Cubeba

Piper Cubeba, Linn. (Cubeba officinalis, Mig.). Natural order, Piperacex.

Preparation, Triturations.

Authorities. 1, Brought, effects of 1 to 2 drachms thrice daily for a fV™ \r ^gonorrhoea, Lond. Med. Gaz., 1, 405 ; 2, Cattell, " Symptoms," § Tnl v T,lm?S' 8' 239' 295> Gaz- des Hop., 1842, B. J. of Horn., 11; %t , ff ? J ,L°ud- MecL and Phys- Jour- (Boston and Surg. J., 6, t] h eCt^otJ large d°ses three times a day for a trifling gleet; 4, from tue same, .Madame T., effects of six doses, each a small teaspoonful twice daily tor severe leucorrhcea ; 5, Puel. Eec. Med., 16, 48, 1825, experiment «tSt PSYi" Cubebs' first day, 1 dr.; second day, 2 drs. ; third day, 3 drs.; SftQ % qui H(Tldelb- Med- Ann., 3, from Noack's collection, A. H. Z., 15,

«■ \ '*™otz*Ti Hetscnel's Archiv, 1, general' effects; 8, Benatzek, effects of 70 grs, B. J. of Horn., 24, 185.

Appendix p. 627

(Houat's proving, from Nouvelles Donnees de Mat. Med.) lliis truly astonishing collection of symptoms is put by itself, since there is no way ot determining what is pathogenetic and what clinical, and

since there is no intimation of how the symptoms were obtained ; in these days all accounts of scientific experiments must be accompanied by a most complete detail of methods, that they may be verified.

Mind p. 627

Weakness of mind

Loss of memory

Head p. 627

Dulness of head

Headache,5; (fourth day)

Rather severe headache (after two doses)/.

Deepseated headache

Eyes p. 627

Eyes turgid and watery (fifth day)

Very disagreeable sensation ot fulness in eyes (after two doses)

Nose p. 627

Coryza (fifth day)

Face p. 627

Features so completely changed as to leave no trace of their natural expression (fifth day)

Face excessively swollen (fifth day)

Fulness of face, which is occasionally florid

Flushing of face,2; (fourth day)

Lips. Lips puffed, dry, and shining (fifth day)

Extraordinary twist of mouth to one side every time he attempts to speak or smile

Mouth p. 627

Tongue very white (fifth day)

Tongue furred and moist

Stomach p. 627

Increased appetite

Slight thirst, with burning in the throat

Intense thirst (fifth day)

Disagreeable eructations, with feeling of warmth in the epigastric region

Acrid eructations, with uneasiness, heat at pit of stomach, and fever

Nausea

Nausea and vomiting

Constant nausea and occasional vomiting (fifth day)

Sickness at stomach (fourth day)

Inclination to vomit

Stomach disordered

Burning and pressure in the epigastric region and about the navel

Burning pain in stomach

Continued gastric irritation

Abdomen p. 627

Flatulence

Burning in the abdomen

Griping and diarrhoea

Colic

Rectum and Anus p. 627

Haemorrhoids

Burning in the rectum

Stool p. 627

Slight diarrhoea

Distressing diarrhoea, with headache

Copious diarrhoea-like evacuations

Peculiar odor to the evacuations, perspiration, and saliva

Urinary Organs p. 627

Chronic inflammation of bladder much aggravated

* Inflammation of urethra

* Secretion of mucus from urethra greatly increased

Cutting and constriction after micturition (once)

Irritation of urinary passages (always)

Micturition. Urine increased in quantity, deepened in color, and smells of the drug

Urine. Urine frothy

Hematuria (in two cases)

Sexual Organs p. 627

Prostatitis; the gland feels enlarged to finger in rectum; perineum tender; last drops of urine passed with pain; after micturition, sensation as if bladder still contained water

Testicles swollen

Hernia humoralis

Sexual excitement

No inclination for coition, with general weakness of the sexual organs (for a long time after its use for gonorrhoea)

Respiratory Organs p. 628

It aggravates the cough, or lung troubles, when given to persons suffering from them

Respiration hurried and difficult (fifth day)

Heart and Pulse p. 628

Pulse quickened

Pulse frequent and full

Pulse small, and varying from 120 to 130 (fifth day)

Pulse irregular, suspending two or three beats each minute ; sometimes slow, at intervals hurried; not exceeding 84,1.

