affected with the third pair. A proportionate diminution of power is also observed in the muscles supplied by the motor branches of the fifth and seventh pairs. The contractive power of the M. orbicularis in particular is distinctly weakened

Lids. Inflamed lids, with formation of styes in several places; the boy frequently blinks

Twitching in the upper lid/.

Eyes difficult to open (first hour and a half); closed (second hour)

Difficult opening of the lids ; in the morning they are drawn together

* He coidd hardly raise the eyelids, which seemed pressed down by a heavy weight, and was disposed to fall off to sleep

Muscular relaxation of the orbicularis, drooping of the eyelids, almost amounting to ptosis, and nearly inability to walk/

Nearly complete muscular paralysis ; the eyelids were closed, the pupils widely dilated, and the mind clear, calm, and active, and she expressed herself quite comfortable ; she tried perseveringly to raise the eyelids when I requested her to do so, but she was quite unable to separate their margins (after one hour)

- ^Burning on the inner surface of the lids

Pressure in the external canthus, as from a grain of sand/.

Sticking in the inner canthus ; the lids are agglutinated in the morning/.

Itching sticking in the inner canthus, not relieved by rubbing (after one hour and a half)

Stitches on the margins of the lids and in the canthi

Biting pain in the inner canthus, as if something corrosive were in it, with lachrymation

Itching on the margin of the lids/.

Conjunctiva. Pressure and sticking in the conjunctiva bulbi of the right eye, in the inner canthus, with fine vessels closely aggregated at the inner margin of the right cornea

Pupil. Dilatation of the pupils from one-seventh to one-sixth

Dilatation of the pupil occurs usually only after very large closes, and then it is often but slight, and only observable in a subdued light, the excitement of strong light overcoming the tendency to dilate, just as the exertion of a strong will strengthens for a time an enfeebled limb

Dilated pupils (after one hour)

Pupils dilated (second day),37 60 61 .

Pupils of the eyes apparently somewhat dilated (seventeenth to twentieth days)

The pupils were considerably dilated

Pupils decidedly and persistently dilated ; at first this dilatation alternated with contraction

Pupils greatly dilated

Contracted pupils (curative action), (after three hours and a quarter)/.

Vision. ^Weakness of vision/

Diminished vision

Dimness of vision, while walking in the open air; in the room it was clear/.

Dimness of vision and dilatation of pupils

Obscuration of vision,8 10.f

Vision momentarily obscured ; objects in the room seemed indistinct and as if moving about

Soon after half au hour, dimness of vision, with bright points scintillating, or rather quickly moving in the distance; this caused me to turn from side to side to notice them, and from this cause, I suppose, I found myself reeling in my saddle ; there was no vertigo or unpleasant sensation about the head to produce this effect, save a slight feeling of lightness

- Eyesight slightly dim, becoming more so on rising from the breakfast-table, and the tendency to vertigo was at the same time increased (seventeenth and subsequent days)

After moderate doses, the interference of vision is only such as results in haziness, as if a thin film of transparent vapor were floating between the eye and the object, the effect being identical with that observed on looking through a medium of unequal density, such as the mixture of hot and cold air enveloping a highly heated stove ; it occurs independently of any dilatation of the pupil, and is compatible with good definition for fixed objects; it is due to imperfect adjustment of the refracting media of the eye from partial paralysis of the ciliary branches of the third nerve; it is through these minute branches that the individual first becomes conscious of the effect of hemlock, and if he should be reading at the time, he will suddenly find the occupation fatiguing, and very soon afterwards it may be impossible, and he will be glad to close the eyes to relieve himself of the symptom, and as the muscular lethargy begins to be felt, content to lie perfectly still as if asleep ; in full doses the depressing influence involves the other branches of the nerve, and the lazy movements of the eyeball, or dull fixed and occasionally divergent stare, indicate the partially paralyzed condition of the external muscles of the eyeball, while more or less drooping of the upper lids expresses a similar condition of the levator palpebral

* There was a sluggishness of the adaptation, of the eye; my vision was good for fixed objects, but when an uneven object was put in motion before the eyes there was a haze and dimness of vision, producing a feeling of giddiness

On raising my eyes from the object upon which they had been fixed to a more distant one the vision was confused, and a feeling of giddiness suddenly came over me. That these symptoms were due to impairment of power in the muscular apparatus employed in the adaptation of the eye was obvious to me, for so long as my eyes were fixed on a given object the giddiness disappeared, and the definition and capacity of vision for the . minutest objects were unimpaired, but the instant that I directed the eyes to another object all was haze and confusion, and I felt giddy, and in order to recover my vision, and dismiss the sense of giddiness, it was necessary to lay hold upon some object, as it were, with my eyes, and rest them securely upon it ; it was clear to me that the adjusting muscular apparatus of the eye was enfeebled, and its contractions so sluggishly performed that they could not longer keep pace with the more active movements of the external muscles of the eyeball ; within ten minutes of the appearance of this disorder of vision a general muscular lethargy affected me, and the eyelids felt as heavy as if they were oppressed with the deepest drowsiness (three-quarters of an hour after 5$ drachms)

Raised my eyes quickly from the manuscript upon which they had been steadily fixed, towards the inkstand some little distance away, but"m so doing I instantly experienced a slight difficulty in accurately sighting that object, the eyes did not strike exactly where they were aimed, and simultaneously a faint but distinct thrill of the peculiar swimming feeling that I know so well as the beginning of sea-sickness, swept through the brain ; plainly the subtle influence of the poison had been creeping over me while absorbed in writing, but could not declare itself by symptoms until a quick and decided movement of the already paretic ocular muscles was attempted, then, however, it was instantly made manifest by the trouble in promptly sighting a given object, and, what is the point, then at once, but not till then, was the least giddiness experienced ; as the palsy of the ocular muscles advanced, soon the slightest movement of the eyes produced a curious and very disagreeable apparent flickering of the field of view, and was always accompanied by a sudden rush of giddiness; but so long as the eyes were kept motionless, then, as long ago pointed out by Harley, there was no giddiness ; for experiment, however, I did try the eyes in various ways, seeking to find, among other things, how the focalizing power on near objects was affected, and the consequence was that I quickly became not only very giddy but also decidedly nauseated, iu fact veritably sea-sick, the sensations being the same as those felt at sea; fearing that I should vomit, I got up to cross the room to the washstand, but at once the floor seemed to rock and waver, and I staggered against a table; not being conscious, however, of any real weakness of the legs, it immediately struck me that the uncertainty of step was purely because the eyes were playing false as guides for the feet; if so, I argued, walking ought to be steadier with the eyes shut than open. Accordingly, after getting the proper bearings, I shut the eyes, and sure enough found at once that I could now walk straight and steady, and, what was more, without any feeling of giddiness; securing a basin I repeated the little experiment on the return trip to the desk, and with precisely the same result

giddiness, transient nausea, and staggering gait on trying to walk with eyes open

freedom from all trouble with them shut

Farsightedness (in a myope); he could clearly distinguish objects at a distance (after three hours and a half).4.

Greater shortsightedness than usual ; could distinguish only very near objects (after twenty-nine hours)

She complained either that she could not see, or that the objects of her vision were tinged with all varieties of color ; sometimes the eyelids drooped a little

Sight completely lost

Blindness of short duration in the afternoon, following complaints of pain in the head and eyes ; the child loses the power of vision, also at times subsequently

Blindness, immediately after sleep in the heat of the sun

Amaurosis

On looking at print held near the eyes the lines seem to move up and down

Double vision for several minutes

Double vision, from inability to maintain the convergence of the optic axes, excepting as a very evanescent effect, is a comparatively rare result of the action of hemlock. I have only observed it in a few persons. In one of these, a delicate invalid, confined by weakness and ovarian disease chiefly to the recumbent position, fl. 3'j of the succus Conn produced full effects accompanied by double vision ; this was a constant symptom ; it came on half an hour after taking the medicine, and lasted twenty minutes. After having taken the hemlock for six months, she told me, as often as I happened to see her during the operation of the medicine, that she saw each object in the room double, that my eyes were also doubled, and that she felt as if she were squinting

Double vision, but not to the same extent nor of so long duration as with the last doses of the American extract; the same remark is applicable to the sensation in the elbows and knees; in the evening (nineteenth day)

Vision was for the first time double. Directing the eye to an object at the distance of fifteen feet, that object for a moment would appear single ; immediately, however, two images became visible, and slowly receded from each other to the apparent distance of six inches ; here they generally became stationary, but at times would continue alternately to approach and recede from each other (nineteenth dav); slight degree of double vision (twentieth day)

He saw objects doubled and tripled, with bright bows before the eyes

Diplopia (previous to taking drug) vastly increased (one hour and a half)

[Things look red],20.f

A thread seems to swim before the eyes

Black points and stripes before the eyes

Large dark spot with white margins before the eyes

Clouds and light spots before the eyes

Many white spots with glittering stars, on looking at different things in the room

Bright spots before the eyes, while walking in the open air

Sparks before the vision

Fiery sparks before the eyes, on going into the open air

Fiery zigzags moving through each other before the sight, on closing the eyes at "night

It was not until I enjoyed my usual sleep that perfect vision was restored

Ears p. 528

Objective Blood-red earwax

External. Burning on the upper part of the left concha

Pain, partly drawing, partly tearing, in the external ear

Stitches behind both ears, especially in the mastoid process, followed by dull pain at this place

Violent itching in the outer ear

Internal Something comes before the ears on blowing the nose ; they feel stopped

Sudden sharp pressure in the ears, almost like twinges

Drawings within the left ear

Sticking in both ears

Pinching sticking in the ear, while drinking

Sharp pain shoots out at the ear, especially violent while swallowing (after three-quarters of an hour)

Pain in the ears, as if the inner ear would be torn asunder

Throbbing of blood in the ears

Hearing. Painful sensitiveness of hearing, so that noise frightens one

Intolerance of noise, with longing for quiet and rest (first days)

Noises in the right ear, as from a waterfall (after fourteen hours)

Bubbling and humming in both ears

Bubbling and humming in the right ear

Ringing in the right ear, with dull hearing, three times in succession

Loud ringing in the ear

Roaring in the right ear

Roaring in the left ear, with difficult hearing, worse while eating

Roaring in the ears, like a storm of wind, more after eating dinner, lasting until going to sleep ; and on exerting the head while sitting, but mostly lying in bed ; even at night on waking

Noises in the ears as if blood were rushing through the brain

A crash heard within right ear at 10 p.m., after sunset (third day),44. J

Nose p. 528

Objective. Frequent sneezing

Frequent sneezing without coryza

He blows watery fluid from his nose

Clear water drops from the nose

Profuse discharge of nasal mucus for several days, as in catarrh

Nosebleed at night ; and then in the morning, on rising, vertigo

-Profuse bleeding of the nose, without heat

Epistaxis,11 u.

Epistaxis, when sneezing

Frequent epistaxis

Subjective. Burning in the nostrils

Stitches beneath the skin, on the septum of the nose

Tearing in the nasal bones

Stinging soreness and itching at tip and inside of the nose,i3.