Extremities in General p. 628

Numbness of the fingers and toes

Superior Extremities p. 628

Stiffness of the wrists, and thickened around the joint

Acute, deepseated pain in wrists, speedily followed by ■redness and swelling

Hands much swollen, and so stiff that the fingers could not be bent (fifth day)

Inferior Extremities p. 628

Pricking sensation in soles of feet

Generalities p. 628

Emaciation

General convulsive movements

Convulsions

Extreme weakness

Partial paralysis

Great restlessness (fourth day)

Skin p. 628

Eruptions. Covered with an eruption from head to foot ; accompanied by a high degree of sympathetic fever (fifth day)

Eruption like urticaria

A "flush of red over whole body (third day). A decided eruption appeared (fourth day). Covered with an eruption from head to foot, which, in some parts, could not have been distinguished from urticaria febrilis, while in others it had more the appearance of lichen in its papular stage, but with more intense inflammation around the base of the papules than is commonly seen in that disease (fifth day)

Urticaria

Severe urticaria febrilis

Subjective. Intense itching sensation

Fever p. 628

Temperature of body increased

Skin burning hot (fifth day)

Increased heat, with thirst

Slight febrile excitement, lasting an hour

Fever with heat at pit of stomach

A slight fever lasting into the night, and also on the following day

Felt feverish, with a tingling and heat over the whole surface of the body (after two doses)

Heat at times in palms of hands and soles of feet

Heat in flashes upon face, soles of feet, and palms of hands

Hands and feet felt hot and numbed (after two doses)

Appendix p. 628

Mind.— Emotional. Madness, with all sorts of beastly extravagances—Impatient, irritable ; a mere trifle provokes him. — Furious insanity, with wickedness ; he breaks everything within his reach, out of sheer malice. — Mania ; desire to strike and to kill. — Delirium ; lascivious words and thoughts, with violent priapism. — Impulse to swear at people ; to strike them and spit in their faces, even to bite them. — Proneness to debauchery and every species of excess. — Shamelessly indecent in thoughts, words, and gestures; especially towards evening.— Paroxysms of foolish gayety,'with great loquacity, or silent weeping, also towards evening. — [10.] Want of decision and will-power.— Fits of dejection, apathy, insensibility ; is indifferent to everything.— Regards himself as more of an invalid than he really is; fancies he is very unfortunate.— Is much disturbed about his health and social position.— Paroxysms of anxiety, suffocation and fainting Excessive nervous excitement ; he is very easily frightened. — Intellectual. \\ weakness of intellect ; frequent absence of mind ; loss of memory. — Is unable to accomplish anything. — Waking reveries. — All his ideas are contused and wandering.— [20.] Cannot find words to express himself.

If cad. Vertigo, Frequent giddiness, so that he is afraid of falling. — -general Head. Sensation of numbness, and as if intoxicated in the brain. Feeling in various places as if the brain were dried up, with great weakness of the bead, which falls from side to side, and has to be supported. — .Neuralgic pains in the whole head, extending to the face,. and causing nun to distort it. — Bone-pains in the head, with sensation of swelling in the cranial bones. — Headache with constant drowsiness, but inability to go to sleep.— Heavy headache, with obnubilation and dread of falling.— Contractive pains in the brain, extending to the facial muscles. — Pressive and lancinating pains in the whole head ; aggravated by warmth and by touch.. —[30.] Pressive and lancinating headache, with general debility; loss of ideas and of consciousness ; on coming to himself he is a prey to uneasiness and despairing anxiety. — Pungent pains, which are felt from cerebellum to forehead. — Hammering pains in the cranial bones, with pressure in the temples. — All the pains of the head are aggravated by inclining it to the right side. — Cold applications alleviate the pains of the head, but afterwards increase them. — External Read,. The hairs become white. — Falling off of the hair, especially in the evening. — Pustules on the scalp, forming scabs like those of small-pox. — Intolerable itching of the head, with burning ulcers.