Sticking sore pain in the septum of the nose on pressing upon it, as if a pimple were there

Stitchlike itching irritation in the right side of the nose, as from a foreign substance

Twitching in the nose

Momentary twitching at the root of the nose

Itching crawling in the nose

Itching in the nose

Frequent itching in the nose (second day)

Smell. Excessively fine sense of smell

A kind of animal smell in the back of the nose, which he seems also to taste

Face p. 528

Objective. Expression of countenance calm, but like a figure of wax

Face very red and flushed, looking like erysip-

■)■ In a case of cataract while sight was. improving under Conium.

Hughes.

X The only symptom of the proving. elaps

Blueness of the face

[Face blue, swollen],32. f

Face bluish, turgid with blood

Face livid

Color of the face sickly aud pale (seventh day)

Great paleness of the face, in the morning

Face pallid

[Swelling of the face], 23.+

The facial muscles seemed to me somewhat contracted ; slight risus sardonicus

Frequent convulsions of the muscles of the face, so that the face remained with a frightful expression, together with frequent contractions of other muscles, especially of the extensors of the back and flexors of the extremities, with peculiar motions of the thumb and index finger, as if they were unwinding a skein of thread

Subjective. Pain in the face at night

Pain extending from the head to the jaws, and thence to the left side of the chest, with some sticking

Cheek. Swelling on the malar bone and upper gum, with tensive pain (third day)

Visible twitching of the muscles of the left cheek

Feeling as if a cobweb were on the right cheek

Burning and biting on the inner surface of the left cheek

Drawing on the right zygoma

Drawing and tearing on the zygoma

Tearing-sticking pain in the face, just in front of the ear, in the evening

Violent stitches through the right side of the face about the malar bone (after two hours)

Fine stitches through the right cheek, extending to the corner of the mouth

Lip. Lips slightly cyanotic

[Trembling of the lower lip]iM-§

Burning and redness on the upper lip, first on the left and after a few hours on the right side

Burning on the inner surface of the lower lip

Much burning of the lips and tongue

Stitches in the lips and tongue

Chin. Drawing through the chin towards the ear and to the head, though not painful, soon after drinking

Fine stitches on the chin, extending upward through the jaw

Trismus

It seemed as though she could not open the jaws ; she became very anxious on account of this condition, so much like lockjaw; the next day a constantaching soreness in the jaws

Feeling of stiffness in the right masseter muscles

Pressure in the masseter muscles

Mouth p. 529

Teeth. Looseness of the back teeth, as if they would fall out

Bleeding of the gum of the back teeth

Pain in the teeth as from looseness while chewing

[Gnashing of the teeth],26.||

Drawing boring in the left back teeth

Drawings in the hollow teeth on eating, not on drinking cold things, extending through the temples (after three hours)

Drawing pain from the lower right teeth into the malar bone

Violent drawing toothache ; the teeth feel loose ; the toothache is so severe she feels she must have the tooth out

Boring needle-like stitches between the left teeth, on moving the lower jaw

Pressive toothache

Sensation in the lower incisors as if they were pushed up

Toothache (tearing?), extending to one eye and cheek-bone, only on eating

Jerking and gnawing in the teeth

Gif iilS. Gum swollen, bluish-red, as if injected with blood

Slight bleeding of the gum

Painful burning of the gum

Tongue. Tongue red, mottled

Felt as if her tongue stuck to the roof of th mouth, and she could not move it

Tongue covered over its upper surface, as well as over a large portion of the lower surface, with dirty mucus, aud dry

Tongue stiff, swollen, painful,32, f

Pain in the tongue

Dry tongue

Dry, reddish tongue

Burning on the tongue and in the hands

Burning as from pepper on the tip of the tongue

Boring pain in the tongue at night (second night)

Sticking and burning in the left side of the tip of the tongue

Sticking and biting on the tip of the tongue

Stitches on the tip of the tongue

General Mouth. Dryness of the mouth

Dryness in the mouth, and on the lips

Dryness of the mouth, with sour sensation in it

Dryness of the mouth alternating with accumulation of much watery saliva; with the latter there was a sensation of dryness in the fauces, frequently repeated

Saliva. Accumulation of saliva

[Accumulation of saliva]

Profuse salivation

The whole mouth becomes full of sour water after eating

Taste. Bad taste in the mouth while eating, and on swallowing

Strong saline taste on the tongue, particularly in hawking up mucus, less so in the saliva (from 100 drops) ; this continued several days, but was almost gone on taking the penultimate dose of 160 drops ; noticed occasionally for a fortnight after the last dose

Sourish taste in the mouth

Bitter-sour taste after breakfast

The mouth is quite acid after eating

Bitterness in the mouth and throat

Bitterness in the throat

Bitter taste at times in the throat, without cause

Metallic taste on the tip of the tongue

Coppery taste in the mouth, with a sensation on the tip of the tongue as though it had just been touched with copper

Taste of coryza from the posterior nares to the mouth

Peculiar taste of the food

Speech. *Difficidt speech

Speech difficult (one hour and a half) ; unable to articulate (two hours)

Speech thickening (half an hour)

When attempting to speak, was unable to articulate

On attempting to call some one she was unable to articulate a loud word ; it seemed as though the tongue were glued to the palate

Loss of speech,17 32.§

Throat p. 530

Objective. Spasm of the throat

Frequent hawking of mucus

Subjective. Constant desire to hawk

Strange rising in the throat, with a sense of stuffing, as if something was lodged there

Dryness of throat and constriction

Sensation as of a large body in the throat

Constriction of the throat

Feeling as if something were coming up the throat to choke her

As often as she bows the head the throat becomes constricted and she chokes, a sensation as though the neckband were too tight, so that she is obliged to grasp her throat, with blackness before the eyes and dark redness of the face

Fulness in the throat (one hour and a half) ; almost to suffocation (two hours)

Drawings in the muscles of the throat and chest

Sticking in the throat, especially on empty swallowing, soon after taking, lasting an hour

Sore throat ; a sore pain on swallowing

Scraping in the throat

Scraping in the throat, with cough at night

Much tickling in the throat, with provocation to dry cough, while sitting

Itching in the throat, with irritation to a hacking cough

Tonsils. During the dose, from 55 to 85 drops, there was shooting-drawing pain in the tonsils, without any abnormal appearance about them, and burning in the gullet. These symptoms continued in greater intensity from 100 to 200 drops. This was felt a fortnight after the last dose

Fauces. Great dryness of the fauces, with a feeling of constriction of the larynx

Swallowing. If she goes into the wind she is obliged to swallow very much

Difficult swallowing

[4dU.] Impeded swallowing

Loss of deglutition

Inability to swallow water

External Tin oat. Increase of the goitre

Stomach p. 531

Appetite. Great hunger, though with nausea, as though she had eaten to satiety

Appetite increased

Great longing for salt and salty things

Great desire for acids

Diminished appetite (first four days) i

Loss of appetite,9 28 23

Complete loss of appetite, and great weakness in the stomach

Diminished desire for food and tobacco smoke

Thirst. Thirst,10 18.f

Much thirst every afternoon

Violent thirst

Excessive thirst the whole day (after seventh-four hours)

Great longing for coffee

Eructate ions and Hiccough. Eructations, especially towards evening

Eructations, tasting of the food often six hours after a meal

Eructations, tasting of the food without inclination to vomit, with uprisings

Up to a dose of 50 drops he only noticed some eructations ; and sometimes, after taking it, rumbling in the bowels, which passed into gripings, or pressure in the epigastrium

Frequent eructations

Incomplete eructations after breakfast

Incomplete eructations, followed by pain in the stomach

Many empty eructations, without taste or smell

Frequent empty eructations, especially in the morning

Sour eructations in the evening

Sour eructations after eating

Sourish eructations, with burning in the stomach

* Offensive eructations,31. %

Acidity rises from the stomach after eating

Rising of some food from the stomach, with eructations

Hiccough

Hiccough on beo-inning supper

Heartburn. Heartburn™.

Heartburn in the evening

Rancid heartburn

JSTansea and Vomiting. Nausea

Nausea in the morning, disappearing after a stool

Nausea in the evening, with great weakness, so that speaking is disagreeable

Nausea, with sensation of satiety after eating

Nausea and inclination to vomit after every meal

Twenty minutes afterwards, aud while attending to her usual duties, she experienced nausea aud giddiness

Nausea, with pressive headache iu the nape of the neck, vertex, and forehead, after dinner

Nausea, frequent and complete loss of appetite

Nausea and inclination to vomit

Some nausea (first hour)

Constant retching and nausea

Inclination to vomit

Inclination to vomit after eating, followed by hiccough, with the usual taste and good appetite

Inclination to vomit, with eructations and weakness

Ineffectual efforts to vomit

The patient had vomited several times

Frequent vomiting, with complete loss of appetite

* Violent vomiting

Vomiting of mucus in the afternoon, with headache, nausea, and subsequent numerous eructations

Stomach. Flatulent distension of the stomach

The stomach is frequently distended by flatulence

Internal uneasiness in the pit of the stomach, which is attended with haste in all his actions, and difficult breathing

[Anxiety in the region of the stomach], 32.§

His stomach is tormented with acidity, with flat and bad taste

Cardialgia

Sense of fulness and repletion of the stomach

Sensation of heat in the gastric region (after fifteen minutes, seventeenth day)

Tightness of the pit of the stomach on leaning backward, with choking of respiration and speech

Contractive pain in the stomach, with sensation of coldness in it, with coldness in the back, waking her in the morning from sleep

Griping in the stomach, which afterwards becomes dull in the intestines

Griping in the stomach, which contracts the chest, with griping in the back and many eructations, waking her from sleep

Spasmodic pinching in the stomach

Cramplike pain in the stomach

Cramp in the stomach

Cramp in the stomach, like a griping and constriction, between 1 and 2 a.m.,1.

Drawing pain, extending from the pit of the stomach to the throat, with short, difficult respiration, in the morning, after rising and after stool (eleventh day)

Pressure, extending from the pit of the stomach up to the throat, as if a round body rose up (second day)

Pressure in the pit of the stomach as from fulness, mingled with stitches, aggravated by inspiration and motion

Dull burning sensation at the epigastrium

Pressure in the pit of the stomach, as if it were twisted about, followed by some stitches in the side of the chest, even in the morning

Pressure and sore raw feeling at pit of stomach,™.

Severe pressure in the epigastric region, with inclination to vomit, which gradually extended to the left side of the abdomen

Dull pressure, followed by sensation of heat of the stomach

Sudden cutting in the stomach on eating a light meal.37.

Sudden thrusts deep in the pit of the stomach

Stitches in the epigastric region towards evening

Fine stitches in the pit of the stomach

Sensation of soreness and rawness in the stomach

Sore pain in the pit of the stomach, as if suppurating, in the morning, while lying and turning about in bed, for three mornings (thirteenth day)

Abdomen p. 532

Hypochondria. The venous vessels of the liver and the sinuses of the dura mater were gorged

* Painful tension about the hypochondria, as from a constricting baud

Pressive-tensive pain in the left hypochondrium, extending to the side of the lower abdomen

Sharp drawing in the anterior lobe of the liver

Pressive pain in the liver, while walking

Stitching in the hepatic region before the appearance of menstruation, mostly at night, while lying, and especially on inspiration (twenty-third day)

Sticking pain in the hepatic region, at intervals (after sixteen hours)

Sticking pain in the left hypochondrium in the morning, while lying in bed, with oppression of breathing ; disappearing on rising

Stitches beneath the border of the left ribs, while sitting

Stitches beneath the margin of the ribs on the right side

* StitcJie» in the hepatic region

Stitches in the hepatic region, impeding respiration

Transient stitches in the left hypochondrium

Painful tearing in the hepatic region

Abdominal pulsation on the left side beneath the eighth and ninth ribs, afterwards severe stitching in the same place

Sharp drawing jerking under the right ribs

Umbilical. Cuttings deep in the umbilical region

Cutting pains to the left of the umbilicus, piercing like lightning

Dull drawing in a small spot just below the umbilicus

Drawing pain in the abdomen, in the umbilical region, soon after eating

Drawing colic in the umbilical region, in the morning, after rising

Pain in the abdomen in the umbilical region, as if the intestines were bruised, after supper

General Abdomen. Swelling of the abdomen,r''a.

Distension and fulness of the abdomen, in the afternoon

Distension of the abdomen like a flatulent colic, in the evening, with coldness of one foot

Distension of the upper abdomen, after eating, with pressure in the stomach, which anxiously impedes respiration

Distension of the abdomen, after the midday nap

Hardness and excessive distension of the abdomen in the evening after eating; the navel was protruded, which makes her sleep uneasy

Flatulent distension of the ab-

doraen soon after taking a little milk

Swelling 0f the mesenteric glands

Trembling of the whole abdomen

Accumulation of flatulence immediately after eating, which is then passed iu great quantity, with

much noise and with relief

Rumbling and gurgling in the abdomen,1. -

Much rumbling m the abdomen (appears after every dose of medicine)

Gurgling in the left side of the abdomen

Emission of much

flatus with the stool, together with pressing, dragging, and cutting in the rectum

Violent emissions of much flatus

Emission of cold flatus

Passage of much flatus (after eighteen hours)

Passage of offensive flatus

Flatulence is easily passed, immediately

Great weariness and exhaustion of the abdominal muscles, after breakfast

A peculiar sensation in the upper abdomen as after a fright, caused bv the noise of opening a door ; a feeling as if diarrhoea would follow

From coughing, pain in both sides of the abdomen

Pain in the abdomen, while laughing

Pain in the abdomen, aggravated bv pressure

Pain in the abdomen above the hips, while walking

[Violent pain in the abdomen, with chilliness],3-.!

Excessive pain in the bowels

Tension in the right side of the abdomen, on deep breathing

Tension in the abdomen, with jerking contraction, extending up towards the chest, with pressive and griping pain, for several minutes (second day)

A very constricted spot in the colon

Griping in the abdomen, before the discharge of the leucorrhcea

Griping and pressure iu the bowels

Severe griping in the bowels, as in diarrhoea

Fine pinching in the abdominal muscles, above the navel, on bending the body forward

Pinching pains in the abdomen, as if diarrhoea coidd come on

A sticking digging in the left side of the abdomen

Drawing sensation in the abdomen, after drinking,1-

Drawing pains in the abdomen, while walking (after three hours)

Burning pressure in the abdomen

Oppression of the abdomen

Cutting in the left side of the abdomen, as if a bunch would protrude there

Cutting in the abdomen, before the emission of flatus

Violent cutting in the abdomen every day, especially in the right side

Transient cutting in the abdomen, before every stool

Sticking in the upper abdomen, in the morning, on waking, worse on motion

Transient sticking pains in the abdomen (eighth day)

Stitches in the left side of the abdomen (after two days)

Stitches in the abdomen, with lightninglike stitches through the glans penis

Sharp stitches in the abdominal muscles on the left side below the navel, at short intervals, shooting from within outward

Suddenly awakened at night by a sharp stitch deep in the left side of the abdomen, followed by severe sticking deep in the right side of the chest, so that inspiration was impeded, followed by long-continued boring in the ball of the left great toe, which continued to be felt on waking in the morning

Cutting stitches in the bowels, as with a knife (fourth day)

Sore tearing at intervals, extending from the epigastric region into the sides of the abdomen, as if everything were being torn out of the abdomen, several mornings

The child complains of colic with the cough

Griping colic, only immediately after stool

Cutting colic in the morning, after chilliness for two hours, with headache and nausea

Colic after eating, in the morning, with great fulness of the stomach and of the chest the whole day

Cutting colic deep in the bowels, with good appetite and sleep at night

Cutting colic, with diarrhoea (twelfth day)

Most violent coliclike pains,32. f

Drawing bruised pain in the intestines (after nine hours and a half)

Pulselike jerks in the abdomen and small of the back

Some shocks in the abdomen against the abdominal muscles, from within outward, as from a child in pregnancy

Hypogastric and Iliac Hey ion Aching pains in the hypogastric region, like menstrual colic

* Forcing-down feeling in the hypogastric region, like menstrual or labor-pains?6.

Contractive pain in the lower abdomen after the appearance of the menses, which disappears on walking in the open air

* Contractive pain in the lower abdomen like after-pains, xvith urging to stool

Cramp in the lower abdomen (sixth day)

Griping deep in the lower abdomen, after every meal, with good appetite

Drawings in the lower abdomen pressing up towards the upper abdomen, in the morning, while sitting

Pressure in the lower abdomen, followed by fermentation

Constant pressure in the lower abdomen as from something heavy, when not eating

Stitches in the lower abdomen, as with a knife

Teariugs in the lower abdomen, above the pubis, extending to the abdominal ring

Drawing colic in the lower abdomen, after dinner, while sitting

Pain in the right groin as if swollen, and feeling as if suppurating

A d ragging-outward sensation of the right groin

Sticking in the right groin, while walking

Stitches in the groin on rising from a chair

Distending pain in a place where there is a hernia (second day)

Dragging outward in the place of a hernia

Dragging towards the location of a previous inguinal hernia, without the protrusion of a hernia

Rectum and Anus p. 534

Mectum. Heat in lower portion of the rectum (not in anus)

Burning in the rectum and anus

Burning in the rectum during a stool

Stitches in the rectum

Itching in the rectum follows itching in the chest and abdomen

Anus. Heat in the anus

Drawings towards the anus and abdomen

Frequent attacks of dragging towards the anus and sacrum (first days)

Frequent stitches in the anus when not at stool (fifth day)

Itching in the anus

Violent itching in the anus, nates, perineum, and near the scrotum, so that he was obliged to rise

JJV(fin(J. Great urging to stool daily, with diarrhoea three times

Frequent urging to stool, without result

Frequent urging to stool daily, thereby some, although very little, is passed every time

Frequent urging, but scanty passage of soft faeces, followed by still more distended abdomen

Constant ineffectual urging to stool

Constant desire for stool ; he, however, is able to accomplish it but twice daily ; it is then thin

Straining at stool

Stool p. 534

Diarrhoea. Diarrhoea

* Frequent diarrhoea; stools like water, with many eructations, and copious passage of urine (after twenty-four hours)

[Exhausting diarrhoea] ,32.f

Very frequent diarrhoea-like stools, like water, together with undigested portions, with griping in the stomach, which extended through the abdomen (second day)

* Involuntary stool during sleep (second day)

Four liquid stools with hard lumps (sixth day)

Stool softer than usual (third day after 30 drops)

Pasty stool, twice daily, with burning in the rectum

Liquid stool mixed xvith hard portions, passed with many loud emissions of flatus, together with colic (seventh day)

Undigested stool (ninth day)

Undigested portions pass with the stool

Passage of very offensive mucus with the stool

Passage of blood with the morning stool

Const- 2>ation. Constipation

[Constipation],8, f

Stool every second day, the first portion is only passed with pressure

Solid stool, with pressure ; only every second day

Scanty stool

Urinary Organs p. 535

Bladder. Sha rp pressure upon the bladder

Cramplike pressure in the neck of the bladder, soon after urinating, extending from within outward, with sharp stitches, lasting several hours, worse while walking than while sitting

On two occasions, once after taking one of the largest doses of the American, and once after one of the largest doses of the British extract, I felt an acute, lancinating, and transient pain in the region of the neck of the bladder, similar, as I suppose, to strangury. Having never experienced a sensation of the kind, either before or since, I believe it to have been caused by the medicine

Urethra. Discharge of mucus from the male urethra, even after urinating (fourth, fifth, and sixth days)

Discharge of pus from the urethra, preceded by itching in it

Great pain in the urethra on passing urine, which is always mixed with a tenacious turbid mucus

Burning in the urethra

Burning while urinating?.

* Burning in the urethra, during micturition (eleventh day)

Burning in the urethra, in the morning, immediately after urinating, lasting half an hour

Cutting drawing through the urethra during micturition

Cutting during micturition

Cutting in the orifice of the urethra, during micturition (first days)

Sticking in the orifice of the urethra

Much sticking in the urethra, at times increasing with every beat of the heart

Stitches in the urethra.37.

Many stitches in the urethra

Severe stitch in the urethra, extending to the orifice

Jerking stitch in the posterior portion of the urethra

Constant tickling and burning in the urethra

31micturition. Frequent urging to urinate, every half hour, with scanty urine every time

Frequent urging to urinate, with slight strangury and burning in the course of the urethra

Calls to urinate more frequent

Very frequent urging to urinate,37.-

Constant urging to urinate, with heat in making water, which continues all day, more or less

Constant urging to urinate; during the first four hours she was obliged to urinate as many as thirty times, the amount of urine varying from a few drops to a teaspoonful at a time; with this urging there was a most violent burning pain at the neck of the bladder and along the urethra ; the urging was so violent that it seemed like labor-pains

Frequent micturition, at night (after ten hours)

Frequent micturition, without being able to retain the urine

Nocturnal enuresis

Was obliged to rise at 2 a.m. to urinate, several nights

Copious urination

Profuse urine

Profuse urine, with great pain

Urine scanty, dark-colored, frothy, depositing a red sediment

Strangury

Biting strangury after urinating (after half an hour)

Several drops of urine are discharged after urinating ; they cannot be retained nor forcibly expelled

Suppression of urine, ischuria

[Hematuria],21.|

Frequent hematuria, with dyspnoea

A few drops of bright-red blood were passed with the first portion of the urine; the rest of the urine was clear

Urine. Red urine

Urine turbid, with red sediment

Urine turbid, frothy, with red sediment

Sexual Organs p. 536

Male. Inflammation of the prepuce

Many erections during the night

Painful stiffness of the penis, in the evening, before going to sleep

Feeling of compression at the root of the penis

Cutting pain in the glans penis

Tearing through the penis, when not urinating (fourth day)

Itching in the penis, prepuce, and glans, not relieved by rubbing

Pain for several hours in the testicles, especially after erections (first day)

Griping and tearing in the testicles, in the evening (fourth day)

Drawing pain in the left testicle

Pressive pain in the left testicle, for several hours

Pain as if a knife were cutting through the middle of the scrotum, between the testicles, backward to above the root of the penis, frequently repeated

Fine stitches, then burning, on the outer side of the left testicle

Drawings in the spermatic cord

Drawing in the left spermatic cord

* Sexual desire, without erections

Sexual desire greatly excited

[Inordinate sexual desire]

Sexual desire is completely wanting, for several of the first days, in spite of the most enticing caresses

Emission (first night)

* Emissions without dreams, three nights in succession

Emissions, three nights iu succession, followed by awakening of sexual desire

Emission even while frolicking with a woman

Discharge of prostatic fluid

* Discharge of prostatic fluid on every change of emotion, without voluptuous thoughts, with itching of the prepuce

Female. Pressure upon the uterus, and cutting during micturition

Cutting between the labia, when urinating

Severe stitches in the pudenda

Tearing in the mons veneris while sitting

Severe itching in the pudenda, also in the vagina, worse immediately after menstruation ; she was obliged to rub it, whereupon there is no pain in the uterus like a pressing downward

* Severe itching deep in the vagina

Leucorrhcea (second day)

* Leucorrhcea, xvith weakness and paralyzed sensation in the small of the back, before the discharge, followed by weakness1.