Eye. — Objective. Eyes inflamed; sclerotic injected with blood. — Subject ice. [40.] Sensation as from exudations in the eye. — Heat and smarting of the eyes as if from pepper. — Lancinations in the eyes ; beginning at the outer canthi, and darting all across the ball. — Lids. The edges of the eyelids are swollen, red, ulcerated, and gummy. — Painful and obstinate styes on the lids. — LacJirt/iual Apparatus. Considerable lachrymation, especially in the evening, in the morning, on waking, and in the open air. — Pupil. Very dilated pupil, of a whitish color. — Sight. Progressive weakness of sight ; strabismus. — He can only discern very near objects. — Photophobia ; he has to keep shutting his eyes to relieve the pains. — [50.] All objects not close by appear confused.

Ear. — Objective. Ears swollen and covered with corroding ulcers — Subjective. Numb sensation in the ears. — Intolerable pain, especially in the left ear ; it feels as if something in it was being twisted. — Great heat in the ears. — Heaving. Very hard hearing.— Complete deafness, sometimes with purulent discharge. — "Words and noises are heard confusedly. — Frequent deafening roaring in the ears.

JSose, — Objective. Nose red, swollen, very sensitive; the least touch on it causes excessive pain, which is felt even in the head. — [60.] Discharge from the nose of rusty greenish-yellow purulent matter, always smelling very badly. — Coryza, with discharge of mucus, sometimes thin, sometimes thick ; burning in the throat and nose; stuffed up head and fever. — Obstinate stoppage of the nose, especially in the evening, so that the voice becomes nasal— A great many small painful pimples in the nostrils. —Paralysis of the olfactory nerve.— Subjective. Very unpleasant dryness of the nose, preventing speech and respiration. — Fulness and pulsation in the nose, with epistaxis, especially in the afternoon, on movement and from heat. — Sensation of fulness and compression in the nose.— Lancinating and gnawing pains in the nasal bones.

Face. — Objective. Wan features ; skin tense and oily. — [70.] Face yellow, pale, or grayish, with blue circles around the eyes. — Enormous swelling of the face. — Crampy and lancinating pains in the facial muscles and bones. — Cheeks. Bone-pains in the zygoma; inflammation and swelling of the facial bones. — Lips. Lips swollen, thick and everted. — Lips hard and tense like parchment. — Chin. The lower jaw hangs loosely. — Bruised pains in the lower jaw, with sensation as if it was dislocated.

Moutll. — Teeth. Lancinating and boring pains in the teeth, especially in the evening. — Gums, The gums recede, with caries of the teeth. — [80.] Ulcers and abscesses on the gums. — Tongue, Tongue swollen, heavy, burning; speech impeded. — Feeling of erosion on the tongue, palate, and inner cheeks. — General Mouth. Aphthae aud small gray ulcers at various places in the mouth. — Burning eruption in the mouth. — Dry mouth, with constant taste of blood. — Burning eruption in the mouth, like erythema, followed by gray patches. — Mouth burns, as if from holding alcohol in it. — Saliva. Great salivation ; he froths at the mouth when talking. — Froth from the open mouth, during sleep. On waking, twitching in the stomach, bulimy, fatigue and painful weakness. — Taste. [90.] Taste usually sour, bitter, acrid, or insipid aud bloody. — Everything he eats tastes too salt or insipid.