Profuse leucorrhcea

Profuse leucorrhcea, followed by hoarseness, with cough and expectoration

* Leucorrhcea of a white acrid mucus, which caused burning

* Leucorrhcea, ten days after menstruation, lasting several days, with much pain in the bowels before the discharge

* Thick, milky leucorrhcea, with contractive labor-like colic coming from both sides

Discharge of brownish blood, instead of menstruation (thirty -first day)

Bloody mucus, instead of leucorrhcea. for ten days

Menses appeared on the seventeenth day

Menstruation delayed seven days

Menses suppressed 9 32.|

Suppression of the menses, which had scarcely appeared, followed by drawing pain down the back into the sacrum, day and night

When she arrived at term, she was troubled, for several days previous to delivery, with false pains, which prevented sleep and exhausted her a great deal (after three months)

Respiratory Organs p. 536

Larynx. ^Scraping in the larynx, with irritation to cough, and dry cough in the evening

Much scraping and tickling in the larynx, with dry cough, frequently during the day

Irritation to cough, with dry cough in the morning

* A dry spot in the larynx, where there is a crawling, and almost constant irritation to a dry cough

Tickling in the larynx, with dry cough

Voice. Voice hoarse

Hoarseness

Coughing Expectoration. Cough at night,32. f

Cough easily excited by acid and salty things (without expectoration)

* Cough \>ery much aggravated by lying down ; in the beginning many shocks of coughing as if he would vomit; constant severe cough in the evening on going to sleep

* Cough, almost only when first lying down, during the day or evening ; he was obliged to sit up and cough it out, after which he had rest

Urgent cough .".J

Forcible cough]

[The most violent cough, on account of which he was obliged to keep his bed],S2.§

Short, racking cough, caused by deep inspiration

[Dry hacking cough],32.||

Dry cough, with hoarseness

Loose cough, without being able to expectorate anything

Cough, whereby something is loosened, but cannot be expectorated until afterwards, when it comes up with an easy cough, together with coryza

Cough as from tickling in the middle of the sternum, with and without expectoration

Hooping-cough, with expectoration of bloody mucus

Hooping-cough and dyspnoea

Yellowish expectoration, tasting like bad eggs

[Purulent expectoration from the chest]

Respiration. Respiration subdued

Slow respiration

[Short sighing respiration],3V}-f

Short respiration during rest and motion (seventh day)

Labored respiration],23.4;4

Impeded respiration

Difficult respiration

Difficult, slow inspiration, in the evening, in bed

Difficult respiration and violent pain iu the chest

Respiration, especially inspiration, was very difficult, as if the chest could not be sufficiently distended (after four hours)

Difficulty in breathing; it seems as though something rose up into the larynx, and threatened to suffocate her; respiration was so difficult and noisy that it could be heard outside the door

Dyspnoea

Frequent dyspnoea

Suffocative attack, as if mucus collected in the throat

Suffocative attack, as though something collected in the upper part of the larynx

Respiration ceases

Chest p. 537

Objective. Rattling in the chest, in the evening on lying down, followed by much cough on sitting up

Subjective. [Dryness in the chest],32.§§

Pains in various places on the chest, not aggravated by respiration

Violent pains in the chest, with severe cough

Very violent pains in the chest

Sensation of fulness in the chest; on coughing nothing will loosen, followed by sticking in the sternum

Everything seems as if too full in the chest, bead, and hypochondrium, for ten minutes; several mornings on waking

Tension across the chest, and pressure on it, on inspiration

Drawing and tearing through the whole chest, in. the evening, in bed, when lying upon the side, with oppression of breath and hard pressure upon the upper part of the sternum, which on inspiration takes away the breath (third day)

Dull pain in the chest, and to the left of the sternum, suddenly while sitting

Pressure in the chest

Pain under the left breast

Pressure in the ribs

* The clothes lie like a weight on the chest and shoulders

* Sharp thrusts directly through the chest, from the sternum to the spine, while sitting

Sudden sticking bet ween the right nipple and sternum, while sitting, aggravated by even slight inspiration

Throbbing-sticking pain in the upper part of the left chest, more towards the middle

Stitches in the chest, aggravated by inspiration, and almost preventing it, not relieved by strong pressure, mostly while sitting

Stitches beneath the ribs

Stitches behind the cartilages of the eighth and ninth ribs

Dull stitches between the cartilages of the ninth and tenth left ribs

Tearing in the chest

Scraping and crawling in the chest, with irritation to dry, almost constant cough

Tremor at base of clavicle and in muscles across chest, just above the sternum (first hour)

Itching in the interior of the chest

Mamma?. Complete atrophy of mammary gland ; lean, a flaccid, baglike skin ; wasting of the breasts

The female breasts shrivelled to a simple fold of skin

* Hardness of the right breast, with painfulness to touch and nightly stitches in it

Inflammation of a mammary scirrhus

[*The glands become painful in the evening], M.f

The female breasts ache

Sticking in both nipples and vicinity, in bed, and on the inner surface of the left cheek

* Stitches, as with needles, in the left mammary gland

Front. Caries of the sternum

Stiffness in the sternum on physical exertion

Pain in the sternum, as if pressed inward

[Burning in the region of the sternum],32.;}

Pressure behind the sternum and the left side of the chest, while sitting, not aggravated by inspiration

Pressive pain upon the sternum in the morning, with difficult breathing while standing (third day)

Pressive pain on the sternum the whole day, with now tearing, now sticking pains about the breast and nipples, accompanied by frequent oppression and shortness of breath (fourth day)

Oppression and severe pressure externally on the sternum, after eating

Stitches behind the sternum, extending to the axilla?,37.

Bruised pain on the inner surface of the sternum

Bruised pain in the forepart of the chest and in the back

Sides. Cutting pressure on both sides of the chest, aggravated by inspiration (after fourteen hours)

Fine sticking pressure in both sides of the chest, most severe when he lies upon the front of the chest

Pressive pain in the right side of the chest and abdomen, aggravated by inspiration

Frequent oppression of the upper part of the right side of the chest, with sensation as if it were caused by incarcerated flatulence

On coughing, sticking in the left side of the chest for three hours, so that she, being waked by it, slept uneasily

[Stitches in the side of the chest],32.§

Stitches beneath the ribs of the left side, obliging hjm to press upon them, while sitting

Stitches in the right side of the chest, as from needles, on walking in the open air

Severe stitches, like knife thrusts, in the side, with loud cries on this account

* Violent stitches in the right side of the chest about the nipple, on every inspiration while walking, relieved by hard pressure with the hand

Fine stitches in the left side of the chest beneath the axilla

Cramplike tearing in the right side of the chest

Heart and Pulse p. 538

Precordium. Anxiety at the heart

Anxious sensation in the heart, with rapid action of the heart

Pressure at times in the precordial region, as if the heart would be pressed down, with oppressed breathing (third day)

Dull stitches above the heart on deep inspiration, although also soon afterwards on every motion of the body

Flying stitches and tearings, at one time in the cardiac region, at another in the hands, head, and legs

Frequent shocks in the heart

Heart's Action. Palpitation on rising

Palpitation after a stool, with intermissions in the beats of the heart

Frequent visible palpitation

Violent palpitation after (birthing

Anxious palpitation, on being suddenly awakened by a loud noise

Heart's impulse very weak

Pulse. Rapid pulse

Pulse extremely rapid and tense

Pulse went up to 120 from emotional excitement ; but in a few minutes the heart regained its usual quietude

Pulse and temperature lowered

Pulse slow and weak

Pulse small, soft, slow (soon after 40 drops)

Pulse 56 (after half an hour),60; (two hours just before death)

The pulse, during the period of greatest influence, and while I was sitting, beat with undeviating precision 60 strokes in a minute; this is, perhaps, two or three beats below its natural velocity when the body is at rest. It was also fuller and stronger than usual. It might have been modified by the general condition of the system on that day, but this influence would probably have increased its rapidity (nineteenth day)

[Pulse unequal in strength and rapidity],32.f

Pulse large, slow ; between these, without regularity, there are several small rapid beats

The pulse is felt in the whole body

Pulse small and weak

Pulse small, hard

Pulse was soft and feeble, but not more frequent than usual

Loss of pulse

Pulse not to be felt

Neck and Back p. 539

Week. Apparent thickening of the neck

Tensive pain in the nape of the neck during rest, with sensation of dryness in the throat

Drawings in the nape of the neck, when walking in the open air (after one hour)

Drawings in the right side of the neck, extending to the shoulder-joint, during rest (third day)

Throbbing drawing on the nape of the neck, whence it extended to the right shoulder (after eight hours)

Sticking in the muscles of the nape of the neck, on the right side, and in the left calf, as with needles

Stitches and pressure in the muscles of the nape of the neck

Back. [Tensive pain in the back],32.J

Cramp in the back, with severe aching and drawing

Pain as if sprained in the left side of the back, during the first day

Crawling in the spine as if asleep

Dorsal pain, between the shoulders, and in the lumbar region

Painful tension in the muscles beneath both scapulae, during rest, much aggravated by raising the arms

Drawings beneath the right scapula

Drawing pain in the right scapula

Pressive stitches between the scapulae, also in the lumbar region, in the region of the short ribs, and in both hypochondria

Severe pressure beneath the right scapula, on every motion of the arms

Dull stitches between the scapulae

Lumbar. Great pains in the loins

Drawing through the lumbar vertebra? while standing (after half an hour)

Pressure in the right lumbar region

Pressure in the left lumbar region and beneath the margin of the left ribs

Stitches in the lumbar muscles, with painful stiffness on moving the back while sitting

Pains in the small of the back

Pains in the small of the back on bending backward

Severe pains in the small of the back on walking a little, followed by nausea and exhaustion

Stitches in the small of the back, with drawings through the lumbar vertebra;, while standing (after three hour's)

Sacral. The ischia pain on rising from sitting, not while sitting

Extremities in General p. 540

Object ire. Knees and elbows much swollen

* Trembling of all the limbs

Partial loss of power on moving her joints ; cannot raise her hands to her head, or extend her legs

Without power to move the arms or legs

* Difficulty in using his limbs, so that he was unable to walk,™.