Throat. — Objective. Congestion of blood to the throat and head, with strong pulsation of the arteries. — Obstruction of the throat by viscid mucus, often black. — Tubercles in the throat and larynx. — Subjective. All the muscles of the throat seem paralyzed. — Sensation of great heat in the throat. — Burning heat and contraction of the throat, with constant inclination to hawk and hem ; he desires milk, and warm, sweet decoctions, especially such as promote perspiration. — Sense of fulness and strangulation in the throat. — Sensation, as if the throat was full and stopped up, with heaviness of the head, and danger of suffocation. — Tonsils. [100.] Inflammation and swelling of the tonsils, with lancinating burning-pulsating pains, ^ spreading all over the neck. — Abscesses on the tonsils. — Swallowing. Difficult and very painful deglutition ; food and drink often escape through the nose, and into the larynx, making him cough till he raises blood.— External Throat. Swelling of the submaxillary and cervical glands, which burn and are painful.

Stomach.— Appetite. Great hunger, which is satisfied by the first mouthfuls, but returns in a moment, and is insatiable. — Longing for underdone meat, and for milk.— Longing for fresh bread, garlic, and onions. — Longing for dainties, oranges, and acid fruit— Thirst.— Unquenchable thirst, with sensation of great dryness in the mouth, although it is constantly bathed by a flow of oily saliva. — Much thirst and hunger, or complete absence of both, with feeling of great fulness of the stomach. [110.] Desire for strong liquors, especially handy.—Eructation. Bitter and acrid risings, with heat and burning in the stomach and oesophagus. Incessant eructations of an unpleasant odor. — Nausea and Vomiting. Frequent and very painful nausea and hiccough. — Nearly all the gastric symptoms are accompanied by nausea. — Vomiting of food, often long after eating.— Vomiting of ingesta mixed with blood, with painful weariness, debility, altered features, hanging jaw, moral dejection, and delirium. — Vomiting of mucus and bile, or of brownish offensive matter.— Great accumulation of bile on the stomach, provoking repeated vomiting. — Stomach. Inflation of the stomach, with hardness, tympanitic resonance and great sensitiveness. — [120.] Sensation of intolerable insipidity in the stomach and mouth, with frequent nausea and salivation.— Sensation as if live creatures were gnawing and slashing the walls of the stomach.— Sensation as if cold worms were wriggling about in the stomach, and rising to the throat, with inclination to vomit.— Stomach feels as if full and barred up, with difficulty ot breathing.— The stomach always feels tense, and full of water.— Contractive pains in the stomach, with sensation of burning and of coldness.— stomachache, with longing for almonds and nuts.— Sensation as if the stomach was tailing, and dragging down the oesophagus, with paroxysms of noisy, dry cough.— Lancinating and contractive pains in the stomach, which seems to turn round upon itself— Sensation as if there were ulcers in the stomach with pains extending to the loins, and making him writhe about. — L-UJO.J Pulsating, crampy, and burning pains in the stomach, with sensation of acidity, uneasiness, and hunger.

Abdomen .—Hypochondria. Lancinating pains in the hypochondria ; burning and heaviness in the abdomen, with inclination to lie upon it. Cramps and electric pricking in the hepatic region, extending to the back.— Bruised pains in the hepatic region, aud at the same time lancinating pains in the opposite portion of the stomach.— Pulsating pains in the hepatic region, as if from an abscess or calculi. — Incisive pains in the splenic region ; spleen sometimes swollen and indurated, sometimes shrunken aud dried up. — Inflammation and swelling of the liver, with contractive and distensive pains, extending to the stomach. — General Abdomen. Inflammation and swelling of the bowels, with constipation. — Borborygmi and a great deal of incarcerated flatulence, with violent colic, which returns at night, and obliges him to leave his bed, in which the pains are aggravated. — Sensation as if an itching eruption or worms were in the howls— Hypogastrium and Iliac Region. [140.] Colic and gripes in the hypogastric region, extending into the loins, impelling him to bestir himself and walk about ; noisy flatus and frequent, copious, soft, bilious, black, yellow, and sometimes blood-streaked stools. — Swelling of the inguinal glands.

Rectum and Anas. — Swelling of the rectum preventing defecation. — Excessive prolapsus ani, which is of a deep-red color. — Bulky tumors at the anus. — Flowing haemorrhoids, with discharge of black blood, or of yellow, purulent matter. — Itching-burning excoriations, and condylomata at the anus. — Distensive and burning pains in the anus, as if it contained a foreign bod^.

Stool. — JDiavrhCBfl. Diarrhoea, with borborygmi, flatulence, and involuntary stools. — Light-yellow diarrhoea, specked with white, with much colic and tenesmus. — '"150.] Diarrhoeic and dysenteric stools, with copious discharge of blood, and rapid failure of strength. — Constipation. Constipation, often lasting over eight days. — Scanty, but frequent dysenteric stools, with colic and tenesmus.

Urinary Organs. — Kidneys and Bladder. Swelling and congestion of the kidneys. — Painful weariness and weakness in the kidneys and loins, accompanied by burning and pungent pains, aggravated by the least movement of the legs. — Pulsating and burning pains in the kidneys, as if from concretions or an abscess. — Bladder full and distended, with obstruction of its neck, and ischuria. — Urethra. Ulcers, tuberosities, and varices in the urethra. — Blennorrhagia, with great turgescence of the penis, violent priapism; cutting and burning pains in the urethra, especially when urinating; yellow-green thick discharge, deeply staining the linen, and sometimes mucous and clear; painful weariness, hypochondria, indolence, indifference, and nervous irritability. — Frequent urging to urinate, with scanty emission in a thin stream, especially in the evening. — Micturition, [160.] Frequent, copious, diabetic urine, with smarting heat in the urethra, hypogastrium, and loins, clammy mouth, tongue dry, and as if burnt, urgent thirst, and general decline. — Nocturnal enuresis. — Hi' hie. Bloody urine, especially after an embrace. — Urine bloody, or containing only small streaks of blood. — Burning, turbid, thick, and red urine. — Sand in the urine.

Sexual Organs. — Male.. Very bad smell of the genitals. Ulcers, fissures, and small cracked condylomata on the prepuce. — Priapism, with incomplete erection. — Absence of erections ; sensation as if the prepuce, glans, and urethra had been forcibly scraped. — [170.] Purulent secretion between the glans and prepuce. — Itching-burning ulcers and scabs on the scrotum. — Burning pains in the testicles. Tardy and difficult ejaculation of semen. — Frequent, copious, and very debilitating nocturnal emissions. The genital symptoms are often accompanied by headache, ophthalmia, debility, and painful weariness, especially of the spine. — Female. Uterus swollen and painful, as if from the presence of a tumor. — Cracked and bleeding excrescences on the cervix uteri. — Inflammation and swelling of the ovaries, with pulsating and lancinating pains, extending into the loins and groins. — Drawing pains in the region of the ovaries, as if something was pulling them down. — [180.] Lancinations and pulsations in the ovaries and uterus, with heat and dryness in the throat, and twitchings in the breast. — Lancinating and crampy pains in the ovarian region, mostly on the right side. — Vagina inflamed and hot. — Copious yellow-green, very acrid and very offensive leucorrhcea. — Menses sometimes too early, often preceded and followed by leucorrhcea.— Menses retarded or suppressed. — Suppressed menses, with deafness. — Too profuse menses ; metrorrhagia. — Menses scanty, and consisting chiefly of the leucorrhcea discharge. — During the menses, headache, cough, angina, otalgia, borborygmi, flatulence, intestinal and uterine colic ; clothing has to be loosened at the waist ; painful fatigue and weariness in the loins and thighs ; constant drowsiness, trismus, spasmodic contractions of the limbs, trembling and swaying of the head. — [190.] Very strong sexual desire in the female, especially before menstruation.