She dropped an inkstand which she was holding in her hands, and was unable to walk, and she was placed in a recumbent position

Complete paralysis of the limbs, with complete unconsciousness

A numb feeling in the lower extremities, with utter want of power to move them ; this was followed by a similar state of the upper extremities. Along with the numb feeling there was a sensation of stiffness in the limbs different from the feeling of powerlessness of motion. The numb powerless sensation then extended over the whole body, but was not accompanied with coldness of the surface. The sensibility of the skin was normal. On the next day such a feeling of weakness in the limbs that they shook under her, as if she had been recovering from a fever

Subjective. All the limbs are affected before menstruation, with weeping mood, restlessness, and anxious solicitude about every trifle

The limbs fall asleep

Sensation of an unfastening of the joints of the arras and legs, which causes weakness

Gritty sensation in her joints when moved

Pains in the joints of the hands, feet, fingers, and toes

Pains and swelling in her joints, and numbness, after exposure to cold and wet

Weary pain in all the joints

Drawings in the limbs

Drawings in the right fingers, and in the right great toe, and in the evening on the anterior portion of the right lower leg, and in the left toes in the evening, in bed

Dragging sensation in limbs

Pressure and tearing in the joints of the arms, legs, fingers, and toes

In the morning a pressive pain in the joints of the upper arm and upper thigh arouses him from sleep

Cutting pain in the flesh below the nail of the left thumb, and on the right great toe, with burning

Tearings in all the limbs, almost as from a sprain

Wandering tearing in the arms and legs, as also in the teeth (first days)

Bruised sensation in all the joints, during rest; less or not at all during motion

Bruised pain in the arms and legs

Severe bruised pain in all the limbs

Tearing in one or another limb, in bed, in the evening

Buzzing and tingling in the limbs

Superior Extremities p. 540

Objective. The arms when lifted fall like inert masses, and remain immovable

Tickling in the armpits excites no motion of the arms

Twitchings in the arms and hands at night in sleep, preceded by ill-humor; the eyes are open and staring, and are turned here and there

Subjective. Sensation of great weariness in the whole right arm, frequently repeated

Sensation of weakness in the arms

Drawing pain up and down the arm, mostly on moving it

Axilla. Sticking in the left axilla

Stitches in the left axilla

Sharp stitches in the right axilla

Sharp stitches in the left axilla, shooting along the inner side of the upper arm, several in succession

Arm. Mingled weariness and weakness in the lower part of the biceps brach muscle. I particularly studied this feeling and can give no other idea of it except by comparing it, as already done, to a mixture of weariness and feebleness or debility. It was not unpleasant, and there was a constant disposition to flex and extend the forearm (eighteenth, nineteenth, and twentieth days)

Pain as from fatigue in the soft parts of the outer and upper portions of the right upper arm, so that it was difficult to raise it several times during the day

Drawing on the inner side of the right upper arm

Drawings iu the posterior surface of the left upper arm

Drawings in the inner side of the right upper arm

Paralytic drawing pain in the upper arm during rest (after one hour and a halt )

Stitches on the inner side of the upper arm, and in the axille

Tearing through the upper arm in the evening, in hed (first day)

Tearing alternating with stitches in the upper arm during rest, only transiently relieved by motion

Elbow. Cracking in the elbowjoint, especially in the evening

Heaviness in the elbow-joint, with fine stitches

Cramplike pain in the muscles of the forearm, especially when resting on the arm (after one hour and a half)

Drawings in the left elbow, and in the right heel

Cutting pain in the bend of the left elbow from within outward during rest (after fifty hours)

Stitches in the left elbow

Tearing pain in the elbow on walking in the open air

Bruised pain in the left elbow

Bruised pain in the right elbow-joint

Fo}'e«}'m. Drawing and pressing in the forearm

Drawing in the extensors of the right forearm

Drawings in the muscles on the outer and inner side of the left forearm

Drawing on the lower portion of the right forearm

Dull drawing in the forearms, worse during rest than during motion (after seventy-two hours)

Pressure extending from deep in the left forearm to the fingers

Stitches with sensitiveness of the skin to touch on the dorsal surface of the right forearm

Bruised pain in the extensor muscles of the right forearm

Bruised pain on the outer side of the left forearm, worse when touched (after sixty-two hours)

TTlist. Cracking in the wrist, especially in the evening

Paralytic drawing pain in the wrist during rest

A pressing in the flexor tendons above the left wrist

Sticking pain as if sprained in the articulation of the metacarpal bone of the left thumb with the wrist, especially on bending it inward

Fine stitches in the wrists (after ten minutes)

Hand. Deadness of the left hand, especially of the palm

Boring pain iu a small spot in the palm of the left hand at the point where the line surrounding the ball of the thumb meets with that of the third finger

FitigeV8, Yellow finger-nails (sixth day)

Twitching of the muscles of the ball of the left little finger

Long-continued visible twitching of the muscles of the ball of the left thumb, which draws the thumb and metacarpal bone back and forth; if the thumb is forcibly kept straight by the extensors the twitching can be seen under the skin ; when the force of the extensors is relaxed the thumb begins to twitch again

Numbness of the fingers

Numbness and coldness of the fingers and toes

The fingers become spasmodically stiff and cramped on cutting with shears

Burning pain on the flexor surface of the index finger, and afterwards a hard, long-continuing lump at that place

Drawing in the fingers

Drawings in the left thumb

Drawing in the first phalanx of the left little finger, with a feeling of stiffness, which remains even after moving the fingers

Sharp drawing in one or another finger

Dull pain, with feeling of stiffness in the right fourth finger, followed by severe pressure on the upper and outer portion of the left upper arm

Stitches as with needles beneath the finger-nails (fifth day)

Stitches beneath the nails of the right hand

Stitches in the tips of the fingers, aa with needles

Sharp stitches in the metacarpal joints of the fingers during rest (after one hour and a half)

Pain under the nail of the right index finger as if the part were torn and the nail pulled up

Numb prickling sensation was felt in the fingers, extending gradually to the elbows, producing a stiffness of the muscles of the parts, making it difficult to move the forearm and hand

Cutting shocks in the last metacarpal joint of the thumb (after forty-eight hours)

Inferior Extremities p. 542

Objective. Staggering while walking

Staggering gait

Gait faltering, vacillating; he staggers as if drunk, dragging his legs after him

Loss of power and heaviness of the legs, especially of the knees, as if they would knock together ; they trembled

Painless loss of power in the inferior extremities

After twenty min,uses he got up and walked a mile; but the legs were so weak that they could hardly support him ; the knees tended to fall forwards, and his gait was tottering

In dismounting about an hour from the commencement of the symptoms (about an hour and a half after taking the dose), I found so much difficulty in walking as to require assistance to reach the house, the inferior extremities appearing nearly paralyzed. So little pain or distress was felt, however, that I laughed heartily at the predicament I had so unwittingly placed myself in. Feeling anxious to get rid of this annoyance, as well as from the solicitude of those around me, I tried what effects smoking tobacco would produce. I had been in the habit of using this luxury occasionally, and at this time had a strong desire for it. Whether from this cause or from rest and composure I soon felt very much relieved. Vision became clearer, the limbs less troublesome, and whilst sitting, little or no apparent effects of the poison remained. On rising, however, the inferior extremities persisted in their unwillingness to move, but much less than before. The whole day passed without being entirely rid of these feelings

Complete paralysis of inferior extremities, afterwards of the upper, or the reverse

Intoxicated sensation while walking, as if his steps were somewhat impeded ; he, however, walked very rapidly

Sensation of heaviness in the lower extremities, and feeling as though she was unable to move them ; the same sensation in the arms, with a general feeling of weakness in the limbs distinct from the sensation of paralysis ; this latter sensation affected the whole body

Hip. Hipjoints almost immovable

The right hip is painful, and feels as if sprained, in the evening while walking

Thigh. Numbness in the thighs

Sensation of weakness, even to trembling, in the right thigh, while walking

Cramplike pain in the anterior muscles of the right thigh, while walking in the open air (after thirteen hours)

Dull drawing in the right thigh during rest, relieved by motion (after one hour and a half)

Stitches in the hamstring while walking in the open air

Stitches as from needles in the muscles of the left thigh while sitting

Long-continued deep stitch at the superior attachment of the gluteus maximus muscle (after three hours and a half )

Dull stitches in the thigh, near the trochanter, not preventing walking (after a quarter of an hour)

Dull tearing in the forepart of both thighs while walking

Fine crawling in the posterior surface of the thigh

Knee. Crackling of the knee (in the patella ? ) on becoming erect

Mingled weariness and weakness in the knees, and the gait was not so firm as usual (seventeenth and subsequent days)

For one hour and a half the muscular weakness continued to such a degree that, after walking upstairs, the knees ached from sheer weariness, and I could hardly prevent myself from tottering, and was glad to come to a state of rest

Upon going upstairs, the knees were so weak as to render the ascent very difficult without assistance by taking hold of the balustrade (nineteenth day)

Stiffness, with pain, in the tendons under the left knee, while beginning to walk

Fatiguing pain about the knee, lasting half an hour

Paralytic pain in the hollow of the knee, as in dropsy of the knee-joint

Rheumatic pain in the knee the whole day (fifteenth day).1

Dull pain in the knee, on stepping

Dull pain in the left knee on stepping

Drawing beneath the right patella/

Pain as if sprained in the right knee

Frequent stitches in the knees

Tearings about the patella while sitting

Tearing pain about the knee-joint

Bruised pain, or feeling as if the patella were broken in the whole left knee, causing loud cries, while walking and standing in the open air, with anxious heat all over, on exhausting ojie's self in walking

Leg. A place on the leg that had been bruised twelve days previously, and had remained painful to this time, became blue and mottled, and pained on the slightest motion like the cutting of a knife, with a feeling as if bruised, on walking or on touch

[Swelling of the legs],23.f

Slight occasional movements of left leg

Jerking and uneasiness in the legs, at times followed by shivering, at night

The legs go to sleep while sitting

Drawing on the outer side of the right leg

Drawings in the muscles of the right leg, as far as the foot and toes

Drawing and tearing in the left leg, with great uneasiness, so that she could not keep still a moment

Severe oppressive sensation and weakness in the anterior surface of the right leg, extending down to the foot, in bed ; afterwards the same sensation in the left lower leg, obliging him to rise and walk about, whereby it was relieved for the moment

Tearing in the leg, extending upward from the inner side of the foot, in the open air

Dull tearing along the leg, extending upward from the external malleolus, in the open air

Tingling pressure on the tibia?, on stretching out the limbs while sitting

Tearing on the tibia, in the evening, in bed (first day)

Cramplike tearing in the tibia, while walking in the open air

Bruised pain in the tibiae

Tensive stiff pain in the calves

Drawing in the right calf

Drawings in the left calf and back of the foot

Drawings in the lower portion of the left calf and sole of the foot

Drawings on the inner side of the left calf, and on the back of the right foot

Pressure in the right calf

Ankle. Dull pain in the ankle

Stitches in both right malleoli, at first fine, then sharp, for two days and nights, waking him from sleep, at last extending into the calves, slower while sitting, but more frequent and severe while walking

Tearings in the ankle from noon till evening, worse while sitting and walking

Bruised pain in the left ankle, with tension and feeling of stiffness on moving it

Foot Swelling of the feet, painful, and not disappearing during sleep

Swelling of the whole foot, with burning pain

Trembling of the feet, in the morning on rising

[Arouses the podagra]

Numbness and insensibility of the feet

Burning and throbbing sticking in the bend of the foot

Numb prickling sensation in the feet, creeping slowly upward until it reached the upper part of the thigh

Tearings on the back of the foot, in the evening, in bed (first day)

Tearings in the soles, while walking

Crawling pain in the soles of the feet, while stepping upon them, but stitches in them while walking

Numbness of both heels, with prickling as from needles, while sitting

Heavy clogging sensation in the heels (after three-quarters of an hour)

Sensitive burning pain beneath the heel on stepping upon it, with redness and swelling of the place

Sharp drawings beneath the heel

Much sticking in the right heel, while walking and standing

Toes. Burning pain beneath the toes, while sitting

Drawing in the toes

Drawing in the left toes

Drawings in the lower surface of the left great toe

Pressure in the ball of the right great toe

Cuttings at the tips of the left toes

Stitches and burning in the tip of the left great toe

Stitches in the tip of the left great toe, as if under the nail, while sitting

Pulsating stitches in the little toe, which is also painful while walking

Tearings in the ball of the great toe, in the morning, while standing and sitting

Burning tearing in the metacarpal joint of the great toe, on waking from sleep while lying

Prickling in the toes

The tips of the toes pain as if suppurating

Generalities p. 544

Septic dissolution of the fluids

In the bones, especially in the middle of the long bones, concealed caries, with burning-gnawing pain

Consumption,14 29.f

[Dropsy],33.4

He walks about as if half asleep

Throbbing motion and trembling of the whole body, especially severe in the arms (fifth day)

Trembling,4,0™", etc.

Constant trembling

He starts at every sound

Jerklike startings up as in fright

Subsultus tendinum

The whole upper portion of the body was seized with violent spasms, while the lower extremities were paralyzed

Co7illusions,9 14 35.

Convulsions of affected parts, and of the whole body, with danger of stupefaction

Most violent convulsions, with constant uneasiness and wild fancies

Hysterical attack, with chilliness and a kind of spasmodic motions,20.§

Relaxation of muscles and limbs, followed by difficulty of walking and want of power to control movements ; forced to lie down (half an hour)

Very easily overstrained

There was a distinct impairment of motor power. I felt, so to speak, that "the go was taken out of me. It was not that I felt fatigued just then, but it seemed as if a drag was suddenly put upon me, and that it would be impossible to walk fast, if urged to do so (after three-quarters of an hour). After walking about a mile uphill, this sensation was very decided ; and on putting a foot on the scraper at the door of the hospital, the other leg was shaky, and felt almost too weak to support me. My movements appeared clumsy to myself, and it seemed necessary that I should make an effort to control them

Languor, muscular weakness, with strong desire to assume a recumbent posture

If a strong, active individual take 5 or 6 drachms of the succus on getting up in the morning, and start off for a long walk, he will be overtaken in the course of half or threequarters of an hour with a feeling of general tiredness, and a special weakness of the knees, as if he had been regularly tired out by walking all day to the full extent of his powers. If he be unusually active and strong, he will not, perhaps, yield to the inclination to rest, but will proceed slowly on his way, feeling a strange lightness, powerlessness of the legs, with a tendency to drop forward on his knees. This will be associated with some giddiness, and a feeling of heaviness over the eyes. At first the feeling of languor will be most oppressive, but it will soon become more tolerable ; and, if he should continue his journey for an hour, he will find that the feeling of fatigue has by this time nearly passed off. In the course of another hour he will be as active as ever

Loss of power on waking from the midday nap ; the arms and legs feel prostrated

Loss of her strength even to death

The most powerful and active subjects lose their strength, and are obliged to keep their beds

[Sinking of all the forces],32."}-

Weakness

Weakness of the whole body

Weakness, in the morning, after waking, as after a fever

Weakness in the morning on waking, which disappears after rising

Weakness of the whole body in the morning fasting, as after severe illness, with loss of appetite as from satiety, and aversion to food

Was obliged to keep his bed on account of weakness and chilliness with palpitation and headache

Attack of weakness and chilliness, so that he was obliged to lie down, followed the next day by headache and palpitation most violent ;. it seemed on every beat of the pulse as if the occiput were being pierced by a knife, and the heart seemed at times to throb violently, at times to make great haste, and at times to waver

Great weakness and exhaustion after eating

Remarkable weakness of the whole body, in the morning and evening

Tremulous weakness after every stool disappearing in the open air

Muscular weakness, causing slight tottering

Weak and sick in the morning, in bed, with ill-humor, sleepiness, and pains in the stomach (second day),1-

So weak that she was obliged to lie down

Exhaustion of mind and body (fourth day)

Great exhaustion

Very much exhausted, weak and as if paralyzed, after a short walk, with fretful hypochondriac mood

Walking in the open air is exhausting and the air affects one

Nervous prostration,31.4

Paralysis

General paralysis of all the voluntary, and ultimately of all the involuntary muscles; those of deglutition being the first, and of respiration the last to fail

The paresis, which had hitherto been mainly confined to the ocular muscles, became general, aud then I found that, even with the eyes shut, any movement involving the balance of the body was attended with a singular uncertainty and falling short of the desired effect, and this was again invariably accompanied by a fresh rush of seasick feeling. I accordingly now settled back in my arm-chair, shut my eyes, and for some ten minutes kept absolutely still, with every muscle completely relaxed. The seasickness then speedily disappeared, and I became wholly unconscious of any influence of the poison whatsoever. Indeed I had to open my eyes at last and experimentally look about, in order to know whether the enemy was still with me at all or not,45.§

* Faintness 28.

Attacks of faintness, in each of which she remained about five minutes without consciousness

Constant uneasiness

Hastiness and uneasiness in all his actions

Hurried mood

Constant tossing about, with violent screaming

Subjective. General increased liability to take cold

Great liability to take cold, even in the room, while sitting after a walk, during which he had perspired

Dulness of all the senses

Disinclined to work

During the action of hemlock, a sensation of muscular weariness, almost amounting to aching, is not uncommon, particularly if bodily exertion be continued the while

I sat down to note these observations ; but, being afraid to maintain this posture lest the rapidly decreasing muscular energy should get the better of me, I rose up again and tried to shake it off. An hour and a quarter after taking the dose, I first felt decided weakness in my legs. The giddiness and diminution of motor power continued to increase for the next fifteen minutes. An hour and a half after taking the dose, these effects attained their maximum ; and at this time I was cold, pale, and tottering. The pulse which had been emotionally excited by the sudden accession of the foregoing symptoms, was now 68, quite regular, and of undiminished force and volume. The legs felt as if they would soon be too weak to support me. There was a positive diminution of voluntary power in every part of the muscular system, and this nearly amounted to complete paralysis as far as the hamstring and levator palpebral muscles were concerned. At one time, the greatest exertion was required to elevate the eyelids. The mind remained perfectly clear and calm, and the brain active throughout; but the body seemed heavy, and well-nigh asleep. After continuing for about half an hour at their maximum, the symptoms began rapidly to decline,, and within three hours and a half after taking the dose they had totally disappeared

He cannot get rested in any position

Heaviness and unsteadiness of the whole body, in the afternoon

A kind of stiffness of the body; movement of the limbs, neck, etc., causes an unpleasant sensation

Feeling in the morning, as though he had not slept enough

Standing is very irksome

On returning from a walk every step was excessively irksome, and he could scarcely wait a moment on account of ill-humor and impatience for the time when he could rest in solitude

He feels the blood very uneasy in the whole body

Feeling as though the whole body were inclined towards the right side

A place injured several years previously frequently begins to pain

Contractive sensation in the inner parts, wherewith saliva accumulates in the mouth

Cramplike and spasmodic pain in various parts of the body, chest, jaws, etc.,1.

Fine cutting in the glands

Paroxysm, usually after eating, commencing with yawning, sticking in the sternum, and pressure in the pit of the stomach, even on touch, whence it extended to the back and became sticking in the region of the kidneys

Sticking sensation in the whole body

Smarting-sticking pains about the swollen glands

Stitches in the swollen glands

Tearing stitches now here, now there, very piercing, as if to the bone

Tearings through various parts of the body (fourth day)

General bruised sensation

Took three doses of 60 grains each. The effect was greater in the evening than in the middle of the day, but less than in the morning. The recumbent position might have had some influence in diminishing the appreciation of this effect (nineteenth day)

Symptoms are worse at night, and wake him from sleep

The pains appear mostly during rest; on motion they appear only during the infrequent alternate action

9? p.m., took 60 grains after eating apples. The action was less powerful than in the middle of the day (eighteenth day)

In thirty-five minutes after the second dose of 60 grains, that day the action of the medicine appeared to have reached its maximum, which it maintained about fifteen minutes, with the sensations in the head, elbows, and knees already described, and to a greater degree than after any dose previously taken. In one hour and a half from the time of taking it, its apparent effects had entirely disappeared (eighteenth day)

Skin p. 546

Objective. Blueness of the whole body

Skin blue, and covered with cold sweat

Yellow spots on the fingers (fifth day)

Petechiae

Inflammation of the skin of the whole body, which is painful and burning

Eruptions, Dry. Fine, scarcely visible eruption on the face, back, and rest of the body ; itching like a creeping under the skin

Papulous eruption on the forehead, with tensive-drawing, pain (fourth day)

Papulous eruption on the chest, which is painful to touch

A large papulous eruption on the mons veneris, which was painful to touch

Pimples on the forehead, with tensive pain, which, during aud after itching, becomes tearing in their whole vicinity (second and third days)

Erupt ion of several pimples above the forehead, one of which became as large as a hazelnut within fifteen days ; the tips were painful to touch (after twenty-four hours)

A pimple appeared in an old liver spot on the cheek

Breaking out on the lips, following slight fever,32.f

Eruptions, Moist. [Eruption of white, transparent pimples, which become filled with an acrid moisture, and form scabs similar to scabies, together with localized, offensive, biting sweat],32.4

Vesicles on the upper lip, on the vermilion border, with smarting pain

An eruption of two vesicles as large as the head of a pin, filled with colored fluid, surrounded by a bright-red areola

Small vesicles, with bright areola near the knuckle of the left little finger

Three small vesicles, with a red areola and itching, which is worse after scratching, between the thumb and index finger on the back of the right hand

Small itching vesicles on the back of the ball of left thumb

Eruptions, Pustular. Pustules on the feet

A pustule in the fold near the right wing of the nose

Ulcers. Ulcers, with inflammation around the finger-nails, and throbbing, suppurating, burning pains

The margins of an ulcer became black, with discharge of offensive ichor

Offensive ichor from an ulcer,32.§ Cold gangrene in a portion of an ulcer,20.||

Bleeding of an ulcer

Subject i re. Slow itching-biting burning stitches here and there on the body

Itching stitches as from fleas, in rapid succession, here and there over the whole body, always singly, never two at a time

Transient itching here and there in all parts of the body

[Pain shoots into an ulcer on coughing],32t"f~.