Respiratory Organs.— Larynx, Trachea, and Bronchi. Thick, grayish false membranes, especially in the larynx. — A flow of thick mucus, apparently from the bronchi, which remains in the throat and causes suffocation. — Sensation as if there were a miliary eruption in the bronchi and on the lungs. — Bruised feeling, after each paroxysm of cough; he is obliged to keep quiet. — Voice. Hoarse, wheezing voice. — Cough and Expectoration. Cough, especially night and morning ; also, from movement and warmth. — Cough, with coryza and hoarseness.— Incessant cough, proceeding from the bronchi, and aggravated in the evening by warmth and in the open air. — Constant short cough, as if something had " gone the wrong way."— [200.] Hoarse cough, which seems to scrape and bruise the bronchi. — Barking, croupy cough, with sensation as from a foreign body in the larynx ; dryness and smarting in the throat ; hurried, noisy respiration ; face sometimes red, sometimes pale, pinched, or swollen ; contractive and pressive headache, with drowsiness but no sleep ; skin moist and hot ; pulse quick and hard ; restlessness, anxiety ; cannot be quiet in bed ; formication in the legs ; has to keep swallowing his saliva, in order to relieve the symptoms of the throat and larynx ; great flow of viscid mucus into the mouth ; frequent nausea ; desire for acids, etc.— Cough, with expectoration of yellow, green, gray, rusty, or blood-streaked mucus.— <-ough, with copious, thick, acrid and bilious expectoration.— Hard, noisy cough, ending only on expectoration of thick white mucus ; especially morning and evening.— Severe and long-lasting cough, with congestion of Blood to the head, burning and tearing pains in the chest, and bloody expectoration, especially in the evening.— Expectoration is always difficult and painful.— Haemoptysis of decomposed black blood.— Respiration. IN oisy, panting respiration— Bad smell of the breath, proceeding from the stomach.

Chest.— Objective. [210.] Inflammation and swelling of the lungs, as from abscesses and tubercles.— Sensation of debility of the lungs, with impeded, difficult respiration, and crepitant rale.— Subjective. Pains in the chest, especially on the right side.— Great fulness of the chest ; dyspnoea and suffocation.— Paroxysms of angina pectoris, with loss of consciousness. —Acute rheumatic pains in the chest, with palpitation and sensation as if the heart were forcibly compressed. — Pains in the chest, as if the lungs •were pierced, especially during respiration ; with painful weariness and great weakness in the back.— Stitches and lancinations in the chest.— Sensation when breathing as if the lungs were pricked by a thousand needles. —Beating and shocks in the chest.— Ma mma>. [220.] The breasts are flaccid and pendant. — Large abscess; erysipelas on the breasts. — Drying up of the milk in nursing women. — Burning pains in the mammary glands. — Intolerable itching of the nipples.

Heart and JPulse. — Prcecordium. Heart feels as if immersed in water. — Burning, contraction, and anxiety in the precordial region, extending to the region of the liver. — Sensation of heat and burning at the heart. — The heart feels swollen, full, disordered ; with lancinating pain on the right side. — Sensation of enormous swelling of the heart, with pulsating and lancinating pains. — [230.] Sensation of aneurismal distension of the heart ; suffocative attacks, especially from heat and after an embrace. — Cramps, which seem to revolve around the heart. — Heart feels heavy, with slow, hard movements. — Heart's Action. Palpitation of the heart, often with great oppression after eating, when walking, or going upstairs, and on even the least movement. — Palpitation of the heart, oppression, anxiety, fear of death. — Tremor and anxiety at the heart, with strong disposition to weep. — Pulse. Pulse accelerated and hard, or quite slow and hard, intermittent, irregular, or imperceptible. — Pulse hard, hurried or slow.