[Increased pain in an ulcer; tensive pain in an ulcer],32.4;!

Burning and sensitiveness of the skin on the side of the left little finger, with redness of the part

Burning, with great sensitiveness of the skin, above the left knee

Painful burning and sensitiveness of the skin on the back of the left forearm, and even on slight touch, but nothing Mas visible

Severe burning in the skin on the right side of the forehead

Violent burning in the skin of the right temple, afterwards in the tip at the side of the nail of the left thumb

Painful tension of the skin behind the ears and on the mastoid process, even without moving (after one hour and a half)

Drawing pain in an old wart on the upper lip

Sticking in the skin on the left zygoma

Itching, needle-like stitches on the posterior surface of the thigh, worse while sitting

Sensitiveness of the skin on the back of the hands

Smarting in the skin of the face, as if it were sore, after washing and drying the face

Crawling in the affected parts

Crawling and agreeable itching in the glands,32.§§

Crawling in the toes

Crawling under the skin of the right cheek, extending to the corner of the mouth

Crawling on the back of the nose (after one hour and a half)

Itching crawling on the tip of the nose and in the nostrils

Itching crawling in the forearm, only transiently relieved by rubbing (after one hour)

Itching around the left eye

Itching of the upper lip (after half an hour)

Itching on the pit of the stomach while walking

Itching in the abdomen

Itching shivering from the nape of the neck to the head (fourth day)

Itching of both breasts ; on rubbing the skin becomes rough and red, with a burning sensation

Agreeable but violent itching in both nipples (after four hours)

Itching on the small of the back

Itching of the limbs

Severe itching iu the ball of the left hand

Itching on the back of the fingers

Itching on the flexor surface of the right wrist

Itching on the back of the balls of both thumbs ; on the next day some small vesicles appear at this place

Itching on the sides of the third and fourth fingers, transiently relieved by rubbing

Itching in the left thumb and little finger

Itching of the thighs and arms

Itching in the hollow of the right knee

Itching and sticking on the legs and feet, and also in the palm of the left hand ; with stitches, as from needles

Itching on the right lower leg, followed by burning sore pain, lasting some time ; the spot remained slightly red ; on the next day this burning had extended, and was much increased by touch of the hand, but there was nothing visible externally; during the next day a small bright-red spot appeared, which did not disappear on pressure, and in which the burning was most severe ; the spot, as also the skin about it, was very sensitive to the slightest touch

Itching on the back of the toes and fingers

Frequent itching in various places on both wrists

Much itching on the right half of the body

Severe itching about the chin

Severe itching and itching pimples on the soles of the feet

Intolerable itching in the fossa between the nates

Sticking itching across the whole external chest, which only transiently disappears on scratching (after one hour)

Continued sticking itching in the cheek and right side of the face, only relieved by repeated scratching

Corrosive itching, always commencing with sticking, in the evening, in bed, only on the right half of the body, especially when lying upon it, with uneasiness in all the limbs, easily relieved by scratching, but constantly reappearing in another place

Itching corroding on the forehead, only transiently relieved by rubbing

Sleep and Dreams p. 548

Sleepiness. Frequent yawning, as from insufficient sleep

Sleepiness during the day ; he cannot keep awake while reading (after three and eight hours)

Sleepiness during the day, without being able to sleep

Great sleepiness in the evening and disinclination for all occupation

Sleepy in the morning on rising

Sleepy in the afternoon ; is obliged to lie down and sleep in spite of everything

Very sleepy and weary, in the morning, on waking (first two hours)

Drowsiness (one hour and a quarter)

Dozing, even while walking in the open air

Usually in half an hour the patient is asleep

Quiet sleep, especially in the morning it is very sound and much longer than usual (in part curative action)

Stupid, much too sound sleep, after which the scarcely noticed headache becomes steadily worse

Is unable to arouse himself from sleep at the usual time of waking, and for a long time afterwards feels sleepy

Slumbering the whole day, with great prostration

Coma

At the time of general paralysis coming on there is more or less coma, collapse, or a condition between the two ; there is foam from the mouth, and death is apparently the result of coma

Comatose, unconscious, breathing with extreme difficulty

Growling in sleep at night

He uncovers his arms in sleep

Sleeplessness. Falls asleep late, only after midnight

Interrupted sleep

He awoke at midnight with sweat

Waking earlier than usual in the morning

Anxious half-waking from a sound sleep

Loss of sleep

Loss of sleep on account of uneasiness and heat ; tossing about the bed

Dreams, Confused dreams, with uneasy sleep

Many confused dreams during the night

Vivid voluptuous dreams/.

Bad dreams frequently interrupt sleep (first day)

Dreams full of shame

An anxious dream before menstruation

Anxious dreams full of threatening dangers

Anxious, vivid dreams

Anxious, frightful dreams

Frightful dreams

Many frightful dreams at night, and towards morning

Frightful, anxious, very vivid dreams

Dreams full of anger and vexation

Dreams of physical mutilation

Dreams of wretched diseases

Many dreams of dead people, and of the death of those living

Nightmare

Fever p. 549

Chilliness. Chilliness (after one hour)

Chilliness in the morning for two hours, with headache and. nausea (third day)

Chilliness in the afternoon from 3 to 5

Chilliness at the end of the evening meal

Chilliness with every stool

Chilliness, with trembling in all the limbs, so that she was constantly obliged to go into the sun

Chilliness, with cold hands and hot face, accompanied by nausea

Awakened about 5 a m., by internal chilliness (almost without thirst), with cold hands and soles of the feet and hot face, lasting eight hours ; followed by great heat in the face and weakness (after twenty-four hours)

Coldness and chilliness in the morning, with dizzy constriction of the brain, and indifference, with depression

An internal coldness, with numb sensation extending from the thigh to the foot

He awoke at 4 a.m. on account of becoming cold, with pain in the head and scapulae, on turning the body, as if bruised, with pains in the abdominal muscles of the epigastric region, on deep inspiration, which took away his breath

Surface of body cold

Shivering (immediately)

[Shivering], 32.f

Shivering over the whole body

[Shivering over the whole body from time to time, followed by rapid pulse, with heat and thirst],32.!

Shivering for an hour and a half, several mornings in succession, about 8,1.

Shivering and coldness in the afternoon ; followed, after five or six hours, by creeping of a glowing heat over all the limbs, when the confusion of the head and the indifference with sadness disappeared, and the most active participation in every occurrence took their place (after seven and eight hours)

Shivering on motion

Lack of vital warmth after the midday nap, with chilliness

Constant lack of vital warmth, and constant chilliness

Feeling of want of vital warmth, with chilliness

Chilliness in the back, with cold hands and blue nails; sometimes the coldness extends up into the arms ; this usually happens about 10 a.m. and lasts from half an hour to an hour

Much chilliness through the back, in the warm room, with cold hands and blue nails

Extremities cold

Extremities were icy cold, as well as the whole body

Heat. Heat

General heat and sweat, after a cup of tea, with two spoonfuls of wine

Constant heat

Excessive heat

Internal heat, especially in the face, with redness of it, without thirst

Great febrile heat, with great sweat and thirst, with loss of appetite, accompanied by diarrhoea and vomiting

Constant dry heat of the whole body, without thirst, before the appearance of the menses

Burning heat through the whole body, with thirst

Sudden attack of violent heat, vertigo, and a pain which spreads over the whole head ; the vertigo increased so much for several hours that he was unable to remain in an erect position

Sensation of heat in the whole body, with externally perceptible great warmth of the skin, and dry, sticky lips, without thirst, even with aversion to drink, and with thready saliva in the mouth ; noise and bright objects affect him, as also every motion ; he desires to sit alone with closed eyes

Sensation of internal and external heat, after sleep

Becomes hot at night in bed; is obliged to rise and pass the night upon the sofa

The child desires to go to bed early in the evening; is then very hot and sweats profusely all over, with uneasy sleep, great trembling, short, rapid snoring respiration

The skin of the body seems hotter than it really is

Fever,BU.

Daily fever

Hot, deathly fever

Insidious fever, with loss of appetite

Violent catarrhal fever, with inflammation of the throat and loss of appetite

[Various attacks of fever],33, t

Flushes of warmth in the afternoon, without thirst

Orgasm of blood in the body, immediately

Violent, constant orgasm of blood, mingled with jerkings in the heart

Heat in the head

Heat in the head, with cold extremities

Heat, heaviness, and confusion of the head, always after taking the drug, lasting an hour or longer, and can always be distinguished from the various bonepains of the head which result from the drug

Heat in the occiput, then in the forehead and cheeks

Heat of the face, rush of blood to the head, and sensation of coryza in the nose (after four hours)

Great heat of the face and forehead, rather internal than external

After eating, there arises a kind of weak heat as from the stomach through the arms to the fingers, whereupon the hands become pale and dead

Sensation of heat down the back, in the morning on waking

Sweat. Inclination to sweat in the morning on and after waking, even of the cold limbs

Sweat all over, especially on the forehead, with redness of the face and whole body, without remarkable heat

Night-sweat

Sweat about midnight

Sweat on eating and drinking

Some sweat as soon as the eyes are closed, even on beginning to sleep ; and even during the day on dozing while sitting

Slight sweat over the whole body, in the morning on waking from sleep

Profuse sweat, in the evening while sitting, with heat of the face

Profuse sweat after midnight

At one time sweaty, at another not

Gentle glow of perspiration over the entire body

[Slight transpiration]

Sweat on the perineum

Sweat only on the limbs at night

Increased sweat of the genitals

Cold sweat alternately in different parts of the body

[Localized, offensive, biting sweat],32.]:

Sweaty hands

Forehead and hair covered with a cold perspiration, like death-sweat

Conditions p. 550

Aggravation.