Ifecfc and Tlacfc. — Swelling and stiffness of the neck ; every movement causes pain, as if it was broken and torn ; neck bulky, red, hard, and very sensitive. — [240.] Burning, pulsating, and crampy pains, starting from the left occipital protuberance, and extending to the nape of the neck, with stiffness of the neck. — Pulsating pains in the joints of the neck. — Hack. Stiffness of the spine preventing him from bending forward. — Lancinating and burning pains all along the spine and in the loins, extorting cries, especially during motion; with painful prostration and weakness, and frequent vertigo and swooning. — Lumbar. Digging and twitching in the kidney region ; sensation as from knife-stabs in the loins, w ith coldness and cramps in the stomach, crispation of the limbs, and ineffectual urging to urinate.

Extremities in General. — Frequent numbness of the limbs. — Burning, lancinating, and tensive pains in all the joints. — Violent pains in the limbs, as if they were being dislocated. — Tearing pains in the right arm and left leg. — [250.] Great liability to dislocations and fractures.

Superior Extremities,— Objective, Swelling of the arm, with numb sensation and pulsating pains. — Paralytic weakness of the arms. — Subjective. Burning pains in the arms during rest ; lancinating pains on moving them. — Sensation of burning heat between the bones and the muscles of the arms. — Bruised pain in different parts of the arm, as if from a beating. — Smarting, pulsating, and drawing pains in the joints of the arms, with cramps and inclination to twist them about. — Should er. Sensation as if the arms would fall off at the shoulders. — Contractions in the shoulders, forcing them to be thrown backward. — Crampy pains in the shoulders, extending into the cervical muscles. — [260.] Cutting and lancinating pains, as if from stabs with a penknife, through the shoulder from below upwards. — Wrist. Inflammation and swelling of the joints of the wrist and fingers. — Hand. Contraction and stiffness of the hands. — Ulcers and fissures on the hands. — Great awkwardness of the hands. — Fingers. Arthritic nodosities on the fingers. — Paronychia. — Frequent torpor of the fingers.

Inferior Extremities. — Hip. Crampy and acute pains in the hip, and all through the leg. — Thigh. Sensation as if an iron bar were driven into the leg, from the hip to behind the knee. — Knee. [270.] Sensation as if the knee-joints were cut and bruised, with very painful cramps. — Leg. (Edematous swelling of the legs, with feeling as if the circulation had stopped. — Inflammation and swelling of the tibia, with abscesses and much suppuration. — He loses control of his legs when walking ; they knock against each other, and he staggers at every step. — Paralytic weakness of the legs. — Heaviness and great weakness of the legs ; he cannot put one before the other. — Cramps in the legs, mostly in the calf, and especially during and after an embrace. — Drawing pains in the legs, with contraction and stiffness of the tendons. — Acute rheumatic pains in the legs. — Ankle. Swelling of the malleoli, with intolerable pains and inability to use the feet. — Foot. [280.] Inflammatory swelling of the bones of the foot and toes. — Hammering pains on the instep. — Pulsating and lancinating pains in the heels. — Toes. Pains in the toe-nails, as if they were lifted and pulled out.

General Symptoms. — Objective, Marasmus. — Inflammation, swelling, and suppuration of the bones. — Abnormal swelling of the arteries and veins. — Blood black, thick, and greasy, or watery and pale. — Sanguineous congestion. — Haemorrhage. — [290.] Cramps and convulsions, often accompanied by tetanic rigidity. — Laziness and extreme indifference. — State of fatigue and exhaustion, as after sexual excess. — Excessive painful debility. — Extreme debility and indisposition, especially before meals. — Complete bodily and mental prostration. — Partial paralysis. — Great agitation and tremor, with heat of the head, ebullition of the blood, headache, and general sweat, especially in the evening, from heat and on movement. — The least noise makes him start and tremble. — Subjective, Constant sense of numbness and intoxication. — [300.] Heaviness and constant vertigo. — Rheumatic and gouty pains. — Bone-pains. — Pains usually appearing on the right side, and then settling on the left. — Can only lie on the left side ; other positions aggravate all the pains. — Inclination to be in marshy places full of mud and aquatic plants ; longing for stagnant water, as if it would relieve the pains; great dryness of mouth and tongue ; very bad-smelling breath; the lungs often seem to be without air, so that speech fells him ; constant hacking cough ; he is ill-humored, and envious of others who are m good health.