(Morning), Until 10 or 11 oclock, all symptoms ; fantasies ; fretful, etc. ; on rising from bed, vertigo ; on waking, headache ; after rising, headache ; pain through temples ; mucus in eyes ; on rising, vertigo; eructations; nausea; between 1 and 2 oclock, cramp in stomach ; after rising and after stool, pain from pit of stomach to throat ; while lying and twisting about in bed, pain in pit of stomach ; while lying in bed, pain in hypochondrium ; after rising, colic in umbilical region ; tearing from hypogastric region into sides of abdomen; after chilliness for two hours, cutting colic, etc.; after eating, colic, etc.; while sitting, drawing in lower abdomen ; immediately after urinating, burning in urethra; on waking, everything seems as if too full in chest ; pain upon sternum, etc. ; on rising, trembling of the foot ; while standing and sitting, tearings in great toe ; after waking, weakness; in bed, weak, etc.; effect greatest; chilliness, etc.; coldness, etc. ; at 4 oclock, coldness ; at 8 oclock, shivering ; at 10 oclock, chilliness in back, etc.; on waking, sensation of heat down back; on and after waking, inclination to sweat ; on waking from sleep, sweat over body.

(Forenoon), Sticking headache, etc. ; pressure in eyes.

(Noon), Pain in forehead.

(Afternoon), From 5 to 6 oclock, ill-humor; towards evening, burning in eyes ; blindness ; thirst ; towards evening, eructations ; vomiting of mucus; distension, etc., of abdomen; from noon till evening, worse while sitting and walking ; tearing in the ankle ; heaviness, etc., of body ; from 3 to 5 oclock, chilliness; shivering, etc.; flushes of warmth.

(Evening), From 4 to 9 oclock, the symptoms ; in bed, pulsations in side of head; in bed, on closing eyes to sleep, pressure in the eyes ; late, pain in bone above eye, etc. ; double vision ; pain in face ; sour eructations ; heartburn; nausea ; distension of abdomen ; after eating, hardness, etc., of the abdomen ; before going to sleep, stiffness of penis ; on going to sleep, severe cough ; in bed, difficult inspiration ; on lying down, rattling in chest ; in bed, when lying upon side, drawing, etc., through chest ; glands become painful ; drawings in lower leg ; in bed, drawing in toes ; in bed, tearing in limbs ; in bed, tearing through upper arm ; while walking, hip painful ; in bed, tearing on tibia; tearing in back of foot; weakness; while sitting, sweat.

(Night), From 11 to 12 oclock, all symptoms; in sleep, violent weeping; after waking, fearful thoughts; in bed, headache, etc. ; on closing eyes, zigzags before sight ; nosebleed ; pain in face ; scraping in throat ; while lying, and especially on inspiration, sticking in hepatic region ; frequent micturition; in sleep, twitching in arms, etc.; jerking, etc., in lower legs ; the symptoms ; about midnight, sweat ; sweat on limbs.

(In open air), Tearing along lower leg.

(On going into open air), Pressure in the head ; sparks before eyes.

( While walking in open air), Depression, etc.; dimness of vision ; spots before eyes ; stitches in chest ; drawing in nape of neck ; pain in elbow7 ; pain in muscles of thigh ; stitches in hamstring ; tearing in tibia.

(After walking in open air), On going in, headache, etc.

(In bed), Sensation, etc., in surface of lower leg.

(After breakfast), Eructations ; weariness, etc., of abdominal muscles.

(On deep breathing), Tension in side of abdomen ; cough ; stitches above heart.

(Eating cold things), Drawing in hollow teeth.

(Exposure to cold and ivet), Pains, etc., in joints, etc.

( On cutting with shears), Fingers become stiff, etc.

( On descending stairs),- Vertigo.

(After dinner), Roaring in ears; nausea, etc.; while sitting, colic.

( While drinking), Sticking in ear.

(After drinking), Dulness in head; soon, drawing through chin towards ear; sensation in abdomen; palpitation.

(While eating), Pain in temples; roaring in ear; bad taste in mouth.

(After eating), Headache in temporal region ; sour water in mouth ; mouth acid; sour eructations; rising of acidity; nausea, etc. ; inclination to vomit; cutting in stomach ; soon, pain in abdomen ; immediately, accumulation of flatulence; oppression, etc., on sternum; weakness, etc.

(On eating and drinking), Sweat.

( On becoming erect), Vertigo ; cracking of knee.

(After erections), Pain in testicles ; griping, etc., in testicles.

(Exerting head while sitting), Roaring in ears.

(Inspiration), Pressure in pit of stomach ; stitches in chest ; pressure on sides of chest ; pain in right chest.

(After sleeping in heat of sun), Immediately, blindness.

(While laughing), Pain in abdomen.

( While lying), On waking from sleep, tearing Roaring in ears.

(Lying on front of chest), Pressure on sides of chest.

(After every meal), Tension in head, etc.; nausea, etc. ; griping in lower abdomen.

(At end of evening meal), Chilliness.

(After milk), Flatulent distension of abdomen.

(Motion), Pressure in pit of stomach; sticking in abdomen ; stitches above heart ; pain up and down arm ; shivering.

(Moving eyes toward affected side), Headache.

(Moving arms), Pressure beneath scapulae.

( On trying to walk with eyes open), Giddiness, etc.

(Pressure), Pain in abdomen.

(Raising arms), Tension beneath scapula.

(Reading), Pressure in eyes.

(During rest), Pain in nape of neck, etc. ; drawing in side of neck ; tension in muscles beneath scapula ; sensation in joints ; pain in upper arm ; tearing, etc., in upper arm ; pain in bend of elbow ; drawing in forearm ; pain in wrist ; stitches in finger-joints ; drawing in thigh ; appearance of the pains.

(On rising from seat), Vertigo; dim sight; tendency to vertigo ; pain in ischia.

(In room), Symptoms generally ; sticking in forehead.

(Sitting), All symptoms; tickling in throat; tearing in mons veneris ; pain in chest, etc. ; thrusts through chest ; sticking between nipple and sternum; stitches in chest; pressure behind sternum, etc.; stitches beneath ribs; stitches in lumbar muscles; stitches in muscles of thigh ; tearings about patella; numbness of heels, etc. ; pain beneath toes; stitches in tip of great toe ; stitches on surface of thigh.

(After midday sleep), Distension of abdomen.

(While standing), Difficult breathing; stitches in small of back, etc.; drawing through lumbar vertebrae; sticking in heel.

(On stepping), Headache; pain in knee.

(After stool), Immediately, colic; palpitation; tremulous weakness.

(On stretching out limbs while sitting), Pressure on tibia.

(After supper), Pain in abdomen.

(Swallowing), Pain shooting out at ear.

(On waking), Confusion, etc.; loss of power.

(While beginning to walk), Stiffness, etc., in tendons under knee.

(While walking), Dizzy; drawings in temporal muscle; on every step, nipping in vertex ; tearings in occiput ; pain in liver ; pains in abdomen ; sticking in groin ; pressure in neck of bladder; on every inspiration, stitches in right chest; pains in small of back ; tearing in thighs ; stitches in malleoli; tearing in soles ; sticking in heels.

Amelioration p. 552

(Morning), Lively, etc.

(In open air), Tremulous weakness.

(Walking in open air), Pain in lower abdomen.

(Closing eye), Drawing in head.

(Eating), Drawing in head, etc.

(Becoming erect), Sensation in occiput.

(Leaning head on hand), Headache.

(Motion?), Drawing in thigh.

(Pressure), Stitches in right chest.

(Stooping), Headache.

Footnotes

† See note in Cicuta virosa. — T. F. A.

† Not found. — Hughes. X Patient had attacks of this with 357 till she died ; there is no thought of ascribing them to Conium. — Hughes.

† The phrase, " tendency to vertigo," has been used here in preference to the word vertigo, simply because this effect, thus described, was not sufficient at any time to destroy the ability to walk straight. The instability of the gait was, or appeared to be, principally owing to the effect upon the muscles in the vicinity of the knees. % In an old woman of eighty ; ten days after leaving off Conium. — Hughes. | During convalescence. — Hughes.

† In Andree's case, with giddiness. — Hughes.

† See note to S. 488. — Hughes. j In a man convalescing from suppurative pneumonia, and treated by Coniumfor splenic cancer, with S. 537, 754, 771, 1024, shortly before death.— Hughes.

† See note to S. 488. — Hughks. || See note to S. 32. — Hughes. vol. in. — 34

† When touching the tongue with the juice of the root. — Hughes. j In cases of cancrum oris. — Hughes. \ In Storck's case as with S. 373. — Hughes.

† According to Fothergill's, with S. 497, 1306.— Hughes. X Not found. — Hughes. \ This, with S. 322, 342, 769, 858, 1281, arose from overloading the stomach f all disappeared alter an emetic. — Hughes.

† The patient under treatment by Conium for a mammary scirrhus had a chill in the street; had this and 638, and died with dysentery. — Hughes.

† A woman could not take more than 4 grains a day without this. — Hughes. | See note to S. 562. — Hughes.

† In the original, "irregular stools, attended with gripings."— Hughes. | In a gouty subject — Hughes.

† Inordinate excitement was present, but nothing is said as to its being sexual. — Hughes. J Checked while on her, in Andree's case; in Greding's, delayed. — Hughes.

† Not found. — Hughks. X See note to S. 328. — Hughes.

† This supervened in a ease of tubercle of the breast, while taking Conium. — Hughks. || See note to S. 784. — Hughes. i[ In a case of mammary cancer, where the lungs were found cancerous after death. — Hughes. ft See note to S. 487. — Hughes. XX See note to S. 328. — Hughes. \\ In a case of suppurating mammary scirrhus-; this and S. 758 coincided with the discharge becoming thin. — Hughes.

† In a case of scirrhous mamma. — Hughes. j From injecting Conium into a fistula of the neck. — Hughes. \ In a case of caries of the ribs. — Hughes.

† Bee note to S. 488.— Hughes. % See note to S. 818.— Hughes.

† See note to S. 328.— Hughes. | In gouty subjects. — Hughes.

† In Collins's case the end of mesenteric disease in which Conium was given. — Hughes. J The end of a case of mammary cancer. \ For Gelding read Greening ; not found. — Hughes.

† In case of note to S. 784. This and 1283 supervened on a free purulent discharge setting in, and were removed by bark. — Hughes. % After taking Conium for seven months. — Hughes. \ Following symptom. vol. in. — 35

† Hahnemann's S. 227, corrected by Dr. Hughes. % Critical, with S. 1333, in a gouty patient.— Hughes. | See note to S. 1190.— Hughes. || Not found.— Hughes. ^ In mammary cancer. — Hughes. ft See note to S. 7 liU.— Hughes. XX Variations of an open cancer of the face while the patient took Conium. — Hughes. \\ Not found.— Hughes.

† See note to S. 48.— Hughes. | See note to S. 1101. — Hughes.

† See note to S. 1079. Tartreux's words are, "after various fevers the woman died dropsical." — Hughes. % See note to S. 1173. — Hughes.