Objective. Skin red and burning, as if from hard friction, or AMnte in some places, yellow and transparent in others.— Skin soft and very sensitive, or hard, like bacon-rind, and as if paralyzed.— Skin morbid and very irritable; the least friction inflames and excoriates it.— Bed ancl blue swellings on various parts, as from bruises.— [310.] Very bad smell ot the skm.— Warts and callosities.— Skin of the face hard and apparently very thick.— Wrinkles and fissures on the skin of the face.— brreat tension of the skin of the arms and hands— Eruptions, Dry. . mall red elevations, which itch and burn like the bites of insects— Erythema on the inside of the thighs, with itching of the vulva, and increased sexual desire.— Eruption of miliary pimples, which prick the face like P1"5; Eruption of small burning pimples, and appearance of lice on the r",.ls- — Miliary eruption, with much smarting, on the hands. — [320.] Miliary eruption on the legs. — A great many small black points in the face, which can be squeezed out like fleshworms. — Severe furfuraceous herpes. — Pruriginous and burning furfuraceous herpes on the arm. — Er uptions, Hoist. Vesicular eruption, with much itching of the arms and hands. — Phlyctenoid eruption on the face and lips. — Em])tions, DasfuJar. Large, hard, subcutaneous pimples, very painful and rarely suppurating. — A considerable eruption of pustular herpes, especially on the cheeks. — Miliary, urticarial, vesicular, and pustular eruptions. — A great many boils. — [330.] Severe scabby, suppurating herpetic eruption on the forehead and cheeks, under the nose and on the chin. — Pustular pimples on the penis, which corrode and suppurate. — Boils and inflammatory swellings on the thighs. — Ulcers. Phlyctenae; large patches of ulceration as from burns, especially on fleshy parts. — Ulcers under the nose. — Ulcers, crusts, and fissures on the auricles, with suppuration and bleeding. — Syphilitic-looking corroding ulcers, with raised edges and copious suppuration, on the lower extremities. — Excavated ulcers, white and corroding, with profuse suppuration. — Dirty-looking excavated ulcers on the penis.— Pblyctenas and ulcers on the lips. — [340.] Small burning pimples, phlyctenae, ulcers as from aphtha?, and condylomata on the vulva. — Subjective. Intolerable itching and prickling all over.

Sleep> and Dreams. — Slerjtiuess. Sleepiness with yawning, especially in the evening and after a meal. — Sleepiness accompanied almost always bv lascivious thoughts. — Great drowsiness as soon as it is evening. — Sleep, with starting incoherent talk and mumbling. — Heavy sleep, with frequent and anxious waking. — Comatose sleep, with weakness and heaviness. — Sleejrtessness. Tardy slumbers. — Too early waking. — [350.] Very restless sleep, full of uneasiness and pain. — Sleeplessness for several nights. — Sleeplessness when in bed. — Sleeplessness accompanied by drowsiness ; interrupted by frequent starts, as if on the point of falling ; gets no sleep, although feeling greatly in want of it. — Dreams. Confused dreams, which cannot be recollected. — Frightful dreams, and especially voluptuous dreams. — Dreams about the business of the day. — Dreams about wickedness and cruelty.

Fever, — Chilliness. Feeling of coldness in chest and back after coughing. Heat. Heat with coldness, shivering, and partial sweat. — [360.] Heat with heaviness of the head, which feels as if crushed by a weight, so that he has to fall forwards. — Biting heat and dryness all over, excessive thirst, anorexia, insipid, sweetish taste; desire for wine and